摘要
目的观察桂枝加葛根汤联合运动疗法对颈性眩晕(cervical vertigo,CV)患者临床症状、颈椎功能及血流动力学的影响。方法选择112例CV患者作为研究对象,按照随机数字表法分为对照组和观察组,每组56例。对照组采取运动疗法,观察组在对照组治疗基础上联合桂枝加葛根汤治疗。2组均治疗4周后,比较2组患者视觉模拟评分(visual analogue score,VAS)、颈椎功能障碍指数评分(neck disability index,NDI)及右椎动脉(right vertebral artery,RVA)、左椎动脉(left vertebral artery,LVA)、基底动脉(basilar artery,BA)平均血流速度。结果治疗后,2组患者VAS、NDI评分均较治疗前明显降低,且观察组显著低于对照组(P<0.05)。2组患者RVA、LVA、BA平均血流速度均较治疗前明显升高,且观察组显著高于对照组(P<0.05)。结论桂枝加葛根汤联合运动疗法可显著改善颈性眩晕患者临床症状,提高颈椎功能,增加颈部血流供应。
Objective To observe the effect of Guizhi Gegen decoction combined with exercise therapy on clinical symptoms,cervical vertebrae function and hemodynamics in patients with cervical vertigo(CV).Methods One hundred and twelve patients with CV were selected and randomly divided into observation group and control group according to random digital table method,with 56 cases in each group.The patients in the control group were treated with exercise therapy,and the patients in the observation group were treated with Guizhi Gegen decoction on the basis of the treatment of the control group.After 4 weeks of continuous treatment,the visual analogue score(VAS),the neck disability index(NDI),the average blood flow velocity of right vertebral artery(RVA),left vertebral artery(LVA)and basilar artery(BA)were compared between the two groups.Results After treatment,the scores of VAS and NDI in the two groups were significantly lower than those before treatment,and the observation group were significantly lower than those in the control group(P<0.05).The average blood flow velocity of RVA,LVA,BA in the two groups were significantly higher than those before treatment,and the observation group were significantly higher than those of the control group(P<0.05).Conclusion Guizhi Gegen decoction combined with exercise therapy could significantly improve the clinical symptoms of CV patients,improve the function of cervical spine,increase the supply of cervical blood flow.
作者
许琳
武荣霞
XU Lin;WU Rongxia(Department of Acupuncture,Traditional Chinese Medicine Hospital of Qingzhou City,Qingzhou 262500,China;Department of Gynaecology,Traditional Chinese Medicine Hospital of Qingzhou City,Qingzhou 262500,China)
出处
《中西医结合研究》
2021年第2期89-91,共3页
Research of Integrated Traditional Chinese and Western Medicine
关键词
桂枝加葛根汤
运动疗法
颈性眩晕
Guizhi Gegen decoction
exercise therapy
cervical vertigo
