中医辨证结合针灸治疗眩晕的临床疗效  

Clinical Curative Effect of TCM Syndrome Differentiation Combined with Acupuncture in Treating vertigo

作　　者：李胜利[1] 高珊 LI Shengli;GAO Shan(Department of Rehabilitation Medicine and Physiotherapy,Guangdong Armed Police Corps Hospital,Guangzhou 510000,China)

机构地区：[1]武警广东总队医院康复医学与理疗科,广州510000

出　　处：《中国医药指南》2024年第12期123-126,共4页Guide of China Medicine

摘　　要：目的本文旨在探讨中医辨证结合针灸治疗眩晕的疗效。方法从2022年8月至2023年8月,在我院进行研究对象募集,共募集到80例符合研究要求的眩晕患者入组进行研究,依据治疗方案的不同将其分为仅使用西药治疗的对照组、使用中医辨证结合针灸治疗的试验组。分析比较两组患者的眩晕消失时间、头痛消失时间以及治疗前后两组患者血流动力学指标中的血细胞积压(PCV)、红细胞聚集指数(EAI)及全血黏度(PV),评估治疗效果,并观察不良反应发生情况。结果对照组的眩晕消失时间为(13.69±2.35)d,试验组的眩晕消失时间为(9.89±1.89)d,试验组眩晕消失时间低于对照组(P<0.05)。对照组的头痛消失时间为(11.96±1.45)d,试验组的头痛消失时间为(10.06±1.06)d,试验组头痛消失时间低于对照组(P<0.05)。经过治疗,两组的红细胞压积、红细胞聚集指数、全血黏度均降低(均P<0.05),对比治疗后,对照组的红细胞压积、红细胞聚集指数、全血黏度分别为(0.48±0.09)V/V、(0.75±0.23)、(5.36±1.52)mPa•s,试验组的红细胞压积、红细胞聚集指数、全血黏度分别为(0.36±0.05)V/V、(0.62±0.21)、(4.15±1.21)mPa•s,试验组的红细胞压积、红细胞聚集指数、全血黏度均低于对照组(均P<0.05)。对照组治疗的总有效率为80.00%,试验组治疗的总有效率为95.00%,试验组的总有效率更高(P<0.05)。对照组的不良反应总发生率为25.00%,试验组的不良反应发生率为7.50%,试验组的不良反应总发生率更低(P<0.05)。结论对于眩晕患者使用中医辨证联合针灸治疗能缩短患者眩晕与头痛消失的时间,减少不良反应的发生,对于改善病情有积极意义。Objective To explore the curative effect of TCM syndrome differentiation combined with acupuncture on vertigo.Methods A total of 80 cases of vertigo patients were recruited in our hospital from August 2022 to August 2023,and they were divided into the control group treated with western medicine and the experimental group treated with TCM syndrome differentiation combined with acupuncture and moxibustion according to different treatment plans.The disappearance time of vertigo and headache,as well as the packed cell volume(PCV)and erythrocyte aggregation index before and after treatment were analyzed and compared between the two groups.EAI and plasma viscosity(PV)were used to evaluate the therapeutic effect and observe the occurrence of adverse reactions.Results The disappearance time of vertigo was(13.69±2.35)days in control group and(9.89±1.89)days in experimental group.The disappearance time of vertigo in experimental group was significantly lower than that in control group(P<0.05).The disappearance time of headache in the control group was(11.96±1.45)days,and that in the experimental group was(10.06±1.06)days.The disappearance time of headache in the experimental group was significantly lower than that in the control group(P<0.05).After treatment,the hematocrit,erythrocyte aggregation index and whole blood viscosity of the two groups were decreased(all P<0.05).After comparative treatment,the hematocrit,erythrocyte aggregation index and whole blood viscosity of the control group were(0.48±0.09)V/V,(0.75±0.23)and(5.36±1.52)mPa•s,respectively.The hematocrit,erythrocyte aggregation index and whole blood viscosity of the experimental group were(0.36±0.05)V/V,(0.62±0.21)and(4.15±1.21)mPa•s,respectively,and the hematocrit,erythrocyte aggregation index and whole blood viscosity of the experimental group were lower than those of the control group(all P<0.05).The total effective rate was 80.00%in the control group and 95.00%in the experimental group,and the total effective rate was higher in the experimenta

关 键 词：眩晕 中医辨证 针灸 血流动力学 

分 类 号：R255.3[医药卫生—中医内科学]