电针结合督脉熏灸治疗气血亏虚型椎-基底动脉供血不足性眩晕临床观察  

Electroacupuncture Combined with Governor Channel Fumigation Moxibustion in the Treatment of Vertebrobasilar Artery Insufficiency Vertigo of Qi and Blood Deficiency Type

作　　者：郭婷婷 刘瑜婕 GUO Tingting;LIU Yujie(Department of Traditional Chinese Medicine,Shanghai West Zhijiang Road Community Health Service Center,Shanghai 200070,China)

机构地区：[1]上海市芷江西路街道社区卫生服务中心中医科,上海200070

出　　处：《中国中医药现代远程教育》2024年第23期99-102,共4页Chinese Medicine Modern Distance Education of China

基　　金：上海市静安区卫生科研课题中医专项【No.2020ZY005】。

摘　　要：目的探究电针结合督脉熏灸治疗气血亏虚型椎-基底动脉供血不足(VBI)性眩晕的临床效果。方法选择174例气血亏虚型VBI性眩晕患者作为研究对象,采用随机数字表法分为三组,分别使用电针风池、足三里结合督脉熏灸大椎、命门与单纯电针、单纯督脉熏灸进行治疗,观察和比较患者治疗前后眩晕评估评分量表(DARS)积分、中医临床证候积分以及经颅多普勒超声中双侧椎动脉及基底动脉的平均血流速度,评估三组临床疗效。结果电针结合督脉熏灸组总有效率93.10%(54/58)优于电针组的87.93%(51/58)和督脉熏灸组的74.14%(43/58)(P<0.05)。三组治疗后中医临床证候积分、DARS积分、椎-基底动脉血流速度均有改善,其中电针结合督脉熏灸组改善明显并均优于电针组和督脉熏灸组(P<0.05)。结论电针结合督脉熏灸治疗气血亏虚型VBI性眩晕效果肯定,可以为临床上治疗气血亏虚型VBI性眩晕提供一种新的方案。Objective To explore the clinical efficacy of electroacupuncture combined with governor channel fumigation moxibustion in the treatment of vertebrobasilar artery insufficiency(VBI)vertigo of qi and blood deficiency type.Methods A total of 174 patients with qi blood deficiency type VBI were selected as the research objects,and were randomly divided into groups by using the random number table method.They were treated with electro acupuncture at Fengchi(GB20),Zusanli(ST36)combined with governor channel fumigation and moxibustion at Dazhui(DU14),vital gate and simple electro acupuncture,and simple governor channel fumigation and moxibustion,respectively.Before and after treatment,the vertigo symptom score,TCM clinical syndrome score,average blood flow velocity of bilateral vertebral arteries and basilar arteries in transcranial Doppler ultrasound were observed and compared.Results The effective rate was 87.93%(51/58)in the electroacupuncture group,74.14%(43/58)in the governor channel fumigation moxibustion group,and 93.10%(54/58)in the electroacupuncture combined with governor channel fumigation moxibustion group.The electroacupuncture combined with governor channel fumigation moxibustion group was superior to the electroacupuncture and governor channel fumigation moxibustion group(P<0.05).After treatment,the TCM clinical syndrome score,vertigo index and TCD examination value of the three groups were improved,and the improvement of the electroacupuncture combined with governor channel fumigation moxibustion group was obvious and better than that of the electroacupuncture group and governor channel fumigation moxibustion group(P<0.05).Conclusion The therapeutic effect of electroacupuncture combined with governor channel fumigation moxibustion group on VBI vertigo of qi and blood deficiency type is positive,which can be used as a new therapeutic scheme for clinical treatment of VBI vertigo of qi and blood deficiency type.

关 键 词：眩晕 椎-基底动脉供血不足 气血亏虚证 电针疗法 督脉熏灸疗法 

分 类 号：R246.9[医药卫生—针灸推拿学]