毫针速刺法联合葛根定眩胶囊对颈源性眩晕急性期患者前庭功能及脑血流动力学指标的影响  

Effect of Fast Filiform Needling Combined with Gegen Dingxuan Capsules on Vestibular Function and Cerebral Hemodynamics in Patients with Cervical Vertigo at Acute Stage

作　　者：何雷 张磊[1] 李志伟[1] 侍昊 黄谦[1] He Lei;Zhang Lei;Li Zhiwei;Shi Hao;Huang Qian(Lianyungang Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Jiangsu,Lianyungang 222000,China)

机构地区：[1]南京中医药大学连云港附属医院,江苏连云港222000 [2]南京医科大学康达学院,江苏连云港222000

出　　处：《中国中医急症》2025年第2期306-309,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：江苏省科技厅重点研发计划(BE2021680);江苏省“双创博士”人才计划(JSSCBS20211636);连云港市卫生科研项目(QN202006);连云港市老龄健康科研项目(L202316)。

摘　　要：目的 观察毫针速刺法联合葛根定眩胶囊对颈源性眩晕急性期患者前庭功能及脑血流动力学指标的影响。方法 颈源性眩晕患者72例采用区组随机方法,随机分为试验组与对照组各36例。对照组予以甲磺酸倍他司汀片口服,试验组予以毫针速刺法联合葛根定眩胶囊(院内制剂)口服治疗,均治疗2周。观察治疗前后改良颈性眩晕症状与功能评估量表(ESCV)、眩晕残障程度评定量表(DHI)、前庭双温试验半规管轻瘫(CP)值、椎-基底动脉系统平均血流速度(Vm)等指标的变化,并评价临床疗效。结果 试验组总有效率为93.48%,高于对照组的77.78%(P <0.05)。治疗后,两组ESCV评分升高、DHI评分降低(均P <0.01),两组前庭双温试验CP值下降,且试验组各评分改善程度优于对照组(均P <0.01)。椎-基底动脉系统平均血流速度加快者,治疗后两组左、右椎动脉和基底动脉平均血流速度均下降(P <0.01)。试验组右椎动脉改善程度优于对照组(P <0.05);平均血流速度减慢者,试验组治疗后,左、右椎动脉、基底动脉平均血流速度增加(P <0.01),对照组改善不明显(P> 0.05)。结论 毫针速刺法联合葛根定眩胶囊可有效缓解颈源性眩晕急性期患者症状,改善前庭功能,实现对椎-基底动脉血流的双向调节,相对口服甲磺酸倍他司汀片具备一定优势。Objective:To observe the effects of fast filiform needling combined with Gegen Dingxuan capsules on vestibular function and cerebral hemodynamics in patients with acute cervicogenic vertigo.Methods:A total of 72 patients with cervicogenic vertigo were randomly divided into an experimental group and a control group,with 36 cases in each group using block randomization.The control group received oral betahistine mesylate tablets,while the experimental group was treated with fast fliform needling combined with oral Gegen Dingxuan capsules(in-house preparation)for 2 weeks.Changes in the modified Cervical Vertigo Symptom and Functional Evaluation Secale(ESCV),the Dizziness Handicap Inventory(DHI),the caloric test canal paresis(CP)values,and the average blood flow velocity of the vertebrobasilar system(Vm)were observed before and after treatment,and clinical effica-cy was evaluated.Results:The total effective rate in the experimental group was 93.48%,which was higher than the 77.78%in the control group(P<0.05).After treatment,both groups showed an increase in ESCV scores and a decrease in DHI scores(both P<0.01).The CP values from the vestibular caloric test decreased in both groups,with the improvement in scores in the experimental group being superior to that of the control group(P<0.01).For those whose average blood flow velocity of the vertebrobasilar system increased,both groups showed a de-crease in the average blood flow velocity of the left and right vertebral arteries and the basilar artery after treatment(P<0.01).The improvement in the right vertebral artery in the experimental group was better than that in the con-trol group(P<0.05);in those whose average blood flow velocity decreased,the average blood flow velocities of the left and right vertebral arteries and the basilar artery increased(P<0.01),with minimal improvement observed in the control group(P>0.05).Conclusion:Fast filiform needling combined with Gegen Dingxuan capsules can effec-tively relieve symptoms in patients with acute cervicogenic vertigo,

关 键 词：颈源性眩晕 毫针速刺法 葛根定眩胶囊 前庭功能 椎-基底动脉血流动力学 

分 类 号：R255.3[医药卫生—中医内科学]