通督调任针刺法治疗气血亏虚型颈性眩晕随机对照研究  

Governor vessel-regulating conception acupuncture method for cervical vertigo with deficiency of qi and blood:A randomized controlled trial

作　　者：候转转[1] 许世兵 俞惠达 邬伟刚 魏苗苗 HOU Zhuan-zhuan;XU Shi-bing;YU Hui-da;WU Wei-gang;WEI Miao-miao(Department of Acupuncture and Moxibustion,The Third People’s Hospital of Xiaoshan District Hangzhou City,Hangzhou 311251,China;Department of Orthopedics,The First People’s Hospital of Xiaoshan District Hangzhou City,Hangzhou 311200,China)

机构地区：[1]杭州市萧山区第三人民医院针灸科,杭州311251 [2]杭州市萧山区第一人民医院骨科,杭州311200

出　　处：《中华中医药杂志》2023年第3期1387-1391,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：浙江省中医药科技计划项目(No.2016ZB110)。

摘　　要：目的:比较通督调任针刺法与传统针刺法对气血亏虚型颈性眩晕的临床疗效差异。方法:将65例气血亏虚型颈性眩晕患者随机分为观察组(33例)和对照组(32例),观察组取百会、风府、大椎、身柱、膻中、中脘、气海穴,夹脊穴(C6、C7)。对照组取百会、风池(双)、百劳(双)、肩井(双)、后溪(双),足三里(双)、脾俞(双),夹脊穴(C6、C7)。10次为1个疗程,治疗2个疗程后观察两组患者在治疗前后的颈性眩晕与功能评估量表评分、气血亏虚型证候量表评分及双侧椎动脉血流动力学方面的变化情况,并评定临床疗效。结果:观察组总有效率为86.7%(26/30),优于对照组的63.3%(19/30)(P<0.05)。治疗后两组颈性眩晕与功能评估量表评分较治疗前均显著降低(P<0.05),且观察组在眩晕、头痛和颈肩痛评分上显著低于对照组(P<0.05)。治疗后两组在气血亏虚型证候量表评分方面,除对照组在心悸气短、舌质和脉象评分上差异无统计学意义,两组其余指标均较治疗前显著降低(P<0.05),且观察组各项指标均显著低于对照组(P<0.05)。治疗后两组在左椎动脉血流动力学方面上,除对照组在血管内径、搏动指数(PI)、阻力指数(RI)值上差异无统计学意义,两组其余指标较治疗前均显著改善(P<0.05),且观察组各项指标优于对照组(P<0.05)。治疗后两组在右椎动脉血流动力学方面上,除对照组在PI、RI上差异无统计学意义,两组其余指标较前均显著改善(P<0.05),且观察组最大流速、平均流速、PI、RI指标均优于对照组(P<0.05)。结论:通督调任针刺组疗效优于传统针刺组,可有效改善颈性眩晕症状、气血亏虚证候及椎动脉血流动力情况。Objective:To compare clinical efficacy differences between governor vessel-regulating conception acupuncture method and traditional acupuncture method for cervical vertigo with deficiency of qi and blood.Methods:A total of 65 patients were randomly divided into an observation group(33 cases)and a control group(32 cases).The acupoints of the observation group were mainly in the governor vessel(GV)and conception vessel(CV),namely Baihui(GV 20),Fengfu(GV 16),Dazhui(GV 14),Shenzhu(GV 12),Danzhong(CV 17),Zhongwan(CV 12),Qihai(CV 16)and Jiaji(EX-B2)of C6 and C7.The acupoints of the control group were including Baihui(GV 20),Fengchi(GB20),Bailao(EXHN 15),Jianjing(GB 21),Houxi(S 13),Zusanli(ST 36),Pishu(BL 20)and Jiaji(EX-B2)of C6 and C7.Acupuncture was given once every other day and 10 treatments were taken as one course.After 2-coures treatment,the changes before and after treatment of the scores of symptoms of cervical vertigo and functional evaluation scale,the scores of symptoms of deficiency of qi and blood,hemodynamic changes of vertebral artery were observed.Also,the effects were evaluated.Results:The total effective rate of the observation group were 86.7%(26/30),which was higher than 63.3%(19/30)in the control group(P<0.05).As for the scores of symptoms of cervical vertigo and functional evaluation scale,the results were obviously decreased after treatment in the two groups(P<0.05).Moreover,the observation group were lower than the control group in the changes of vertigo,headache and neck and shoulder pain scores(P<0.05).After treatment,the other scores of the symptoms of deficiency of qi and blood were decreased in the two groups(P<0.05),except no significant differences in the scores of palpitation and shortness of breath,tongue and pulse in the control group,with superiority in the observation group(P<0.05).After treatment,the other scores of hemodynamic changes of the left vertebral artery were increased in the two groups(P<0.05),except no significant differences in the scores of vascular diameter(VD),pulsa

关 键 词：针刺 颈性眩晕 气血亏虚 督脉 任脉 随机对照 

分 类 号：R246.9[医药卫生—针灸推拿学]