摘要
目的:客观分析后循环缺血性眩晕(PCIV)(风痰上扰型)患者首次运用董氏奇穴法治疗临床试验过程及疗效。方法:随机选择110例双盲分为对照组和治疗组的PCIV风痰上扰型患者。监测患者基础疾病治疗情况,包含调整血糖、血压、血脂、抗血小板聚集、稳定斑块等对症治疗,同时中医个性化辨证施治指导患者饮食及运动(八段锦)调节防护。对照组以百会、双侧风池、双侧完骨、四神冲等穴位加普通电针治疗,治疗组以镇静穴、正会穴、前会穴、后会穴、总枢穴、双侧支禹穴、双侧土禹穴、驷马三穴、灵骨穴、大白穴为主采取董氏针刺手法加电针治疗,两组均治疗14d为一疗程。对比治疗前后经颅多普勒(TCD)检测[左椎动脉血流速度(LVA)、右椎动脉血流速度(RVA)、椎基底动脉血流速度(BA)、血管弹力指数(RI)]、脑干听觉诱发电位(BEAP)参数变化情况,以及两组中医眩晕症状评分、临床疗效、安全性和复发情况对比。结果:(1)14d治疗后,两组经颅多普勒超声显示Vm在LVA、RVA、BA以及RI值较治疗前明显提高(P<0.01),治疗组中的Vm值提高率和RI值参数降低率明显优于对照组(P<0.05)。(2)两组患者Ⅰ、Ⅲ、Ⅴ波的潜伏期和Ⅰ-Ⅲ、Ⅲ-Ⅴ、Ⅰ-Ⅴ波峰潜伏期指标值均较治疗前均得到改善,客观反应脑干供血改善情况(P<0.05)。(3)治疗后,治疗组无效率5.6%(3/54),对照组无效率18.9%(10/53),对照组无效率明显较高(P<0.05)。(4)两组治疗后,临床症状两组较治疗前均有改善,但治疗组中医眩晕症状积分改善更为突出(P<0.05)。(5)治疗后3个月随访患者的头晕目眩、恶心呕吐、耳鸣耳聋、倦怠乏力、汗出异常、发作频率与出院时对比,评估两组患者症状复发率,对照组复发率高于治疗组(P<0.05)。结论:董氏奇穴疗法对于PCIV风痰上扰型患者,可使患者脑干供血得到改善,根本解决患者眩晕症状,同时降低再次复发,使�
Objective:To objectively analyze the clinical trial process and draw a conclusion by using Dong's acupoint for the first time in the treatment of posterior circulation ischemic vertigo(wind-phlegm up-disturbance type).Methods:A total of 110patients with PCIV wind-induced phlegm were randomly divided into control group and treatment group in double blind.Monitoring patients'basic disease treatment,including the adjustment of blood glucose,blood pressure,blood lipid,anti-platelet aggregation,plaque stabilization and other symptomatic treatment,and at the same time,individualized TCM syndrome differentiation treatment to guide patients diet and exercise(Baduanjin)regulation and protection.The control group was treated with Baihui,bilateral Fengchi,bilateral Wangu,and Sishenchong acupoints plus ordinary electroacupuncture,while the treatment group was treated with Dong's acupuncture method plus electroacupuncture,mainly with sedation acupoints,Zhenghui,Qianhui,Houhui,Zongshu,bilateral Zhiyu,bilateral Tuyu,Sima,Linggu,and Dabai,with a course of 14d for the two groups.The transcranial Doppler(TCD)measurements[left vertebral artery flow velocity(LVA),right vertebral artery flow velocity(RVA),vertebral basilar flow velocity(BA),vascular elasticity index(RI)]and brainstem auditory evoked potential(BEAP)parameters were compared before and after treatment,as well as the scores of vertigo symptoms in Chinese medicine,the clinical efficacy,safety,and recurrence of the two groups.Results:(1)After 14days of treatment,transcranial Doppler ultrasonography showed that the LVA,RVA,BA and RI values of VM in the two groups were significantly higher than those before treatment(P<0.01),and the increasing rate of VM value and the decreasing rate of RI value parameters in the treatment group were significantly better than those in the control group(P<0.05).(2)The incubation periods ofⅠ,normal and normal waves and the peak incubation periods ofⅠ、Ⅲ、ⅤandⅠ-Ⅲ、Ⅲ-Ⅴ、Ⅰ-Ⅴwaves in 2groups were all improved compared with
作者
刘军兵
邓学娟
何冠
陈蓉
任胜洪
伉奕
邓秀琴
李滔
柯绍兴
潘莎
LIU Junbing;DENG Xuejuan;HE Guan(Jiulongpo District Hospital of Traditional Chinese Medicine,Chongqing 400080,China;Jiulong Community Health Service Center,Jiulongpo District,Chongqing 400081,China;Chongqing Combined Traditional Chinese and Western Medicine Rehabilitation Hospital,Chongqing 400015,China)
出处
《四川中医》
2023年第9期191-196,共6页
Journal of Sichuan of Traditional Chinese Medicine
基金
重庆市科卫联合中医药科研项目(编号:2019ZY3278)。
关键词
董氏奇穴疗法
风痰上扰型
后循环缺血性眩晕
临床疗效
Dong's acupoint therapy
Wind-Phlegm upward disturbance type
Posterior circulation ischemic vertigo
Clinical curative effect
