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针刺颈夹脊穴结合半夏白术天麻汤治疗颈性眩晕的临床效果

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目的:探究针刺颈夹脊穴结合半夏白术天麻汤治疗颈性眩晕(CV)的临床效果。方法:选择 2022 年 1 月—2023 年 1 月贵阳市花溪区中医院收治的 50 例CV患者作为研究对象,按治疗方案不同将患者分为两组,各 25 例。对照组予以半夏白术天麻汤治疗,观察组予以针刺颈夹脊穴结合半夏白术天麻汤治疗,两组均持续治疗 2 周。比较两组临床效果、血清相关指标[C反应蛋白(CRP)、纤维蛋白原(FIB)、总胆固醇(TC)]、颈性眩晕症状与功能评估量表(ESCV)评分、眩晕障碍量表(DHI)评分及安全性。结果:观察组治疗总有效率为 100%,较对照组的 76。00 高,差异有统计学意义(P<0。05);治疗后,两组血清CRP、FIB、TC水平较治疗前降低,且观察组较对照组低,差异有统计学意义(P<0。05);治疗后,两组ESCV评分较治疗前升高,且观察组较对照组高,两组DHI评分较治疗前降低,且观察组较对照组低,差异有统计学意义(P<0。05);两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:针刺颈夹脊穴结合半夏白术天麻汤治疗CV患者的效果确切,能改善脑血液循环及炎症反应,促进颈部功能恢复,安全性高。
Clinical Effect of Acupuncture at Neck Jiaji Point Combined with Banxia Baizhu Tianma Decoction in the Treatment of Cervical Vertigo
Objective:To explore the clinical effect of acupuncture at neck Jiaji point combined with Banxia Baizhu Tianma Decoction in the treatment of cervical vertigo(CV).Method:Fifty patients with CV who admitted to Huaxi District Traditional Chinese Medicine Hospital in Guiyang City from January 2022 to January 2023 were selected as the research subjects,the patients were divided into two groups according to different treatment plans,with 25 cases in each group.The control group was treated with Banxia Baizhu Tianma Decoction,while the observation group was treated with acupuncture at neck Jiaji point and Banxia Baizhu Tianma Decoction,two groups were treated continuously for 2 weeks.The clinical effect,serum related indexes[C-reactive protein(CRP),fibrinogen(FIB),total cholesterol(TC)],cervical vertigo symptom and function assessment scale(ESCV)score,vertigo disorder scale(DHI)score and safety were compared between two groups.Result:The total effective rate of the observation group was 100%,which was higher than 76.00%of the control group,the difference was statistically significant(P<0.05);after treatment,the serum CRP,FIB,and TC levels in two groups decreased compared with those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);after treatment,the ESCV scores of two groups increased compared with those before treatment,and that in the observation group was higher than that in the control group,the DHI scores of two groups decreased compared with those before treatment,and that in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05);there was no significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion:Acupuncture at neck Jiaji point combined with Banxia Baizhu Tianma Decoction has a definite therapeutic effect in the treatment of CV patients,it can improve cerebral blood circulation and inflammatory response,promote the recovery of neck function,and have high safety.

Cervical vertigo BanxiaBaizhu Tianma DecoctionAcupuncture at neck Jiaji point

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贵阳市花溪区中医院 贵州 贵阳 550025

颈性眩晕 半夏白术天麻汤 针刺颈夹脊穴

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(2)
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