针灸为主治疗颈性眩晕疗效观察

Observations on the Efficacy of Acupuncture and Moxibustion as Main Treatment for Cervical Vertigo

目的观察针灸为主治疗颈性眩晕的治疗效果。方法采用针灸、拔罐、刮痧、牵引、手法复位、预防保健等方法对42例患者进行针对性治疗,并与随机抽取的44例以长春西汀20～30mg加入5%葡萄糖静脉滴注,同时每晚睡前口服氟桂利嗪20mg的患者作为对照,在疗效和疗程上进行比较。结果第1疗程后治疗组总有效率为40.5%,对照组52.3%,差异有统计学意义(P<0.01),对照组明显优于治疗组;第2疗程后治疗组总有效率为88.1%,对照组86.4%,差异无统计学意义(P>0.05);第3疗程后治疗组总有效率为97.6%,对照组86.4%,差异有统计学意义(P<0.01),治疗组优于对照组。结论颈性眩晕在急性期采用静脉滴注扩血管类药物效果较佳,中后期的中医针对性治疗则明显优于单一的扩血管治疗。

Objective To investigate the efficacy of acupuncture and moxibustion as main treatment for cervical vertigo. Methods Forty-two patients were treated by acupuncture, moxibustion, cupping, dermal scraping, traction, manual reposition and preventive health care. As a control, randomly selected 44 patients were treated by intravenous drip of 5% glucose solution with vinpocetine 20-30 mg and oral administration of flunarizine 20 mg before sleep every night. The therapeutic effects and the courses of treatment were compared. Results After the first course of treatment, the total efficacy rate was 40.5% in the treatment group and 52.3% in the control group and there was a statistically significant difference （P〈0.01）. The therapeutic effect was better in the control group than in the treatment group. After the second course of treatment, the total efficacy rate was 88.1% in the treatment group and 86.4% in the control group and there was no. statistically significant difference （P〉0.05）. After the third course of treatment, the total efficacy rate was 97.6% in the treatment group and 86.4% in the control group and there was a statistically significant difference （P〈0.01）. The therapeutic effect was better in the treatment group than in the control group. Conclusion Intravenous drip of vasodilators has a better therapeutic effect on acute-stage cervical vertigo. In the middle and late stages, traditional Chinese medical treatment is clearly superior to treatment with simple vasodilators.