腹针联合隔物灸治疗后循环缺血性眩晕的疗效观察  

Efficacy Observation of Abdominal Acupuncture Combined with Partitioned Moxibustion for Vertigo Due to Posterior Circulation Ischemia

作　　者：肖娜 姜晓丽 李玉超 王梓琪 刘云婷 邱文超 王盛春 XIAO Na;JIANG Xiaoli;LI Yuchao;WANG Ziqi;LIU Yunting;QIU Wenchao;WANG Shengchun(Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China)

机构地区：[1]山东中医药大学,济南250014 [2]山东第一医科大学附属省立医院,济南250021

出　　处：《上海针灸杂志》2022年第8期781-785,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：山东省中医优才项目-齐鲁医派中医学术流派传承项目[鲁卫函(2020)132号]。

摘　　要：目的观察腹针联合隔物灸治疗后循环缺血性眩晕的临床疗效。方法将70例后循环缺血性眩晕患者随机分为对照组与治疗组,每组35例。对照组采用口服甲磺酸倍他司汀片治疗,治疗组采用腹针联合隔物灸治疗。观察两组治疗前后眩晕评定量表(DARS)和眩晕障碍筛查量表(DHI-S)的评分变化;通过经颅彩色多普勒(TCD)检查,观察两组治疗前后左侧椎动脉(LVA)、右侧椎动脉(RVA)及基底动脉(BA)的血流速度变化;比较两组临床疗效。结果两组治疗后DARS和DHI-S评分及TCD检查中各动脉血流速度均较同组治疗前改善(P<0.05),且治疗组治疗后上述各项均优于对照组(P<0.05)。治疗组总有效率为91.4%,对照组为71.4%,组间差异具有统计学意义(P<0.05)。结论腹针联合隔物灸治疗后循环缺血性眩晕疗效优于口服甲磺酸倍他司汀片。Objective To observe the clinical efficacy of abdominal acupuncture combined with partitioned moxibustion in treating vertigo due to posterior circulation ischemia.Method Seventy patients with vertigo due to posterior circulation ischemia were randomly divided into a control group and a treatment group,with 35 cases in each group.The control group was treated with oral Betahistine mesilate tablets,and the treatment group received additional abdominal acupuncture and partitioned moxibustion.Before and after the treatment,the scores of dizziness assessment rating scale(DARS)and dizziness handicap inventory-screening(DHI-S)were observed.Transcranial doppler(TCD)was adopted to observe the changes in blood flow velocity in the left vertebral artery(LVA),right vertebral artery(RVA),and basilar artery(BA).The clinical efficacy was also compared between the two groups.Result After the treatment,the DARS and DHI-S scores and TCD-detected arterial blood flow velocities improved in both groups(P<0.05)and were better in the treatment group than in the control group(P<0.05).The total effective rate was 91.4%in the treatment group versus 71.4%in the control group,and the between-group difference was statistically significant(P<0.05).Conclusion In treating vertigo due to posterior circulation ischemia,abdominal acupuncture plus partitioned moxibustion can produce more significant efficacy than oral Betahistine mesylate tablets.

关 键 词：针刺疗法 腹针 灸法 间接灸 眩晕 缺血性 动脉粥样硬化 

分 类 号：R246.6[医药卫生—针灸推拿学]