摘要
目的观察百会穴压灸联合针刺治疗后循环缺血性眩晕临床疗效。方法将90例后循环缺血性眩晕患者随机分为针刺组、压灸组和悬灸组,每组30例。针刺组采用针刺治疗,压灸组在针刺治疗的基础上加用百会压灸,悬灸组在针刺治疗的基础上加用悬灸。观察并记录3组治疗前后眩晕程度和左右椎动脉、基底动脉平均血流速度。结果 3组治疗前眩晕程度、左右椎动脉平均血流速度和基底动脉血流速度比较,差异均无统计学意义(P>0.05)。3组治疗后眩晕程度比较,差异有统计学意义(P<0.05);针刺组和压灸组比较,差异有统计学意义(P<0.05);压灸组和悬灸组比较,差异无统计学意义(P>0.05)。3组治疗后左右椎动脉和基底动脉平均血流速度较治疗前升高(P<0.05);3组治疗后左右椎动脉和基底动脉平均血流速度比较,差异具有统计学意义(P<0.05),压灸组优于针刺组和悬灸组(P<0.05)。结论百会穴压灸联合针刺可改善后循环缺血性眩晕患者的眩晕程度及脑动脉血流速度,从而改善患者的眩晕症状。
Objective To observe the clinical efficacy of pressing moxibustion at Baihui(GV20)in treating posterior circulation ischemic vertigo(PCIV).Method Ninety PCIV patients were randomized into an acupuncture group,a pressing moxibustion group and a suspended moxibustion group,with 30 cases in each group.The acupuncture group was intervened by acupuncture.The pressing moxibustion group was given pressing moxibustion at Baihui in addition to the acupuncture treatment.The suspended moxibustion group was given suspended moxibustion in addition to the acupuncture treatment.The vertigo intensity and the mean blood flow velocities of bilateral vertebral and basilar arteries in the three groups were observed and recorded before and after treatment.Result There were no significant differences in the vertigo intensity,and the mean blood flow velocities of bilateral vertebral and basilar arteries among the three groups before treatment(P>0.05).The vertigo intensity changed after treatment in the three groups and the differences were statistically significant(P<0.05);the difference between the acupuncture group and the pressing moxibustion group was statistically significant(P<0.05);the difference between the pressing moxibustion group and the suspended moxibustion group was statistically insignificant(P>0.05).The mean blood flow velocities of bilateral vertebral and basilar arteries increased after treatment in the three groups(P<0.05);there were significant differences in the mean blood flow velocities of bilateral vertebral and basilar arteries among the three groups after treatment(P<0.05),and the pressing moxibustion group was superior to the acupuncture group and the suspended moxibustion group(P<0.05).Conclusion Pressing moxibustion at Baihui plus acupuncture can improve the vertigo intensity and blood flow velocities of cerebral arteries,so as to improve the vertigo symptoms in PCIV patients.
作者
罗蛟龙
张阳普
夏文广
LUO Jiao-long;ZHANG Yang-pu;XIA Wen-guang(Rehabilitation Medicine Center,Hubei Provincial Hospital of Integrated Chinese&Western Medicine,Wuhan 430015,China)
出处
《上海针灸杂志》
2020年第9期1138-1141,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
湖北省中医药中西医结合科研面上项目(ZY2019M004)。
关键词
针灸疗法
针刺疗法
灸法
穴
百会
眩晕
后循环缺血
脑缺血发作
短暂性
Acupuncture-moxibustion therapy
Acupuncture therapy
Moxibustion
Point,Baihui(GV20)
Vertigo
Posterior circulation ischemia
Ischemic attack,transient
