水针联合温胆汤治疗风痰瘀阻型颈性眩晕临床观察  

Clinical Observations on Acupuncture Point Injection plus Wen Dan Decoction for Cervical Vertigo of Wind-phlegm Stagnation Type

作　　者：沈亚琴 吴艳华 刘燕青 

机构地区：[1]暨南大学医学院附属广州红十字会医院,广州510220

出　　处：《上海针灸杂志》2018年第2期213-216,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察水针联合温胆汤治疗风痰瘀阻型颈性眩晕的临床疗效。方法将60例风痰瘀阻型颈性眩晕患者随机分为对照组和治疗组,每组30例,对照组给予甲磺酸倍他司汀片治疗,治疗组在对照组治疗基础上予以水针联合温胆汤治疗,14 d为1个疗程。2个疗程后观察两组颈性眩晕症状改善的情况。结果治疗组总有效率为90.0%,对照组总有效率为73.3%,两组比较差异有统计学意义(P<0.05);治疗组治疗后血脂水平、血液流变学、双侧椎动脉(VA)与基底动脉(BA)平均血流速度均优于对照组(P<0.05)。结论在口服甲磺酸倍他司汀片基础上,水针联合温胆汤治疗风痰瘀阻型颈性眩晕具有较好的临床疗效。Objective To investigate the clinical efficacy of acupuncture point injection plus Wen Dan decoction in treating cervical vertigo of wind-phlegm stagnation type. Method Sixty patients with cervical vertigo of wind-phlegm stagnation type were randomized to treatment and control groups, 30 cases each. The control group was treated with Betahistine mesilate tablets and the treatment group, acupuncture point injection plus Wen Dan decoction in addition. One course of treatment consisted of 14 days. The effects on cervical vertigo were evaluated after two courses of treatment. Result The total efficacy rate was 90.0% in the treatment group and 73.3% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. Blood lipid levels, hemorheological indicators, and bilateral vertebral artery （VA） and basilar artery （BA） mean flow velocity were better in the treatment group than in the control group （P〈0.05）. Conclusion Acupuncture point injection plus Wen Dan decoction based on Betahistine mesilate tablets has clinically a better therapeutic effect on cervical vertigo of wind-phlegm stagnation type.

关 键 词：眩晕 颈椎病 椎动脉型 风痰瘀阻型 水针 温胆汤 针药并用 

分 类 号：R246.2[医药卫生—针灸推拿学]