毫火针治疗颈性眩晕的临床疗效观察  

Clinical efficacy of filiform-fire needle in the treatment of cervical vertigo

作　　者：傅敏 吕亚南[2] 钟维章[3] 谢爱泽[4] 梁淑芬 王程[2] 高新[2] 刘朝锋[2] 黄沃宁 罗扬[2] 韦立书 朱维汉 FU Min;LYU Ya-nan;ZHONG Wei-zhang;XIE Ai-ze;LIANG Shu-fen;WANG Cheng;GAO Xin;LIU Chao-feng;HUANG Wo-ning;LUO Yang;WEI Li-shu;ZHU Wei-zhang(College of Acupuncture-Moxibustion and Tuina,Guangxi University of Chinese Medicine,Nanning 530200,China;Rehabilitation Medical Center,People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China;Department of Neurology,Guangxi Zhuang Autonomous Region People's Hospital,Nanning 530021,China;The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西中医药大学针灸推拿学院,南宁530200 [2]广西壮族自治区人民医院康复医学中心,南宁530021 [3]广西壮族自治区人民医院神经内科,南宁530021 [4]广西医科大学第一附属医院,南宁530021

出　　处：《中华中医药杂志》2019年第11期5506-5509,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：广西重点攻关课题(No.桂科AB16380239);广西中医药科技专项课题(No.GZLC14-32);广西中医药科技专项课题(No.GZMZ1204)~~

摘　　要：目的:观察毫火针治疗颈性眩晕的临床疗效。方法:选取2014年7月到2016年9月就诊的60例颈性眩晕患者,按随机数字表法分为治疗组和对照组,每组30例。治疗组采用毫火针治疗,隔日1次,共治疗3次;对照组采用口服西比灵胶囊治疗,每日10mg,共服2周。比较两组治疗前后《颈性眩晕症状与功能评估量表》《中医眩晕程度分级评价表》及《颈椎病疗效评价表》得分情况。治疗结束后6个月,比较两组的复发率。结果:治疗后两组《颈性眩晕症状与功能评估量表》评分均较本组治疗前显著升高(P<0.01),且治疗组升高幅度大于同期对照组(P<0.01);治疗后两组《中医眩晕程度分级评价表》和《颈椎病疗效评价表》均较本组治疗前显著降低(P<0.01),且治疗组降低幅度大于同期对照组(P<0.01)。治疗组复发率为6.67%显著低于对照组的73.33%(P<0.01)。结论:毫火针与口服西比灵胶囊对颈性眩晕患者均有效,但毫火针疗效优于口服西比灵胶囊,且复发率低。Objective: To observe the clinical efficacy of filiform-fire needle in the treatment of cervical vertigo. Methods: Sixty patients with cervical vertigo were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was treated with filiform-fire needle once every other day for three times, while the control group was treated Flunarizine, 10 mg daily for two weeks. Before and after treatment, the changes of symptoms and functions of patients were observed by Cervical Vertigo Symptoms and Function Assessment Scale, Chinese Medicine Vertigo Grading Assessment Table and Cervical Spondylosis Curative Effect Assessment Table. Six months after the end of treatment, the recurrence rates of the two groups were followed up. Results: After treatment, the scores of Cervical Vertigo Symptoms and Function Assessment Scale was increased in both groups(P<0.01), and the increase in the treatment group was more significant than that in the control group(P<0.01). After treatment, the Chinese Medicine Vertigo Grading Assessment Scale, the Cervical Vertigo Efficacy Assessment Scale in both groups were decreased(P<0.01), and the decrease in the treatment group was more significant(P<0.01). There were significant differences in scores between the treatment group and the control group before and after treatment(P<0.01). The recurrence rate in the follow-up group was 6.67%, which was lower than that in the control group 73.33%(P<0.01). Conclusion: Both filiform-fire needle and oral Flunarizine are effective for patients with cervical vertigo, but the efficacy of filiform-fire needle is more significant than Flunarizine, and the recurrence rate is lower.

关 键 词：颈性眩晕 毫火针 经脉理论 经筋理论 枕下三角 西比灵 

分 类 号：R25[医药卫生—中医内科学]