电针治疗颈源性眩晕临床观察  

Clinical Observation of Electroacupuncture for Cervical Vertigo

作　　者：李国灿[1] LI Guocan

机构地区：[1]杭州市萧山区第一人民医院中医针灸科,浙江杭州311200

出　　处：《新中医》2018年第3期160-163,共4页New Chinese Medicine

摘　　要：目的:观察电针治疗颈性眩晕的临床疗效及其对椎-基底动脉供血改善的影响。方法:将120例患者随机分为2组各60例。因失访、脱落对照组完成55例,观察组完成57例。对照组予盐酸氟桂利嗪片及甲磺酸倍他斯汀片治疗;观察组采用电针治疗,2组均治疗3周。治疗前后对颈性眩晕症状与功能评估量表(ESCV)、颈椎病临床评价量表(CASCS)评分、颈椎退变程度进行评价;采用多普勒超声记录治疗前后椎-基底动脉舒张末期峰值流速(EDV)、收缩期峰值流速(PSV)、阻力指数(RI)和搏动指数(PI)。结果:临床疗效总有效率观察组92.98%,高于对照组78.18%,差异有统计学意义(P<0.05)。治疗后,2组ESCV量表眩晕(程度、频度和持续时间)、颈肩痛、头痛、日常生活及工作、心理及社会适应评分均上升,颈椎退变程度均有改善,CASCS评分均升高,PSV及EDV均增加,RI及PI均降低,分别与治疗前比较,差异均有统计学意义(P<0.05,P<0.01);观察组ESCV量表各项评分、CASCS评分均高于对照组,PSV及EDV均快于对照组,RI及PI均低于对照组,差异均有统计学意义(P<0.05,P<0.01)。结论:电针治疗能缓解颈源性眩晕患者的头晕及伴随症状,改善颈椎功能和椎-基底动脉供血情况,且临床疗效优于西药内服治疗。Objective：To observe the clinical effect of electroacupuncture for cervical vertigo and the effect of blood supply of vertebro-basilar artery. Methods：Divided 120 cases of patients into two groups randomly,60 cases in each group. Due to a loss of follow-up and expulsion,55 cases were completed in the control group and 57 cases in the observation group. The control group was given flunarizine hydrochloride tablets and betahistine mesilate tablets for treatment;the observation group received electroacupuncture,and both groups were treated for 3 weeks. Evaluated the scores of evaluation scale for cervical vertigo（ESCV） and clinical assessment scale for cervical spondylosis（CASCS） as well as cervical degeneration degree before and after treatment;recorded end diastolic velocity（EDV）,peak systolic velocity（PSV）,resistance index（RI） and pulsatility index（PI） of vertebro-basilar artery before and after treatment by means of doppler ultrasound. Results：The total effective rate was 92.98% in the observation group,higher than that in the control group being 78.18%,difference being significant（P〈0.05）. After treatment,the scores of ESCV in respect of dizziness（degree,frequency and duration）,neck and shoulder pain,headache,daily life and work,psychology and social adaptation were all increased,degree of cervical degeneration was improved, scores of CASCS were significantly increased,PSV and EDV were both increased,RI and PI were both decreased in the two groups,and compared the indexes with those before treatment,differences being significant（P〈0.01,P〈0.05）;Each score of ESCV and CASCS in the observation group was higher than that in the control group,PSV and EDV were both faster than those in the control group,and RI and PI were both lower than those in the control group,differences being significant（P〈0.01,P〈0.05）. Conclusion：Electroacupuncture can relieve dizziness and concomitant symptom of patients with cervical vertigo,improve cervical function and blood supply

关 键 词：颈源性眩晕 电针疗法 颈性眩晕症状与功能评估量表(ESCV) 颈椎病临床评价量表(CASCS) 舒张末期峰值流速(EDV) 收缩期峰值流速(PSV) 阻力指数(RI) 搏动指数(PI) 

分 类 号：R441.2[医药卫生—诊断学]