正骨推拿联合针刺治疗颈性眩晕临床研究  

Clinical Study on Orthopedic Tuina Combined with Acupuncture for Cervical Vertigo

作　　者：缪克雷 徐夏薇 袁淑芬 占桂平 MIAO Kelei;XU Xiawei;YUAN Shufen;ZHAN Guiping(Department of Chinese Massage,Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Lishui Zhejiang 323000,China)

机构地区：[1]浙江中医药大学附属丽水中医院推拿科,浙江丽水323000

出　　处：《新中医》2024年第13期183-186,共4页New Chinese Medicine

基　　金：浙江中医药大学校级科研项目(2021FSYYZY46)。

摘　　要：目的:观察正骨推拿联合针刺治疗颈性眩晕的临床疗效。方法:选择颈性眩晕肝阳上亢型患者96例,按随机数字表法分为观察组和对照组各48例。对照组采取针刺治疗,观察组采取正骨推拿联合针刺治疗,7 d为1个疗程,2组均治疗2个疗程。采用颈性眩晕症状与功能评估量表(ESCV)评估2组临床症状,判定其临床疗效,经颅多普勒超声监测其颈部动脉平均血流速度。结果:观察组总有效率为91.67%,高于对照组77.08%(P<0.05)。治疗后,2组ESVC评分较治疗前升高(P<0.05),观察组ESVC评分高于对照组(P<0.05)。治疗后,2组椎-基底动脉(VBA)、左椎动脉(LVA)、右椎动脉(RVA)平均血流速度较治疗前增加(P<0.05),观察组VBA、LVA、RVA平均血流速度高于对照组(P<0.05)。结论:正骨推拿联合针刺治疗颈性眩晕肝阳上亢型疗效确切,可有效改善患者临床症状,提升颈部血流速度,从而有利于病情转归。Objective:To observe the clinical effect of orthopedic tuina combined with acupuncture on cervical vertigo.Methods:A total of 96 cases of patients with cervical vertigo of ascendant hyperactivity of liver yang type were selected and divided into the observation group and the control group according to the random number table method,with 48 cases in each group.The control group was treated with acupuncture,and the observation group was treated with orthopedic tuina combined with acupuncture.Both groups were treated for two courses,with seven days being a course of treatment.Evaluation Scale for Cervical Vertigo(ESCV)was used to evaluate the clinical symptoms in the two groups and evaluate the clinical effects.The mean blood flow velocity of cervical artery was monitored by transcranial Doppler ultrasound.Results:The total effective rate was 91.67%in the observation group,higher than that of 77.08%in the control group(P<0.05).After treatment,ESVC scores in the two groups were increased when compared with those before treatment(P<0.05),and the ESVC score in the observation group was higher than that in the control group(P<0.05).After treatment,the mean blood flow velocity of vertebralbasilar artery(VBA),left vertebral artery(LVA)and right vertebral artery(RVA)in the two groups was increased when compared with that before treatment(P<0.05),and the mean blood flow velocity of VBA,LVA and RVA in the observation group was higher than that in the control group(P<0.05).Conclusion:Orthopedic tuina combined with acupuncture for cervical vertigo of ascendant hyperactivity of liver yang typehas a definite curative effect and can effectively improve the clinical symptoms of patients and increase thecervical blood flow velocity,which is conducive to the outcome of the disease.

关 键 词：颈性眩晕 肝阳上亢型 正骨推拿 针刺 颈部血流速度 

分 类 号：R255.3[医药卫生—中医内科学]