通脑活络针刺法治疗椎-基底动脉供血不足性眩晕  

Tongnao Huoluo Acupuncture in treatment of vertigo due to insufficient vertebrobasilar blood supply

作　　者：赵峰[1] 王敬卿[1] 赵杨[1] 范刚启[1] 张晖[1] 

机构地区：[1]江苏省南京市中医院脑病科,210001

出　　处：《中国老年保健医学》2016年第6期25-27,共3页Chinese Journal of Geriatric Care

基　　金：南京市卫生局重点医学项目ZKXl2041

摘　　要：目的观察通脑活络针刺法治疗椎-基底动脉供血不足性眩晕的疗效。方法将椎-基底动脉供血不足性眩晕症患者80例随机分为治疗组(n=40)和对照组(n=40)。治疗组采用通脑活络针刺法治疗,对照组采用常规针刺治疗,5次为1疗程,连续治疗2个疗程后,通过观察临床症状、TCD变化,进行疗效对比。结果治疗组总优良率为77.5%,优于对照组总优良率62.5%(P<0.05);TCD结果显示治疗组对收缩期峰值血流速度(VS)、平均血流速度(VM)及动脉搏动指数(PI)等双侧椎动脉血流速度变化参数指标有显著的改善作用,明显优于对照组(P<0.05)。结论通脑活络针刺法对椎-基底动脉供血不足性眩晕症有较好的治疗作用,其疗效优于常规针刺治疗。Objectives To observe the clinical efficacy of Tongnaohuoluo Acupuncture（ Acupuncture for smoothing brain meridians to activate collaterals） in treatment of vertigo due to insufficient vertebrobasilar blood supply. Methods A total of 80 patients with vertigo due to insufficient vertebrobasilar blood supply were randomly divided into treatment group and control group,40 cases for each group. Treatment group was treated with Tongnao Huoluo Acupuncture while control group with routine acupuncture,5 times as a cycle,for totally 2 cycles. The clinical efficacy was compared by observing the changes of clinical symptoms and transcranial Doppler（ TCD） examinations. Results The total excellent rate was 77. 5% in treatment group,evidently higher than the 62. 5% in control group（ P〈0. 05）. TCD results indicated that treatment was markedly better than control group in obviously improving the parameters for the changes of vertebrobasilar blood flow velocity,such as systolic peak velocity（ VS）,mean velocity（ VM） and pulsatility index（ PI）（ P〈0. 05）. Conclusions Tongnaohuoluo Acupuncture has favorable therapeutic efficacy in the treatment of vertigo due to insufficient vertebrobasilar blood supply,with better clinical efficacy than routine acupuncture.

关 键 词：通脑活络针刺法 椎-基底动脉供血不足 眩晕 

分 类 号：R246.6[医药卫生—针灸推拿学]