首页|天麻钩藤饮、长春西汀配合腹针治疗颈性眩晕疗效研究

天麻钩藤饮、长春西汀配合腹针治疗颈性眩晕疗效研究

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目的 观察天麻钩藤饮、长春西汀配合腹针治疗颈性眩晕(CV)临床疗效.方法 将我院108例CV患者随机分为对照组与观察组各54例.对照组给予长春西汀治疗,观察组给予天麻钩藤饮、长春西汀配合腹针治疗.比较两组疗效、治疗前后左侧椎动脉(LVA)、右侧椎动脉(RVA)、基底动脉血流速度(VB),匹兹堡睡眠质量指数(PSQI)、汉密尔顿焦虑/抑郁量表(HAMA/HAMD)、视觉模拟评分法(VAS)、眩晕障碍调查量表(DHI)评分,比较治疗前后血浆黏度(PV)、红细胞压积(Hct)、红细胞聚集指数(EAI).结果 治疗后,观察组总有效率高于对照组(P<0.05);两组LVA、RVA、VB高于治疗前,观察组LVA、RVA、VB高于对照组(P<0.05);两组PSQI评分低于治疗前,观察组PSQI评分低于对照组(P<0.05);两组HAMA、HAMD、VAS、DHI评分低于治疗前,观察组HAMA、HAMD、VAS、DHI评分低于对照组(P<0.05);两组PV、Hct、EAI低于治疗前,观察组PV、Hct、EAI低于对照组(P<0.05).结论 天麻钩藤饮、长春西汀配合腹针治疗CV疗效确切,促进颅内动脉血液循环,改善睡眠、抑郁、焦虑情绪,减轻眩晕程度.
Tianma Gouteng Decoction combined with abdominal acupuncture in treatment of cervical vertigo
Objective To observe the efficacy of Tianma Gouteng Decoction combined with abdominal acupuncture in treatment of cervical vertigo(CV).Methods A total of 108 CV patients were randomly divided into control group and observation group,with 54 cases in each group.Control group was treated with vinpocetine,while observation group was treated with Tianma Gouteng Decoction combined with abdominal acupuncture on the basis of control group.The efficacy,the left vertebral artery(LVA),right vertebral artery(RVA),basilar artery blood flow velocity(VB),Pittsburgh Sleep Quality Index(PSQI),Hamilton Anxiety/Depression Scale(HAMA/HAMD),Visual Analogue Scale(VAS)and Vertigo Disorder Survey Scale(DHI)scores,plasma viscosity(PV),hematocrit(Hct),and erythrocyte aggregation index(EAI)were compared before and after treatment between the two groups.Results After treatment,the total effective rate of observation group was higher than that of control group(P<0.05);the LVA,RVA and VB in both groups were higher than those before treatment,which were higher in observation group than control group(P<0.05);the PSQI scores of both groups were lower than those before treatment,which were lower in observation group than control group(P<0.05);the scores of HAMA,HAMD,VAS,and DHI in both groups were lower than those before treatment,which were lower in observation group than control group(P<0.05);the PV,Hct and EAI of both groups were lower than those before treatment,which were lower in observation group than control group(P<0.05).Conclusion Tianma Gouteng Decoction combined with abdominal acupuncture has definite efficacy in treatment of CV by promoting intracranial artery blood circulation,improving sleep,depression and anxiety,and reducing the degree of dizziness.

Cervical vertigoAbdominal acupunctureTianma Gouteng DecoctionVinpocetine

薛雨雨、颜博涛、陈洁、王雨玉、李晓璐、刘清国

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北京中医药大学针灸推拿学院,北京 100029

陕西省北京中医药大学孙思邈医院,陕西铜川 727100

颈性眩晕 天麻钩藤饮 长春西汀 腹针

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(6)