麦粒灸“中风七穴”治疗后循环缺血性眩晕的临床研究  

Clinical Observation of Wheat Grain Moxibustion"Seven Acupoints of Stroke"in the Treatment of Patients with Posterior Circulation Ischemic Vertigo

作　　者：孙继飞 马克信[2] 王佳兴 邵泽燕 张爱华 秦绍林 SUN Jifei;MA Kexin;WANG Jiaxing;SHAO Zeyan;ZHANG Aihua;QIN Shaolin(Graduate School,China Academy of Chinese Medical Sciences,Beijing 100700,China;Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院研究生院,北京100700 [2]中国中医科学院眼科医院,北京100040

出　　处：《中西医结合心脑血管病杂志》2021年第21期3654-3658,共5页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：中国中医科学院基本科研业务费自主选题项目(No.ZZ0908016)。

摘　　要：目的观察麦粒灸“中风七穴”治疗后循环缺血性眩晕的临床疗效。方法选取2018年9月—2019年12月于中国中医科学院眼科医院收治的60例后循环缺血性眩晕住院病人,采用随机数字表法分为治疗组和对照组,各30例。对照组采用常规西药治疗,治疗组在对照组的基础上施麦粒灸“中风七穴”,百会、风池、大椎、肩井、曲池、间使每穴各灸三壮,足三里穴灸五壮,每日1次,从左到右,从上到下,依次灸之。两组均治疗14 d。观察两组治疗前后眩晕评估评分量表(DARS)评分、眩晕障碍评定量表(DHI)评分、眩晕病临床证候评价量表评分、超敏C反应蛋白(hs-CRP)、同型半胱氨酸(Hcy)水平变化;采用经颅多普勒超声(TCD)检测两组双侧椎动脉(VA)、基底动脉(BA)的平均血流速度和血管搏动指数;比较两组临床疗效。结果治疗后,治疗组总有效率为90.00%,高于对照组的76.67%(P<0.05)。治疗后,两组病人DARS评分、DHI评分及眩晕病临床证候评价量表评分均低于治疗前(P<0.01),且治疗组均低于对照组(P<0.05或P<0.01)。治疗后,两组病人hs-CRP、Hcy水平均低于治疗前(P<0.01),两组间hs-CRP水平比较差异有统计学意义(P<0.05),两组间Hcy水平比较差异无统计学意义(P>0.05)。治疗后,两组病人双侧椎动脉、基底动脉平均血流速度和血管搏动指数较治疗前均有明显改善(P<0.01),且治疗组改善程度均优于对照组(P<0.05或P<0.01)。结论麦粒灸“中风七穴”联合常规西药治疗能够明显改善后循环缺血性眩晕病人的眩晕程度、脑血流量,抑制炎症反应,提高临床疗效。Objective To observe the clinical effect of wheat grain moxibustion"seven acupoints of stroke"in the treatment of patients with posterior circulation ischemic vertigo.Methods A total of 60 patients with posterior circulation ischemic vertigo were randomly divided into treatment group and control group,with 30 cases in each group.The patients in control group were treated with conventional western medicine.On the basis of control group,the patients in treatment group were treated withwheat grain moxibustion"seven acupoints of stroke",moxibustion with seed-size moxa cone was used with 3 cones on baihui,fengchi,dazhui,jianjing,quchi,and jianshi,and 5 cones on zusanli,once a day,from left to right,from top to bottom,moxibustion in turn.Both groups were treated for 14 days.The Vertigo Assessment Rating Scale(DARS)score,Dizziness Handicap Inventory Scale(DHI)score,Vertigo Clinical Syndrome Evaluation Scale score,hypersensitive C-reactive protein(hs-CRP)and homocysteine(Hcy)levels,and clinical efficacy were compared.The average blood flow velocity(Vm)and pulsatility index(PI)of bilateral vertebral artery(VA)and basilar artery(BA)were measured by transcranial Doppler sonography(TCD).Results After treatment,the effective rate of treatment group was higher than that of control group(90.00%and 76.67%,P<0.05).DARS score,DHI score,and Vertigo Clinical Syndrome Evaluation Scale score in two groups were lower than those before treatment(P<0.01),and the scores in treatment group were lower than those in control group(P<0.05 or P<0.01).After treatment,there was statistical difference in hs-CRP level between two groups(P<0.05).There was no statistical difference in Hcy level between two groups(P>0.05).After treatment the Vm and PI of VA and BA in two groups were better than those before treatment(P<0.01),and the Vm and PI in treatment group were better than those in control group(P<0.05 or P<0.01).Conclusion Wheat grain moxibustion"seven acupoints of stroke"combined with conventional western medicine can improve the severity of ve

关 键 词：后循环缺血性眩晕 麦粒灸 中风七穴 超敏C反应蛋白 同型半胱氨酸 脑血流速度 血管搏动指数 

分 类 号：R74[医药卫生—神经病学与精神病学]