摘要
目的:观察化痰通脉定眩汤加减联合针灸治疗痰浊型老年颈性眩晕患者的效果。方法:选取2019年10月至2022年10月郑州市第九人民医院收治的80例老年颈性眩晕患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各40例。两组均给予常规治疗,在此基础上,对照组给予针灸治疗,观察组在对照组基础上联合化痰通脉定眩汤加减治疗。比较两组临床疗效、治疗前后血管内皮因子及炎性因子[血管内皮生长因子(VEGF)、白细胞介素-6(IL-6)、C反应蛋白(CRP)、血浆内皮素-1(ET-1)]水平、血流动力学指标[右椎动脉(RVA)、左椎动脉(LVA)、基底动脉(BA)血流速度]水平、颈性眩晕症状与功能评估量表(ESCV)评分及不良反应发生率。结果:观察组治疗总有效率为95.00%,高于对照组的77.50%,差异有统计学意义(P<0.05);治疗后,两组CRP、IL-6、ET-1水平均低于治疗前,且观察组低于对照组,两组VEGF水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组RVA、LVA、BA血流速度均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组ESCV评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组治疗过程中均未发生明显不良反应。结论:化痰通脉定眩汤加减联合针灸治疗痰浊型老年颈性眩晕患者,可促进血管内皮生长,减轻炎症反应和眩晕症状,改善椎-基底动脉血流速度,效果优于单纯针灸治疗。
Objective:To observe effects of Huatan Tongmai Dingxuan decoction combined with acupuncture on elderly patients with cervical vertigo of phlegm turbidity type.Methods:A prospective study was conducted on 80 elderly patients with cervical vertigo admitted to the Ninth People’s Hospital of Zhengzhou from October 2019 to October 2022.They were divided into control group and observation group according to the random number table method,40 cases in each group.Both groups were given routine treatment.On this basis,the control group was treated with acupuncture,while the observation group was treated with Huatan Tongmai Dingxuan decoction on the basis of that of the control group.The clinical efficacy,the vascular endothelial and inflammatory factors[vascular endothelial growth factor(VEGF),interleukin-6(IL-6),C-reactive protein(CRP),plasma endothelin-1(ET-1)]levels before and after the treatment,the hemodynamic indexes[right vertebral artery(RVA),left vertebral artery(LVA),basilar artery(BA)blood flow velocity]level,the cervical vertigo symptom and function assessment scale(ESCV)score,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the observation group was 95.00%,which was higher than 77.50%in the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of CRP,IL-6 and ET-1 in the two groups were lower than those before the treatment,and those in the observation group were lower than those in the control group;the levels of VEGF in the two groups were higher than those before the treatment,and the that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).The blood flow velocities of RVA,LVA and BA in the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The ESCV scores of the two groups w
作者
张艳艳
陈新合
王流云
袁文丽
ZHANG Yanyan;CHEN Xinhe;WANG Liuyun;YUAN Wenli(Rehabilitation Department of Ninth People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China;Rehabilitation Department of Zhengzhou City Neck Shoulder Waist Leg Pain Hospital,Zhengzhou 450000 Henan,China;Traditional Chinese Medicine Department of Ninth People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2023年第24期115-117,136,共4页
Medical Journal of Chinese People’s Health
关键词
化痰通脉定眩汤
痰浊型
颈性眩晕
针灸
颈椎活动度
血流动力学
炎性因子
Huatan Tongmai Dingxuan decoction
Phlegm turbid type
Cervical vertigo
Acupuncture
Cervical range of motion
Hemodynamics
Inflammatory factor
