颈三针温针灸治疗气血亏虚证颈性眩晕的临床效果  

Clinical effect of cervical three needles warming needle moxibustion on cervical vertigo of qi and blood deficiency syndrome

作　　者：胡海超 李广广 周匀标 刘华 HU Haichao;LI Guangguang;ZHOU Yunbiao;LIU Hua(Department of Acupuncture and Rehabilitation,Yixing Hospital of Traditional Chinese Medicine,Jiangsu Province,Yixing 214200,China;Department of Orthopedics and Traumatology,Yixing Hospital of Traditional Chinese Medicine,Jiangsu Province,Yixing 214200,China;Department of Massage,Yixing Hospital of Traditional Chinese Medicine,Jiangsu Province,Yixing 214200,China;Department of Encephalopathy,Yixing Hospital of Traditional Chinese Medicine,Jiangsu Province,Yixing 214200,China)

机构地区：[1]江苏省宜兴市中医医院针灸康复科,江苏宜兴214200 [2]江苏省宜兴市中医医院骨伤科,江苏宜兴214200 [3]江苏省宜兴市中医医院推拿科,江苏宜兴214200 [4]江苏省宜兴市中医医院脑病科,江苏宜兴214200

出　　处：《中国医药导报》2023年第22期137-140,共4页China Medical Herald

基　　金：江苏省无锡市中医药管理局科技项目(YN202111)。

摘　　要：目的探讨颈三针温针灸治疗气血亏虚证颈性眩晕的临床效果。方法选取2018年6月至2021年3月江苏省宜兴市中医医院收治的78例颈性眩晕患者,采用随机数字表法将其分成治疗组和对照组,各39例。对照组予以手法推拿治疗,治疗组在对照组的基础上另给予颈三针温针灸治疗,3次/周,6次为1疗程,共治疗2个疗程。比较两组中医症状、颈性眩晕症状与功能评估量表评分,临床疗效,椎-基底动脉平均血流速度及不良反应。结果治疗后两组中医症状评分均低于治疗前,且治疗组低于对照组,差异有统计学意义(P<0.05)。两组颈性眩晕症状与功能评估量表评分均高于治疗前,治疗组高于对照组,差异有统计学意义(P<0.05)。治疗组临床疗效优于对照组(P<0.05)。治疗后,两组椎-基底动脉平均血流速度均高于治疗前,且治疗组高于对照组,差异有统计学意义(P<0.05)。治疗期间两组均未出现明显不良反应。结论颈三针温针灸结合手法推拿治疗颈性眩晕能够改善临床症状,疗效确切,同时可以改善椎-基底动脉血流速度,安全可靠。Objective To explore the clinical effect of cervical three needles warming needle moxibustion on cervical vertigo of qi and blood deficiency syndrome.Methods A total of 78 patients with cervical vertigo who were admitted to the Yixing Hospital of Traditional Chinese Medicine from June 2018 to March 2021 were selected and they were divided into treatment group and control group according to the random number table method,with 39 cases in each group.The control group was treated with manual massage,and the treatment group was additionally treated with cervical three needles warming needle moxibustion on the basis of the control group,three times a week,seven times a course,two courses of treatment.The traditional Chinese medicine symptom scores,cervical vertigo symptom,and function assessment scale scores,clinical efficacy,mean vertebral-basilar blood flow velocity,and adverse reactions were compared in both groups.Results After treatment,the scores of traditional Chinese medicine symptom in both groups were lower than those before treatment,and the treatment group was lower than the control group,the differences were statistically significant(P<0.05).The scores of cervical vertigo symptom and function evaluation scale in the two groups were higher than those before treatment,and the treatment group were higher than the control group,the differences were statistically significant(P<0.05).The clinical effect of the treatment group was better than that of the control group(P<0.05).After treatment,the average blood flow velocity of vertebral basilar artery in the two groups was higher than that before treatment,and the treatment group was higher than the control group,the differences were statistically significant(P<0.05).During the treatment period,there were no obvious adverse reactions in the two groups.Conclusion The cervical three needles warming moxibustion combined with manual massage in the treatment of cervical vertigo can improve the clinical symptoms,and the curative effect is exact.At the same time,it can

关 键 词：颈三针 温针灸 手法推拿 颈性眩晕 

分 类 号：R255.3[医药卫生—中医内科学]