本文選題：后循環(huán)缺血 + 圓利針　； 參考：《黑龍江省中醫(yī)藥科學院》2017年碩士論文

【摘要】：目的:本研究采用圓利針合谷刺法治療后循環(huán)缺血性眩暈患者,通過觀察患者的中醫(yī)癥狀評分和經(jīng)顱多普勒超聲(Transcranial Doppler,TCD)的檢查情況,探討圓利針合谷刺法對后循環(huán)缺血性眩暈患者的治療效果,為臨床治療此病提供安全性高、療效好、價格低廉的治療方法。方法:選取符合后循環(huán)缺血性眩暈的中醫(yī)診斷標準和西醫(yī)診斷標準的患者共63例,按隨機對照的原則將63例患者分為兩組,即治療組(圓利針合谷刺組)32例和對照組(鹽酸氟桂利嗪組)31例。治療組給予圓利針合谷刺法,隔日進行治療一次,5次為一個療程,一共兩個療程。對照組則給予口服鹽酸氟桂利嗪,5mg每次,每晚服用一次。治療過程中通過觀察并記錄患者在治療前與治療后的中醫(yī)癥狀評分、眩暈評定量表、TCD檢查的各項指標,分析并評價兩種治療方法對本病的治療效果。結(jié)果:通過兩個療程的治療,兩組患者的中醫(yī)癥狀評分均比治療前有所改善,但治療組改善更明顯,差異具有統(tǒng)計學意義(P0.05),TCD的檢查結(jié)果也比治療前有所改善,且具有統(tǒng)計學意義(P0.05)。結(jié)論:1圓利針合谷刺法治療后循環(huán)缺血在改善眩暈癥狀、中醫(yī)癥狀評分方面療效顯著,且優(yōu)于西藥鹽酸氟桂利嗪。2圓利針合谷刺法能明顯改善椎基底動脈的供血、增加患者的腦血流量,且優(yōu)于西藥鹽酸氟桂利嗪。
[Abstract]:Objective: to observe the TCM symptom score and transcranial Doppler ultrasound (TCD) examination in patients with circulatory ischemic vertigo treated with circular acupuncture and Hegu acupuncture. To explore the therapeutic effect of Yuanli Acupuncture Hegu method on patients with posterior circulation ischemic vertigo, and to provide a safe, effective and inexpensive method for clinical treatment of this disease. Methods: a total of 63 patients with posterior circulation ischemic vertigo were selected and divided into two groups according to the principle of random control. There were 32 cases in the treatment group and 31 cases in the flunarizine hydrochloride group. The treatment group was treated with Yuanli Acupuncture Hegu method and treated every other day five times as a course of treatment, a total of two courses. The control group was given 5 mg flunarizine hydrochloride once a night. In the course of treatment, we observed and recorded the scores of TCM symptoms before and after treatment, the indexes of vertigo rating scale and TCD examination, and analyzed and evaluated the therapeutic effect of the two treatment methods on this disease. Results: after two courses of treatment, the scores of TCM symptoms were improved in both groups, but the improvement was more obvious in the treatment group, and the difference was statistically significant. And it has statistical significance (P 0.05). Conclusion the treatment of circulatory ischemia with 1: 1 round and sharp needle is effective in improving vertigo symptom, and it is superior to flunarizine hydrochloride in improving the blood supply of vertebrobasilar artery, which is superior to that of flunarizine hydrochloride, which is better than that of flunarizine in western medicine, which can improve the blood supply of vertebrobasilar artery. Increased cerebral blood flow, and better than western medicine flunarizine hydrochloride.
【學位授予單位】：黑龍江省中醫(yī)藥科學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.6

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