傍刺法配合艾条压灸治疗颈性眩晕临床观察  

Clinical Observations on Proximate Needling plus Moxa Stick Pressure Moxibustion for Cervical Vertigo

作　　者：章新玲 张健[1] 朱吉平[1] 程志昆[1] 钱明华[1] 王世友[1] ZHANG Xin-ling;ZHU Ji-ping;ZHANG Jian;CHENG Zhi-kun;QIAN Ming-hua;WANG Shi-you(Anhui Tongling Hospital of Traditional Chinese Medicine,Tongling 244000,China)

机构地区：[1]安徽省铜陵市中医医院,铜陵244000

出　　处：《上海针灸杂志》2020年第10期1290-1294,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：安徽省卫生厅中医药科研计划项目(2012zy85)。

摘　　要：目的观察傍刺病变节段对应的颈夹脊穴配合艾条压灸治疗颈性眩晕的临床疗效。方法将60例符合颈性眩晕诊断标准的患者随机分为治疗组和对照组,每组30例。治疗组采用傍刺病变节段颈夹脊穴配合艾条压灸治疗;对照组口服盐酸氟桂利嗪治疗。观察两组治疗前后症状、功能评分、TCD检查及临床疗效。结果治疗组总有效率为96.7%,对照组为76.7%,两组比较差异有统计学意义(P<0.05)。两组治疗后症状积分均有提高(P<0.05),且治疗组高于对照组(P<0.05)。治疗组治疗后基底动脉(BA)、左侧椎动脉颅内段(LVA)、右侧椎动脉颅内段(RVA)各项指标均较治疗前改善(P<0.05),对照组BA[舒张期末血流速度(Vd)、平均血流速度(Vm)、搏动指数(PI)]、LVA(Vd)、RVA[收缩期末血流速度(Vs)、Vm]较治疗前有改善,差异具有统计学意义(P<0.05)。治疗组BA(Vs、Vd、Vm、PI)、LVA(Vs、Vm)、RVA(Vs、Vd)均优于对照组(P<0.05)。结论傍刺法配合艾条压灸治疗颈性眩晕疗效优于常规药物治疗。Objective To investigate the clinical efficacy of proximate needling at cervical Jiaji(EX-B2)points corresponding to affected segments plus moxa stick pressure moxibustion for cervical vertigo.Method Sixty patients meeting the diagnostic criteria of cervical vertigo were randomized to treatment and control groups,30 cases in each group.The treatment group received proximate needling at cervical Jiaji points corresponding to affected segments plus moxa stick pressure moxibustion and the control group,oral administration of Flunarizine.In the two groups,the symptoms were observed,the function score was recorded and the TCD was performed before and after treatment,and the clinical therapeutic effects were evaluated after treatment.Result The total efficacy rate was 96.7%in the treatment group and 76.7%in the control group with a statistically significant difference between the two groups(P<0.05).There was a statistically significant difference in the clinical therapeutic effect between the two groups(P<0.05).After treatment,the symptom score increased in both groups(P<0.05)and was higher in the treatment group than in the control group(P<0.05).All BA,LVA and RVA indicators improved in the treatment group after treatment compared with before(P<0.05).BA(Vd,Vm and PI),LVA(Vd)and RVA(Vs and Vm)improved in the control group after treatment compared with before with a statistically significant difference(P<0.05).BA(Vs,Vd,Vm and PI),LVA(Vs and Vm)and RVA(Vs and Vd)were better in the treatment group than in the control group(P<0.05).Conclusion Proximate needling plus moxa stick pressure moxibustion is more effective than conventional medication in treating cervical vertigo.

关 键 词：针刺疗法 艾条灸 傍刺法 穴 夹脊 压灸 颈性眩晕 眩晕 

分 类 号：R246.2[医药卫生—针灸推拿学]