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岭南火针治疗颈性眩晕

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目的 观察岭南火针和电针疗法治疗颈性眩晕患者的疗效。方法 纳入72例颈性眩晕患者,对照组脱落3例,治疗组脱落2例,随机分为2组,治疗组接受岭南火针,对照组接受电针疗法,记录治疗前和治疗2周后颈性眩晕症状与功能评估量表(ESCV)、眩晕障碍量表(DHI)、中医症状评分和临床疗效评定,治疗4周后进行随访,记录复发例数。结果 治疗2周后,2组患者在ESCV量表的总评分均显著提高,差异有统计学意义(P<0。05);治疗组评分增高幅度高于对照组,差异有统计学意义(P<0。05)。DHI量表及中医症状评分上均较治疗前有所下降,差异有统计学意义(P<0。05);治疗组下降幅度大于对照组,差异有统计学意义(P<0。05)。临床疗效评估,治疗组的有效率为85。29%,而对照组的有效率为63。64%,治疗组的有效率高于对照组,差异有统计学意义(P<0。05)。在治疗4周后随访,治疗组的复发率为11。76%,而对照组的复发率则为36。36%,治疗组的复发率更低,差异有统计学意义(P<0。05)。结论 岭南火针和电针疗法在改善颈性眩晕患者的综合症状、颈性眩晕严重程度、康复程度和中医临床表现方面有积极的表现,且岭南火针优于电针疗法。岭南火针治疗颈性眩晕疗效和维持长期疗效有一定的优势。
Clinical observation on the treatment of cervical vertigo with Lingnan fire needle
Objective To examine the therapeutic effect of Lingnan fire needle therapy and electroacupuncture therapy in the treatment of patients with cervical vertigo.Methods A total of 72 patients with cervical vertigo were enrolled,and they were randomly divided into two groups,with 3 cases dropping out in the control group and 2 cases dropping out in the treatment group.Patients in the treatment group were treated with Lingnan fire needle therapy while those in the control group received electroacupuncture therapy.The scores of the Evaluation Scale for Cervical Vertigo(ESCV),Dizziness Handicap Inventory(DHI),the traditional Chinese medicine(TCM)symptoms and clinical efficacy evaluation were documented before and after 2 weeks of treatment.A follow-up was conducted after 4 weeks of treatment,and the number of recurrent cases was recorded.Results After 2 weeks of treatment,the total scores of the two groups in the ESCV scale were significantly increased,with a statistically significant difference(P<0.05),and the scores of the treatment group were higher than those of the control group,with a statistically significant difference(P<0.05).The scores of the two groups in the DHI scale and TCM symptoms were significantly decreased,with a statistically significant difference(P<0.05),and the scores of the treatment group were lower than those of the control group,with a statistically significant difference(P<0.05).The clinical efficacy evaluation showed that the effective rate of the treatment group(85.29%)was significantly higher than that of the control group(63.64%)(P<0.05).After 4 weeks of treatment,the follow-up showed that the recurrence rate of the treatment group(11.76%)was lower than that of the control group(36.36%),with a statistically significant difference(P<0.05).Conclusion Lingnan fire needle and electroacupuncture therapy have positive effects in improving the comprehensive symptoms,severity of the disease,rehabilitation degree,and TCM clinical manifestations in the treatment of patients with cervical vertigo,and Lingnan fire needle is superior to electroacupuncture therapy,with certain advantages in treating cervical vertigo and maintaining long-term efficacy.

cervical vertigoLingnan fire needleelectroacupuncture therapyclinical efficacy

石颖、李丽霞

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广州中医药大学,广州 510006

广州医科大学附属中医医院,广州 510130

颈性眩晕 岭南火针 电针疗法 临床疗效

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(12)