针刺风池、天柱对椎-基底动脉供血不足的影响

Controlled observation on acupuncture at Fengchi (GB 20) and Tianzhu (BL 10) for treatment of vertebrobasilar insufficiency

目的评价针刺风池、天柱穴对椎-基底动脉供血不足(VBI)的临床疗效。方法将116例VBI患者随机分为两组,治疗组58例采用针刺风池、天柱穴治疗,对照组58例采用口服尼莫地平治疗。观察治疗前后临床症状及经颅多普勒超声检测左椎动脉、右椎动脉、基底动脉平均血流速度的变化情况。结果治疗组的总有效率为89·66%,对照组的总有效率为86·21%。针刺治疗对改善症状及改善椎-基底动脉平均血流速度有显著的疗效,并优于尼莫地平组(P<0·05)。结论针刺风池、天柱穴治疗椎-基底动脉供血不足疗效显著。

Objective To evaluate clinical therapeutic effect of acupuncture at Fengchi （GB 20） and Tianzhu （BL 10） on vertebrobasilar insufficiency （VBI）. Methods One hundred and sixteen cases of VBI were randomly divided into 2 groups, 58 cases in each group. The treatment group were treated with acupuncture at Fengchi （GB 20） and Tianzhu （BL 10）, and the control group with oral administration of Nimodipine. Clinical symptoms, and the average blood flow rates of left vertebral artery （LVA）, right vertebral artery （RVA） and basilar artery （BA） detected by transcranial Doppler＇s method （TCD） before and after treatment were investigated. Results The total effective rate was 89.66% in the treatment group and 86.21^ in the control group. Acupuncture had significantly therapeutic effect in improvement of clinical symptoms and the average blood flow rate of BA, better than Nimodipine, Conclusion Acupuncture at Fengch; （GB 20） and Tianzhu （BL 10） has obvious therapeutic effect on vertebrobasilar insufficiency.