摘要
目的:观察穴位推拿联合益气定眩汤治疗颈性眩晕(CV)的疗效及对血浆内皮素(ET)和椎动脉血流动力学的影响。方法:将126例CV患者随机分为治疗组和对照组各63例,两组患者均给予健康教育、饮食、运动等基础干预,在此基础上对照组给予穴位推拿治疗,治疗组在对照组基础上采用益气定眩汤治疗。观察两组患者中医证候积分、眩晕程度、临床疗效,检测ET和降钙素基因相关肽(CGRP)水平,测定基底动脉(BA)、左侧椎动脉(LVA)、右侧椎动脉(RVA)血流速度。结果:两组患者治疗后中医证候积分均显著低于治疗前(P<0.05),且治疗组患者治疗后中医证候积分显著低于对照组(P<0.05);两组患者治疗后眩晕程度、颈肩痛、日常生活及工作、心理及社会适应评分显著高于治疗前(P<0.05),且治疗组患者治疗后眩晕程度、颈肩痛、日常生活及工作、心理及社会适应评分均显著高于对照组(P<0.05);治疗组总有效率(90.48%)显著高于对照组(76.19%),差异有统计学意义(P<0.05);两组患者治疗后ET水平显著低于治疗前(P<0.05),且治疗组患者治疗后ET水平显著低于对照组(P<0.05);两组患者治疗后CGRP水平显著高于治疗前(P<0.05),且治疗组患者治疗后CGRP显著高于对照组(P<0.05);两组患者治疗后BA、LVA、RVA速度显著高于治疗前(P<0.05),且治疗组患者治疗后BA、LVA、RVA速度显著高于对照组(P<0.05)。结论:穴位推拿联合益气定眩汤可有效改善CV患者椎动脉血流动力学,提高临床疗效。
Objective:To explore the influence of acupoint massage combined with Yiqi Dingxuan decoction in treatment of cervical vertigo(CV)on efficacy,plasma endothelin(ET)and vertebral artery hemodynamics.Methods:A total of 126 cases of patients with CV were divided into treatment and control groups,63 cases in each group.All the patients were given basic intervention such as health education,diet and exercise in two groups.And on the basis of that,the control group were given acupoint massage treatment,and the observation group were combined with Yiqi Dingxuan decoction on the basis of the control group.TCM symptom scores,vertigo degree and clinical effect were observed,and ET and calcitonin gene-related peptide(CGRP)levels were detected,and basal artery(BA),the left vertebral artery(LVA)and the right vertebral artery(RVA)flow velocity were detected in the two groups.Results:After treatment,TCM symptom scores were significantly lower than those before treatment in the two groups(P<0.05),and the treatment group showed lower TCM symptom scores than the control group(P<0.05).After treatment,vertigo,neck pain,daily life and work,psychological and social adaptation scores were significantly higher than those before treatment in the two groups(P<0.05),and the treatment group showed higher vertigo,neck pain,daily life and work,psychological and social adaptation scores than the control group(P<0.05).The total effective rate was 90.48%in treatment group and 76.19%in control group,and the treatment group showed better efficacy than the control group(P<0.05).After treatment,ET level was significantly lower than that before treatment in the two groups(P<0.05),and the treatment group showed lower ET level than the control group(P<0.05).CGRP level was significantly higher than that before treatment in the two groups(P<0.05),and the treatment group showed higher CGRP level than the control group(P<0.05).After treatment,BA,LVA and RVA rate was significantly higher than that before treatment in the two groups(P<0.05),and the treatment g
作者
刘少鸿
袁小霞
LIU Shao-hong;YUAN Xiao-xia(Yulin Hospital of Traditional Chinese Medicine,Yulin Shaanxi 719000,China)
出处
《中医药导报》
2019年第3期111-114,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
陕西省中医药管理局资助项目(16-LC118)
关键词
颈性眩晕
穴位推拿
益气定眩汤
血浆内皮素
血流动力学
临床疗效
cervical vertigo
acupoint massage
Yiqi Dingxuan decoction
endothelin
hemodynamics
clinical efficacy
