通痹益脑汤联合颈部夹脊穴电针治疗脑梗死后眩晕的应用研究  

Application study of Tongbi Yinao decoction combined with electroacupuncture at neck-Jiaji for post-stroke dizziness

作　　者：王庆红 王倩倩 WANG Qing-hong;WANG Qian-qian

机构地区：[1]通许县中医院中医科,河南开封475400 [2]开封市中医院中医针灸科,河南开封475000

出　　处：《中国疗养医学》2024年第5期104-107,共4页Chinese Journal of Convalescent Medicine

基　　金：河南省医学科技攻关项目(LHGJ20201632)。

摘　　要：目的观察通痹益脑汤联合颈部夹脊穴电针疗法治疗脑梗死后眩晕的临床效果。方法选取通许县中医院2021年6月至2023年8月收治的108例脑梗死后眩晕患者,应用电脑随机分组法将入组患者分别列为电针组和联合组,各54例。电针组采用颈部夹脊穴电针治疗,联合组在电针组的治疗基础上,应用通痹益脑汤配合治疗,比较两组患者的证候积分、脑血流动力学、脑血液流变学、血管内皮功能。结果在不同治疗方案下,联合组眩晕头晕、胸闷恶心、肌肤甲错等证候积分与基底动脉、椎动脉的搏动指数(PI)均低于电针组;基底动脉、椎动脉的平均血流速度(Vm)均高于电针组;联合组的脑血管血浆黏度、高切黏度、低切黏度、同型半胱氨酸(HCY)、血管紧张素Ⅱ(AngⅡ)均低于电针组,差异有统计学意义(P<0.05)。结论通痹益脑汤联合颈部夹脊穴电针疗法治疗脑梗死后眩晕能有效改善患者的临床证候,对促进脑血流动力学、血液流变学、血管内皮功能恢复均有积极意义。Objective To observe the clinical effect of Tongbi Yinao decoction combined with electroacupuncture(EA)at neck-Jiaji(EX-B2)for post-stroke dizziness.Methods This was a prospective study involving 108 patients with post-stroke dizziness admitted to Tongxu County Hospital between June 2021 and August 2023.The enrolled patients were randomly divided into the EA group(54 cases)and combination group(54 cases)using computer randomization.Patients in both groups received EA at neck-Jiaji(EX-B2),while those in the combination group were additionally given Tongbi Yinao decoction.The symptom scores,cerebral hemodynamics,and cerebral hemorheology,and vascular endothelial function were compared.Results Under different treatment plans,patients in the combination group had significantly lower traditional Chinese medicine(TCM)syndrome(dizziness,chest tightness,nausea,and scaly dry skin)scores,and lower pulsation index(PI)of the basilar and vertebral arteries than those of the EA group.The average blood flow velocity(Vm)of the basilar and vertebral arteries in the combination group was significantly higher than that of the EA group.The cerebrovascular plasma viscosity,high shear viscosity,low shear viscosity,homocysteine(HCY),and angiotensin II(Ang II)in the combination group were significantly lower than those of the EA group(P<0.05).Conclusion The combination of Tongbi Yinao decoction combined with EA at neck-Jiaji(EX-B2)can effectively improve the clinical symptoms of patients with post-stroke dizziness,showing a positive significance in promoting the recovery of cerebral hemodynamics,hemorheology,and vascular endothelial function.

关 键 词：脑梗死后眩晕 通痹益脑汤 颈部夹脊穴电针疗法 脑血流参数 

分 类 号：R277.7[医药卫生—中医学]