摘要
目的观察岐黄针疗法治疗急性期后循环缺血性眩晕的临床疗效。方法将120例患者随机分为两组各60例;试验组采取岐黄针疗法治疗,对照组采取普通电针治疗。比较治疗前后两组患者的经颅多普勒(TCD)血流动力学指标[左椎动脉(LVA)、右椎动脉(RVA)、椎基底动脉(BA)、血流阻力指数(RI)]的变化、脑干听觉诱发电位(BEAP)参数变化、中医眩晕程度分级评分及临床疗效。结果两组治疗后TCD血流动力学参数均有改善(P<0.05),试验组患者LVA、RVA、BA和RI值改善明显优于对照组(P<0.05)。试验组测定得脑干听觉诱发电位中(Ⅰ、Ⅲ、Ⅴ)PL波潜伏期及达到波峰时间明显优于对照组(P<0.05);中医眩晕程度评分均较治疗前改善(P<0.05)。试验组的评分改善优势明显,差异有统计学意义(P<0.05)。试验组的总有效率为95.00%,高于对照组的83.33%(P<0.05)。两组临床均无明显的不良反应情况发生。结论岐黄针疗法治疗与传统针灸治疗急性后循环缺血性眩晕相比较,岐黄针疗法疗效明显,能够有效缓解改善眩晕症状,改善后循环椎动脉血流动力学指标。
Objective:To observe the clinical efficacy of Qihuang acupuncture in the treatment of acute posterior circulation ischemic vertigo(PCIV).Methods:A total of 120 patients were divided into two groups.The TCM syndrome differentiation was vertigo,and there were 60 cases in each group.The experimental group was treated with Qihuang acupuncture therapy,and the control group was treated with electroacupuncture.The changes of left vertebral artery(LVA),right vertebral artery(RVA),vertebral basilar artery(BA),blood flow resistance index(RI),the changes of brainstem auditory evoked potential(BEAP)parameters,the grading of vertigo degree of traditional Chinese medicine and the clinical efficacy of the two groups before and after treatment were compared.Results:Transcranial Doppler(TCD)hemodynamic parameters were improved in both groups before and after treatment,and LVA,RVA,BA and RI values in the experimental group were significantly better than those in the control group(P<0.05).The incubation period and peak time of PL wave in brainstem auditory evoked potential(Ⅰ、Ⅲ、Ⅴ)measured in the experimental group were significantly better than those in the control group(P<0.05).In self-evaluation of TCM vertigo degree.The scores of the both groups were significantly improved,and the difference was statistically significant(P<0.05).The total effective rate of the experimental group was 95.00%,and the total effective rate of the control group was 83.3%,the overall effective index of the experimental group was better than that of the control group,and the difference was statistically significant(P<0.05).There were no obvious adverse reactions in the two groups.Conclusion:Compared with conventional acupuncture treatment,Qihuang acupuncture therapy for acute posterior circulation ischemic vertigo has significant effect,which can the relieve the vertigo symptoms and improve the hemodynamics of the vertebral artery in the posterior circulation.
作者
刘军兵
陈振虎
陈蓉
伉奕
任胜洪
程惠
张瑞娟
石燕芳
陈小丹
Liu junbing;Chen Zhenhu;Chen Rong;Kang Yi;Ren Shenghong;Cheng Hui;Zhang Ruijuan;Shi Yanfang;Chen Xiaodan(Jiulongpo Hospital of Traditional Chinese Medicine,Chongqing 400050,China)
出处
《中国中医急症》
2022年第4期670-673,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
广东省中医药管理局临床专项(20203014)
广州中医药大学第一附属医院高水平医院建设创新强院二期培育项目(2019IIT30)
重庆市科卫联合中医药科研项目(2019ZY3278)。
关键词
后循环缺血性眩晕
岐黄针疗法
输刺
合谷刺
Posterior circulation ischemic vertigo
Qihuang acupuncture therapy
Drainning needle
Hegu needling
