腹针治疗颈性眩晕的临床研究

Clinical Study Treatment of Cervical Vertigo by the Means of Abdominal Acupuncture

目的:评价腹针方法治疗颈性眩晕的临床疗效,为该病症的临床治疗推广一种简单实用、安全有效的中医疗法。方法:将72例颈性眩晕的患者随机分组,治疗组42例,对照组30例。治疗组采用腹针疗法,对照组采用常规针刺疗法。两组病人在治疗前和治疗2个疗程后均进行症状和功能评估,同时分别检查头颅多普勒(TCD),观察双侧椎动脉、基底动脉的平均血流速。结果:治疗组有效率为95.24%,对照组有效率为73.33%。统计结果表明,治疗组和对照组疗效比较存在显著差异(P<0.05)。治疗后两组的主要症状和功能前后改善程度比较均有显著性差异(P<0.01)。治疗2疗程后,两组的椎动脉、基底动脉平均血流速有明显改善,其变化有显著性意义(P<0.01),两组间比较存在显著差异(P<0.01)。结论:腹针治疗颈性眩晕的疗效肯定,明显优于常规针刺组。本法在改善椎基底动脉的血流速的同时,使患者的主要症状和功能也得到了一定程度的恢复,提高了眩晕患者的生活质量。

Objective： To evaluate the therapentic effects of abdominal acupuncture on cervical vertigo,the purpose is to popularize a kind of simply, safe and effective therapy of Traditional Chinese Medicine to this disease. Methods ： 72 cases of cervical vertigo were divided into 2 groups randomly：42 patients were treated with abdominal acupuncture in treatment group and 30 patients were treated with routine acupuncture in control group. Assessment of clinical effects was done before and after 2 courses treatment, and the average blood flows of vertebral and basilar artery on transeranial Doppler were observed. Results： The effective rate was 95.24% in treatment groupVersus73.33% in Control group ,with a significant difference between the two groups（ P 〈0.05）. There is a significant difference between the two groups about the improvemental degree of main symptoms and functions after two courses treatments（ P 〈 0.01 ）. For the two parameters, there were significant differences between two groups （ P 〈 0.01 ）. After treatment, blood flow velocity of verterbral and basilar artery improved significantly in two groups （ P 〈 0.05）. Conclusion： The therapeutic effect of the treatment group was superior to that of the control group on treatment for cervical vertigo. The therapy can improve notonly the blood velocity of vertebrobasi lar artery .but also the svmntoms and function as well.