首页|温针灸联合通窍活血汤对颈性眩晕气血亏虚证患者血流动力学及中医证候的影响

温针灸联合通窍活血汤对颈性眩晕气血亏虚证患者血流动力学及中医证候的影响

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目的 探讨温针灸联合通窍活血汤治疗颈性眩晕气血亏虚证的临床效果.方法 选取2021年1月—2023年10月我院收治的84例颈性眩晕患者为研究对象,按随机数字表法将其分为对照组与观察组,各42例.对照组采用西药治疗,观察组在对照组基础上加用温针灸联合通窍活血汤治疗,两组均持续治疗4周.比较两组患者的临床疗效、血流动力学、中医证候评分、颈性眩晕症状与功能评估量表(ESCV)评分、眩晕障碍量表(DHI)评分及不良反应发生情况.结果 观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).治疗4周后,观察组左椎、右椎及基底动脉收缩期最大流速分别为(42.39±4.15)cm/s、(43.71±4.22)cm/s、(47.72±4.29)cm/s,均快于对照组的(38.68±3.78)cm/s、(39.63±3.81)cm/s、(43.15±4.23)cm/s,组间差异有统计学意义(P<0.05);观察组头昏、眩晕、心慌、耳鸣的中医证候评分分别为(0.75±0.12)分、(0.65±0.11)分、(0.59±0.11)分、(0.51±0.11)分,均低于对照组的(0.89±0.14)分、(0.78±0.13)分、(0.72±0.12)分、(0.69±0.12)分,组间差异有统计学意义(P<0.05);观察组ESCV评分为(24.63±2.41)分,高于对照组的(19.78±2.39)分,DHI评分为(12.18±1.25)分,低于对照组的(15.03±1.34)分,组间差异有统计学意义(P<0.05).两组均无不良反应发生.结论 温针灸联合通窍活血汤可提高颈性眩晕治疗效果,纠正血流动力学异常,加快眩晕症状消失,安全可靠.
Effect of Warming Acupuncture and Moxibustion Combined with Tongqiao Huoxue Decoction on Hemodynamics and TCM Syndrome of Cervical Vertigo Patients with Qi and Blood Deficiency Syndrome
Objective To explore the clinical effect of warm acupuncture and moxibustion combined with Tongqiao Huoxue Decoction on cervical vertigo with deficiency of qi and blood. Methods A total of 84 patients with cervical vertigo admitted to our hospital from January 2021 to October 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 42 cases in each group. The control group was treated with western medicine,and the observation group was treated with warm acupuncture and moxibustion combined with Tongqiao Huoxue Decoction on the basis of the control group,both groups were treated continuously for 4 weeks. The clinical efficacy,hemodynamics,TCM syndrome score,Evaluation Scale for Cervical Vertigo (ESCV) score,Dizziness Handicap Inventory (DHI) score and the occurrence of adverse reactions were compared between the two groups. Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant (P<0.05). After 4 weeks of treatment,the maximum systolic flow rates of left vertebra,right vertebra and basilar artery in the observation group were (42.39±4.15)cm/s,(43.71±4.22)cm/s and (47.72±4.29)cm/s,respectively,it was faster than (38.68±3.78)cm/s,(39.63±3.81)cm/s and (43.15±4.23)cm/s of control group,and the differences between groups were statistically significant (P<0.05);the TCM syndrome scores of dizziness,vertigo,palpitation and tinnitus in the observation group were (0.75±0.12) points,(0.65±0.11) points,(0.59±0.11) points and (0.51±0.11) points,respectively,it was lower than (0.89±0.14) points,(0.78±0.13) points,(0.72±0.12) points,(0.69±0.12) points of the control group,and the differences between groups were statistically significant (P<0.05);the ESCV score of the observation group was (24.63±2.41) points,which was higher than (19.78±2.39) points of the control group,and the DHI score was (12.18±1.25) points,which was lower than (15.03±1.34) points of the control group,with statistical significance (P<0.05). No adverse reactions occurred in both groups. Conclusion Warming acupuncture and moxibustion combined with Tongqiao Huoxue Decoction can improve the therapeutic effect of cervical vertigo,correct hemodynamic abnormalities,and accelerate the disappearance of vertigo symptoms,which is safe and reliable.

Cervical vertigoWarming acupuncture and moxibustionTongqiao Huoxue DecoctionHemodynamicsTCM syndrome

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淄博市中医医院治未病科,山东淄博 255300

颈性眩晕 温针灸 通窍活血汤 血流动力学 中医证候

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)