眼针不同分区法治疗肝火上炎型眩晕临床疗效分析  

Analysis of Clinical Effect in Treating Vertigo Patients by Different Acupoint Division Method of Periocular Needle

作　　者：裴莹[1] 海英[1] 张威[1] 

机构地区：[1]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《辽宁中医药大学学报》2017年第6期73-75,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：辽宁省自然科学基金面上项目(201602507);国家中医药管理局辽宁彭氏眼针学术流派传承工作室建设项目(LPG-ZS2012-09)

摘　　要：目的:观察眼针"八区八穴"分区法和"八区十三穴"分区法治疗肝火上炎型眩晕的临床疗效,比较其疗效差异。方法:于辽宁中医药大学附属医院住院患者中收集符合本研究纳入标准的肝火上炎型眩晕患者60例,随机分为2组,每组30例,在基础治疗方案上,分别采用"八区八穴"法和"八区十三穴"法给予眼针治疗,不行针,针刺20 min,14 d为1个疗程,观察1个疗程。治疗结束分别对两组患者的经颅多普勒(TCD)中基底动脉(BA)、左椎动脉(LVA)、右椎动脉(RVA)平均血流速度变化及临床总体疗效作以评估,并统计分析。结果:两组患者经治疗后,其BA、LVA、RVA平均血流速度均有所改善,且与治疗前相比均有显著差异(P<0.05),虽两组间治疗后的平均血流速度无统计学差异(P>0.05),但在数值上八区八穴组要优于八区十三穴组。两组临床总体疗效比较无明显差异,但八区八穴组中痊愈和显效的患者居多。结论:眼针"八区八穴"分区法对于肝火上炎型眩晕的治疗作用略优于"八区十三穴"分区法。Objective ： To observe clinical effect of treating vertigo patients whose symptom is excessive rising of liver-Yang with periocular needle, dividing acupoints by ＂eight districts 8 points＂ method and ＂eight districts 13 points＂ method respectively. Comparing the therapeutic effect of the two groups. Methods ： 60 cases of vertigo patients of ＂excessive rising of liver Yang-Qi＂ type were selected from the affiliated hospital of liaoning university of traditional Chinese medicine clinic and ward patients groups that meet the inclusion criteria for this study and randomly divided into two groups and 30 patients in each group. On the bases of using basic treatment programs for two groups of patients, espectively using the acupoint dividing method of ＂eight districts 8 points＂ and ＂eight districts 13 points＂ for periocular needle, no manipulating skills were used, needle 20 miu and once a day. Durations are two weeks in each group for a full course and observation of a full course of treatment. The changes of flow velocity of BA, LVA, RVA before and after treatment were observed using trans-cranial Doppler （ TCD ） and the therapeutic effects were observed also. Results ： After treating, mean flow velocity in BA, LVA, RVA of both groups were significantly improved as compared with those before treatment （ P〈0.05 ）. Although there was no statistical difference （ P〉0.05 ） between two groups in blood flow velocity after treatment, data presents better in the group of ＂eight districts 8 points＂ than that in the group of ＂eight districts 13 points＂ . There are no significant difference in therapeutic effect in the two groups, however, more well-healed and excellence were proved in the group of ＂eight districts 8 points＂ . Conclusion ： Clinical effect of ＂eight districts 8 points＂ acupoints dividing method in curing vertigo patients with symptom of excessive rising of liver-Yang is slightly better than the method of ＂eight districts 13 points＂ .

关 键 词：眼针 眩晕 八区八穴 八区十三穴 

分 类 号：R245.3[医药卫生—针灸推拿学] R255.3[医药卫生—中医临床基础]