针刺睛明穴对颈性眩晕患者椎-基底动脉血流动力学影响的初步观察

The Effect of Acupuncture at Jingming Point on Hemodynamics of Vertebrobasilar Artery of Patients with Cervical Vertigo

目的:以经颅多普勒超声(TCD)作为观察指标,观察针刺睛明穴对椎-基底动脉血流动力学的影响,为扩展睛明穴的主治范围以及提高临床治疗颈性眩晕的疗效寻找客观依据。方法:将60例患者随机分为观察组和对照组,观察针刺前后两组患者椎-基底动脉血流速度变化,对所得数据进行统计学分析。结果:针刺前后比较,睛明穴对改善VA低流速型、PICA低流速型血流速度有明显差异,三阴交对改善PICA低流速型、PICA高流速型有明显差异;组间比较,在改善VA低流速型血流速度上,针刺睛明穴效果明显优于三阴交穴。结论:针刺睛明穴能显著改善颈性眩晕患者椎-基底动脉血流速度,为临床运用针刺睛明穴治疗颈性眩晕及扩展睛明穴的主治范围提供了客观依据。

Objective：Transcranial Doppler（TCD） as index, to observe the influence of Jingming（ BL- 1 ） on vertebrobasilar hemodynamics and our finding provides objective basis for expanding the indication range of Jingming（BL1 ） and improving the clinical treatment of cervical vertigo in clinical practice. Methods：60 pa- tients were selected and randomly divided into observation group and control group. Blood flow velocity changes were observed before and after acupuncture, and the data were statistically analyzed. Results：Clinical studies had shown that before and after acupuncture, pricking Jingming（ BL - 1 ） could improve the blood flow velocity of VA and PICA in low velocity type, and pricking Sanyinjiao（ SP-6） could improve the blood flow velocity of PICA in low and high velocity type; Between the two groups, pricking Jingming（ BL - 1 ） was better than pricking Sanyinjiao （SP -6 ） in improving the blood flow velocity of VA low velocity type. Conclusion：There is a significant improvement of vertebrobasilar hemodynamics on patients with cervical vertigo by pricking Jingming （ BL - 1 ）. So we have provided clinical objective basis for the use of Jingming （ BL - 1 ） for treating cervical vertigo and the expansion indication of Jingming（ BL- 1 ）.