排针平刺法联合盐酸氟桂利嗪治疗颈性眩晕疗效观察  

Efficacy observation on horizontal penetration needling combined with flunarizine hydrochloride tablets for cervical vertigo

作　　者：陈宇航 戴丽娟[1] 张加英[1] 王淑兰 王会 王国鑫 徐炳国[1] CHEN Yuhang;DAI Lijuan;ZHANG Jiaying;WANG Shulan;WANG Hui;WANG Guoxin;XU Bingguo(Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing First Hospital,Nanjing 210006,China)

机构地区：[1]南京医科大学附属南京医院南京市第一医院,江苏南京210006

出　　处：《陕西中医》2025年第2期259-262,267,共5页Shaanxi Journal of Traditional Chinese Medicine

基　　金：江苏省中医药科技发展计划项目(YB2020005);南京市中医药科技专项课题(ZYYB202204)。

摘　　要：目的:观察排针平刺法联合盐酸氟桂利嗪治疗颈性眩晕的临床疗效。方法:筛选颈性眩晕患者64例,随机分为对照组和观察组各32例。对照组予盐酸氟桂利嗪片治疗,观察组在对照组基础上加用排针平刺法针刺枕下三角区、晕听区。比较两组临床疗效,治疗前后颈性眩晕症状与功能评估量表(ESCV)和椎-基底动脉平均血流速度(Vm),治疗完成后3个月内眩晕累计发作次数、累计发作时间,不良反应发生率。结果:观察组的愈显率(68.8%)优于对照组(38.7%,P<0.05)。治疗后两组ESCV各分项得分及总分、椎-基底动脉Vm均较治疗前上升(P<0.05),观察组高于对照组(P<0.05)。治疗完成后3个月内观察组眩晕累计发作次数、累计发作时间低于对照组(P<0.05)。观察组不良反应率(3.1%)与对照组(3.2%)比较差异无统计学意义(P>0.05)。结论:排针平刺法联合盐酸氟桂利嗪治疗颈性眩晕,可改善症状和功能,提高椎-基底动脉Vm,减少眩晕复发,疗效更优。Objective:Observe the therapeutic effect of horizontal penetration needling combined with flunarizine hydrochloride tablets for cervical vertigo(CV).Methods:Select 64 patients for CV and assign them to two groups randomly,a control group with 32 cases,and an observation group with 32 cases.Treat the control group with flunarizine hydrochloride tablets and the observation group on the basis of the control group with the addition of horizontal penetration needling method in the suboccipital triangle and vertigo auditory area.Compare the clinical efficacy,the cervical vertigo symptom and function assessment scale(ESCV)and vertebrobasilar artery mean blood flow velocity(Vm)before and after treatment,the cumulative number of episodes of vertigo,cumulative duration of episodes of vertigo in the 3 months after completion of treatment,and the incidence of adverse effects.Results:The healing rate of the observation group(68.8%)was higher compared to the control group(38.7%,P<0.05).The scores of each sub-score of ESCV and the total score and vertebrobasilar Vm of the two groups after treatment increased compared with those before treatment(P<0.05),and the results of the observation group were better(P<0.05).Within 3 months of completion of treatment,the observation group had lower cumulative number of vertigo episodes and cumulative duration of vertigo episodes(P<0.05).The adverse reaction rates were 3.1%and 3.2%for the observation and control groups,respectively(P>0.05).Conclusion:The combination of horizontal penetration needling method with flunarizine hydrochloride in the treatment of CV can improve the symptoms and functions,improve the vertebrobasilar artery Vm,reduce the recurrence of vertigo,and have a better therapeutic effect.

关 键 词：颈性眩晕 针刺 排针平刺 盐酸氟桂利嗪片 平均血流速度 

分 类 号：R255.3[医药卫生—中医内科学]