發(fā)布時間：2018-08-18 09:36

【摘要】：目的:本課題觀察針刺結合梅花針叩刺治療頸性眩暈(肝陽上亢型)的臨床療效,為臨床治療頸性眩暈(肝陽上亢型)提供有效的治療方法。方法:臨床選取60例頸性眩暈(肝陽上亢型)患者,隨機分為治療組和對照組各30例。治療組采用常規(guī)針刺結合梅花針叩刺治療,對照組僅采用常規(guī)針刺治療,7天為1療程,每療程間隔1天,治療3個療程。分別于治療前后對患者基底動脈(BA)及雙側椎動脈(VA)血管的收縮峰期血流速度(Vs)、舒張末期血流速度(Vd)、平均血流速度(Vm)、血管搏動指數(shù)(PI)進行檢測,根據(jù)頸性眩暈癥狀與功能評估量表進行評分,根據(jù)國家中醫(yī)藥管理局制定的《中醫(yī)病證診斷療效標準》進行療效判定,統(tǒng)計數(shù)據(jù)并進行分析。結果:1.治療組的30例患者中,痊愈20例,顯效6例,有效2例,無效2例,總有效率93.33%;對照組的30例患者中,痊愈15例,顯效7例,有效4例,無效4例,總有效率86.67%。在痊愈率和總有效率兩方面,治療組明顯高于對照組。2.在改善椎-基底動脈血流速度方面,雙側椎動脈、基底動脈血流速度變化差異有顯著性意義(P0.05),提示針刺結合梅花針叩刺在一定程度上能改善血流速度。3.在改善頸性眩暈癥狀方面,針刺結合梅花針叩刺的療效優(yōu)于常規(guī)針刺治療,差異有統(tǒng)計學意義(P0.05),提示針刺結合梅花針叩刺能夠明顯改善頸性眩暈癥狀。結論:1.針刺結合梅花針叩刺治療頸性眩暈臨床效果顯著,可明顯緩解或消除眩暈癥狀。2.通過治療組和對照組對比,針刺結合梅花針叩刺治療頸性眩暈優(yōu)于常規(guī)針刺。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with plum-blossom acupuncture in the treatment of cervical vertigo (liver-yang hyperactivity type), and to provide an effective treatment method for cervical vertigo (liver-yang hyperactivity type). Methods: 60 patients with cervical vertigo (liver-yang hyperactivity) were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with routine acupuncture combined with plum-blossom acupuncture, while the control group was treated with routine acupuncture for 7 days as a course of treatment, the interval of each course was 1 day, and there were 3 courses of treatment. Systolic peak velocity (Vs),) end-diastolic velocity (Vd),) mean blood velocity (Vm),) pulsatility index (PI) of basilar artery (BA) and bilateral vertebral artery (VA) were measured before and after treatment. According to the evaluation scale of cervical vertigo symptom and function, and according to the National Administration of traditional Chinese Medicine (TCM) to determine the efficacy of the criteria for diagnosis of disease and syndrome, statistical data and analysis. The result is 1: 1. In the treatment group, 20 cases were cured, 6 cases were markedly effective, 2 cases were ineffective, the total effective rate was 93.33%, while in the control group, 15 cases were cured, 7 cases were markedly effective, 4 cases were ineffective, and the total effective rate was 86.67%. In both the cure rate and the total effective rate, the treatment group was significantly higher than the control group. 2. 2. In improving the blood flow velocity of vertebrobasilar artery, there was significant difference in blood flow velocity between bilateral vertebral artery and basilar artery (P0.05), indicating that acupuncture combined with plum-blossom acupuncture can improve blood flow velocity to a certain extent. 3. In improving the symptoms of cervical vertigo, acupuncture combined with plum-blossom acupuncture is better than conventional acupuncture treatment, the difference is statistically significant (P0.05), indicating that acupuncture combined with plum acupuncture can significantly improve the symptoms of cervical vertigo. Conclusion 1. The clinical effect of acupuncture combined with plum-blossom acupuncture on cervical vertigo was remarkable, and the symptoms of vertigo could be alleviated or eliminated significantly. Compared with control group, acupuncture combined with plum-blossom acupuncture was superior to conventional acupuncture in the treatment of cervical vertigo.
【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】：R246.9

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