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温热电灸治疗气血虚弱型颈性眩晕疗效分析

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目的 观察温热电灸治疗气血虚弱型颈性眩晕的临床效果.方法 收集2021年3月至2023年5月于上海市瑞金康复医院针灸科及骨科门诊66例气血虚弱型颈性眩晕患者,随机分为观察组和对照组,每组各33例.2组患者均采用针刺百会穴和"项八针"并随症配穴.在此基础上,观察组在2侧第2颈椎(C2)、第6颈椎(C6)椎旁的经验穴连接(同侧一组)温热电灸综合治疗仪并采用温热电针模式,对照组不开启加热模式,电灸仪强度以患者耐受为宜,均治疗30 min,隔日1次,每周3次,2周为1个疗程,共治疗2个疗程.通过中医证候评分、颈性眩晕症状与功能评估量表评分和椎动脉阻力指数(RI)、收缩期峰值流速(PSV)的变化评估疗效.结果 61例患者完成研究,脱落5例,其中观察组30例,对照组31例.治疗后,2组患者的中医证候评分、颈性眩晕症状与功能评估量表各项评分和椎动脉RI左、RI右、PSV左、PSV右较同组治疗前均有显著改善,差异均具有统计学意义(均P<0.01);观察组患者中医证候评分的改善高于对照组,观察组患者的眩晕、颈肩痛、心理及社会适应的改善程度优于对照组,其差异均有统计学意义(均P<0.05),而头痛、日常生活及工作的改善程度与对照组比较,差异无统计学意义(均P>0.05);观察组患者椎动脉RI左、RI右、PSV左、PSV右改善程度优于对照组,差异具有统计学意义(均P<0.05).观察组的总有效率为93.3%,优于对照组(77.4%),2组患者总体疗效差异具有统计学意义(P<0.05).结论 温热电灸能够明显减轻颈性眩晕患者的症状,改善椎动脉血流,尤其是温热电针模式效果更优,且安全性良好,可在临床推广应用.
Efficacy analysis of warm electroacupuncture for treating cervical vertigo of Qi-xue deficiency type
Objective To observe the clinical effect of warm electroacupuncture on cervical vertigo of Qi-xue deficiency type.Methods In the acupuncture and moxibustion and orthopedic outpatient department of Shanghai Ruijin Rehabilitation Hospital,from March 2021 to May 2023,sixty-six patients with cervical vertigo of Qi-xue deficiency type were randomly divided into the observation group and the control group and there were 33 cases in each group.Both groups of patients were treated with acupuncture at Baihui(GV20)point and Eight Nape-point,and matched acupoints with the symptoms.And then,the observation group was connected to the experience points adjacent to the C2 and C6 vertebrae on both sides(one group on the same side)using a warm electric acupuncture and moxibustion comprehensive treatment device with warm electroacupuncture mode,and the control group did not turn on the heating mode.The intensity of the electric acupuncture device was suitable for the patient's tolerance,30 minutes each time,once every other day,3 times a week,2 weeks as one course of treatment,and 2 courses were treated in all.The therapeutic effect was evaluated through TCM syndrome score,score of evaluation scale for Cervical vertigo(ESCV)and changes in vertebral artery RI and PSV.Results Sixty-one patients completed the study,with 5 cases falling out,including 30 in the observation group and 31 in the control group.After all the treatments,the traditional Chinese medicine syndrome scores,scores of ESCV,and vertebral artery RI left,RI right and PSV left,PSV right of the two groups of patients showed significant improvement compared to the same group before the first treatment,and the differences were statistically significant(all P<0.01);The improvement of traditional Chinese medicine syndrome scores in the observation group was higher than that in the control group.The improvement of dizziness,neck and shoulder pain,psychological and social adaptation in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).However,there was no statistically significant difference in the improvement of headache,daily life and work compared to the control group(both P>0.05);The improvement degree of vertebral artery RI left,RI right and PSV left,PSV right in the observation group was better than that in the control group,and the difference was statistically significant(all P<0.05).The total effective rates of the observation group and the control group were 93.3%and 77.4%respectively,and the difference in the overall efficacy level distribution between the two groups of patients was statistically significant(P<0.05).Conclusion Warm electroacupuncture can significantly alleviate the symptoms of cervical vertigo patients and improve vertebral artery blood flow,especially the electroacupuncture mode which has better effect,and has good safety.It can be promoted and applied in clinical practice.

Warming acupuncture and moxibustionElectroacupunctureWarm electroacupunctureEight Nape-pointBaihui acupointCervical vertigo

王文礼、樊文朝、王佳、沈卫东

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上海市瑞金康复医院针灸科,上海 200023

上海市长宁区天山中医医院康复科,上海 200051

上海中医药大学附属曙光医院针灸科,上海 201203

温针灸 电针 温热电灸 项八针 百会穴 颈性眩晕

2024

中医外治杂志
山西医药卫生传媒集团

中医外治杂志

影响因子:0.669
ISSN:1006-978X
年,卷(期):2024.33(4)