百会长时间留针配合风池穴多方向透刺抖针疗法治疗颈性眩晕的疗效观察  

Efficacy observation of long-time needle retaining at Baihui(GV20)combined with multidirectional point-toward-point needle insertion with needle shaking at Fengchi(GB20)for cervical vertigo

作　　者：郭敏 童翔 宋开义 GUO Min;TONG Xiang;SONG Kaiyi(Chun’an County Hospital of Traditional Chinese Medicine,Zhejiang Province,Hangzhou 311700,China;Center for Rehabilitation Medicine,Rehabilitation&Sports Medicine Research Institute of Zhejiang Province,Department of Rehabilitation Medicine,Zhejiang Provincial People’s Hospital,Affiliated People’s Hospital,Hangzhou Medical College,Hangzhou 310014,China)

机构地区：[1]Chun’an County Hospital of Traditional Chinese Medicine,Zhejiang Province,Hangzhou 311700,China [2]Center for Rehabilitation Medicine,Rehabilitation&Sports Medicine Research Institute of Zhejiang Province,Department of Rehabilitation Medicine,Zhejiang Provincial People’s Hospital,Affiliated People’s Hospital,Hangzhou Medical College,Hangzhou 310014,China

出　　处：《Journal of Acupuncture and Tuina Science》2024年第1期65-72,共8页针灸推拿医学（英文版）

基　　金：浙江省杭州市卫生科技计划项目,No.B20210062;浙江省医药卫生科技计划青年创新项目,No.2023RC128.

摘　　要：目的:观察百会长时间留针配合风池穴多方向透刺抖针疗法治疗颈性眩晕(CV)的临床疗效以及对椎-基底动脉血流速度的影响。方法:将70例CV患者根据随机数字表法分为治疗组(35例,脱落1例)和对照组(35例,脱落2例)。治疗组采用百会长时间留针配合风池穴多方向透刺抖针疗法,对照组采用常规针刺,隔日1次,7次为1个疗程,共治疗2个疗程。观察两组治疗前后颈性眩晕症状与功能评估量表(ESCV)评分及椎-基底动脉平均血流速度(Vm)的变化情况,比较两组临床疗效。结果:治疗组总有效率和愈显率分别为91.2%和79.4%,对照组分别为78.8%和54.5%。两组愈显率比较差异具有统计学意义(P<0.05)。治疗后两组患者的ESCV评分和椎-基底动脉Vm均较治疗前有明显改善。低流速和正常流速患者的左侧椎动脉(LVA)、右侧椎动脉(RVA)和基底动脉(BA)的Vm增加,而高流速者的LVA、RVA和BA的Vm降低(P<0.05);治疗组的结果显著优于对照组(P<0.05)。结论:百会长时间留针配合风池穴多方向透刺抖针疗法能明显减轻CV患者的临床症状,双向调节椎-基底动脉血流速度,是治疗CV的有效方法。Objective:To observe the clinical curative effect of long-time needle retaining at Baihui(GV20)combined with multidirectional point-toward-point needle insertion with needle shaking at Fengchi(GB20)for the treatment of cervical vertigo(CV)and its influence on the blood flow velocity of vertebrobasilar arteries.Methods:Seventy patients with CV were randomly divided into a treatment group(35 cases,1 dropout)and a control group(35 cases,2 dropouts)according to the random number table method.Those in the treatment group were treated with long-time needle retaining at Baihui(GV20)combined with multidirectional point-toward-point needle insertion with needle shaking at Fengchi(GB20),and those in the control group were treated with conventional acupuncture.The treatment was performed every other day,7 sessions as a treatment course,for a total of 2 courses.The clinical efficacy was compared between the two groups by observing changes in the evaluation scale for symptoms and functions of cervical vertigo(ESCV)and the mean blood flow velocity(Vm)of vertebrobasilar arteries.Results:The total effective rate and the cured plus markedly effective rate were 91.2%and 79.4%,respectively,in the treatment group,versus 78.8%and 54.5%in the control group,respectively,with a statistically significant difference in the cured plus markedly effective rate between the two groups(P<0.05).The ESCV score and the Vm of vertebrobasilar arteries in the two groups improved significantly after treatment.The Vm of the left vertebral artery(LVA),right vertebral artery(RVA),and basilar artery(BA)increased in patients with low and normal flow velocities(P<0.05),and the Vm of the LVA,RVA,and BA decreased in patients with a high flow velocity(P<0.05);the results in the treatment group were significantly better than those in the control group(P<0.05).Conclusion:Long-time needle retaining at Baihui(GV20)combined with multidirectional point-toward-point needle insertion with needle shaking at Fengchi(GB20)can significantly reduce the clinical symptoms of

关 键 词：针刺疗法 透针 穴 百会 穴 风池 眩晕 椎底动脉供血不足 血流速度 

分 类 号：R246.2[医药卫生—针灸推拿学]