穴位贴敷联合天麻素和血塞通治疗椎-基底动脉供血不足性眩晕的临床研究  

Clinical study of acupoint application combined with Gastrodin and Xuesaitong in the treatment of vertebrobasilar artery insufficiency vertigo

作　　者：黄纡寰 段小林 胡小花 何伟建 黄利民 HUANG Yu-huan;DUAN Xiao-lin;HU Xiao-hua;HE Wei-jian;HUANG Li-min(Department of Internal Medicine,Fuzhou Hospital of Traditional Chinese Medicine,Jiangxi Province,Fuzhou 344000,China)

机构地区：[1]江西省抚州市中医院内科,江西抚州344000

出　　处：《中国当代医药》2021年第26期198-201,共4页China Modern Medicine

基　　金：江西省中医药管理局科研课题(2019A410)。

摘　　要：目的探讨穴位贴敷联合天麻素和血塞通治疗椎-基底动脉供血不足性眩晕的效果。方法选取2019年5月至2020年6月抚州市中医院内科收治的70例椎-基底动脉供血不足性眩晕患者作为研究对象,采用随机数字表法将其分为对照组与观察组,每组各35例。对照组患者采用天麻素和血塞通治疗,观察组患者采用穴位贴敷联合天麻素和血塞通治疗,疗程10 d。比较两组患者治疗前后左椎动脉(LVA)、右椎动脉(RVA)和基底动脉(BA)的平均血液流速(Vm)、血液黏度及临床疗效。结果治疗前,两组患者的LVA、RVA和BA的Vm比较,差异无统计学意义(P>0.05);治疗后,观察组患者的LVA、RVA和BA的Vm高于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者的全血高切黏度、全血低切黏度、血浆黏度比较,差异无统计学意义(P>0.05);治疗后,观察组患者的全血高切黏度、全血低切黏度、血浆黏度低于对照组,差异有统计学意义(P<0.05)。观察组患者的总有效率高于对照组,差异有统计学意义(P<0.05)。结论穴位贴敷联合天麻素和血塞通治疗椎-基底动脉供血不足性眩晕可有效改善患者的血液流变学指标,促进血运,提升疗效,安全性良好。Objective To explore the effect of acupoint application combined with Gastrodin and Xuesaitong in the treatment of vertigo due to vertebra-basal artery insufficiency.Methods A total of 70 patients with vertigo due to vertebral-basilar artery insufficiency admitted to the Department of Internal Medicine of Fuzhou Hospital of Traditional Chinese Medicine from May 2019 to June 2020 were selected as the research objects and divided into the control group and the observation group by random number table method,with 35 cases in each group.The control group was treated with Gastrodin and Xuesaitong,and the observation group was treated with acupoint application combined with Gastrodin and Xuesaitong for 10 days.The mean blood velocity(Vm)of the left vertebral artery(LVA),right vertebral artery(RVA)and basilar artery(BA),blood viscosity before and after treatment and clinical efficacy were compared between the two groups.Results Before treatment,there were no statistically significant differences in Vm of LVA,RVA and BA between the two groups(P>0.05).After treatment,the Vm of LVA、RVA、BA in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no statistically significant differences in the comparison of whole blood high shear viscosity,whole blood low shear viscosity and plasma viscosity between the two groups(P>0.05).After treatment,the whole blood high shear viscosity,whole blood low shear viscosity and plasma viscosity of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion Acupoint application combined with Gastrodin and Xuesaitong in the treatment of vertebrobasilar insufficiency vertigo can effectively improve hemorheology,promote blood circulation,improve curative effect and has good safety.

关 键 词：穴位贴敷 椎-基底动脉供血不足 眩晕 血塞通 天麻素 安全性 

分 类 号：R255.3[医药卫生—中医内科学]