丰隆穴位注射异丙嗪治疗痰浊中阻型后循环缺血性眩晕疗效观察  

Therapeutic Observation of Acupoint Injection at Fenglong (ST 40) with Promethazine for Posterior Circulation Ischemic Vertigo Due to Turbid Phlegm Obstructing the Middle

作　　者：王保国[1] 肖伟[1] 王震[1] 孔红兵[1] 张静波[1] 梁发俊[1] 章显宝[1] 胡徽星[1] 尹苗苗[1] 

机构地区：[1]安徽中医药大学第二附属医院,合肥230061

出　　处：《上海针灸杂志》2018年第1期1-5,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家中医药管理局"十二五"中医药重点学科"中医治未病"培育学科

摘　　要：目的观察丰隆穴位注射异丙嗪治疗痰浊中阻型后循环缺血性眩晕的临床疗效。方法将62例痰浊中阻型后循环缺血性眩晕患者随机分为治疗组和对照组,每组31例。两组均接受长春西汀注射液静脉滴注治疗,治疗组在此基础上采用丰隆穴位注射异丙嗪注射液治疗,对照组在此基础上采用臀部肌肉注射异丙嗪注射液治疗。观察两组治疗前后中医证候评分、眩晕障碍量表(DHI)评分的变化情况,并比较两组临床疗效。结果两组治疗后中医证候评分及DHI评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后中医证候评分及DHI评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率为93.5%,对照组为80.6%,两组比较差异具有统计学意义(P<0.05)。结论丰隆穴位注射异丙嗪是一种治疗痰浊中阻型后循环缺血性眩晕的有效方法。Objective To observe the clinical efficacy of acupoint injection at Fenglong （ST 40） with Promethazine in treating posterior circulation ischemic vertigo （PCIV） due to turbid phlegm obstructing the middle. Method Sixty-two patients with PCIV due to turbid phlegm obstructing the middle were randomized into a treatment group and a control group, 31 cases each. The two groups both received intravenous infusion of Vinpocetine injection, based on which, the treatment group was intervened by injection at Fenglong （ST 40） with Promethazine, while the control group was given gluteal intramuscular injection of Promethazine. The traditional Chinese medicine （TCM） syndrome score and Dizziness Handicap Inventory （DHI） were observed for the two groups before and after the treatment, and the clinical efficacies were also compared. Result The TCM syndrome and DHI scores were significant changed after the intervention in both groups （P〈0.05）. After the treatment, the TCM syndrome and DHI scores in the treatment group were significantly different from those in the control group （P〈0.05）. The total effective rate was 93.5% in the treatment group versus 80.6% in the control group, and the between-group difference was statistically significant （P〈0.05）. Conclusion Injection at Fenglong （ST 40） with Promethazine is an effective method in treating PCIV due to turbid phlegm obstructing the middle.

关 键 词：眩晕 水针 穴 丰隆 椎底动脉供血不足 痰浊中阻 异丙嗪 

分 类 号：R246.6[医药卫生—针灸推拿学]