摘要
目的观察腹针结合常规针刺法对后循环缺血性眩晕患者眩晕症状及脑血流动力学指标的影响。方法将102例后循环缺血性眩晕患者按照随机数字表法分为2组,对照组51例予常规西药治疗,治疗组51例同时联合腹针+常规针刺法治疗。2组均以6天为1个疗程,休息1天,共治疗2个疗程。比较2组治疗前后眩晕障碍评定量表(DHI-S)评分、眩晕评估评分量表(DARS)评分、脑血流动力学指标、血管内皮功能指标,统计2组临床疗效和治疗安全性情况。结果治疗组总有效率92.2%(47/51),对照组总有效率76.5%(39/51),治疗组疗效优于对照组(P<0.05)。2组治疗后DHI-S、DARS评分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。2组治疗后双侧颈动脉、双侧椎动脉及基底动脉血流量均较本组治疗前升高(P<0.05),且治疗组治疗后均高于对照组(P<0.05)。2组治疗后NO水平均较本组治疗前升高(P<0.05),ET-1水平均降低(P<0.05),且治疗组治疗后NO水平高于对照组(P<0.05),ET-1水平低于对照组(P<0.05)。结论腹针结合常规针刺法治疗后循环缺血性眩晕,能够迅速缓解眩晕症状,保护血管内皮功能,改善脑血流动力学指标,安全性高,疗效显著。
Objective To observe the effect of abdominal acupuncture combined with conventional acupuncture on vertigo symptoms and cerebral hemodynamics in patients with posterior circulation ischemic vertigo(PCIV).Methods Atotal of 102 patients with PCIV were randomly assigned to the control group(routine Western medicine,n=51)or the treatment group(abdominal acupuncture plus conventional acupuncture,n=51).Patients in the both groups were treated for 2 courses(6 days as a course of treatment)and 1 day of rest.The scores of Dizziness Handicap Inventory Screening(DHI-S)and Dizziness and Assessment Rating Scale(DARS),and the indexes of cerebral hemodynamicand vascular endothelial function were compared between the two groups before and after treatment,and the clinical efficacy and treatment safety of the two groups were statistically analyzed.Results The total effective rate in the treatment group was better than that of the control group(92.2%[47/51]vs 76.5%[39/51],P<0.05).After treatment,the scores of DHI-S and DARS in the both groups were significantly lower than those before treatment(P<0.05),and the decreases were more common in the treatment group relative to the control group(P<0.05).After treatment,the blood flow of bilateral carotid artery,bilateral vertebral artery and basilar artery in the both groups were significantly higher than those before treatment(P<0.05),and the increases were more pronounced in the treatment group compared to the control group(P<0.05).After treatment,nitric oxide(NO)in the both groups significantly increased than that before treatment(P<0.05),while endothelin-1(ET-1)significantly decreased(P<0.05),and the treatment group was superior to the control group for NO and ET-1(P<0.05).Conclusion Abdominal acupuncture combined with conventional acupuncture in the treatment of PCIV can quickly relieve vertigo symptoms,protect vascular endothelial function,improve cerebral hemodynamic,with high safety and significant curative effect.
作者
刘青松
慈玉莹
迟文成
邹香妮
LIU Qingsong;CI Yuying;CHI Wencheng;ZOU Xiangni(Department of Traditional Chinese Medicine,Central Hospital of Prison Network of Heilongjiang Province,Harbin,Heilongjiang 150080;Department of Oncology,First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150040)
出处
《河北中医》
2024年第5期804-808,814,共6页
Hebei Journal of Traditional Chinese Medicine
关键词
后循环缺血性眩晕
针刺疗法
脑血流动力学指标
Posterior circulation ischemic vertigo
Acupuncture therapy
Cerebral hemodynamic indexes
