针刺治疗颈性眩晕临床观察

Clinical Study on Acupuncture for Cervical Vertigo

目的观察针刺风池配四关穴为主治疗颈性眩晕的疗效。方法 107名患者随机分成针刺组55例和药物组52例。针刺组采取针刺风池配四关穴为主治疗,药物组采用口服盐酸氟桂利嗪胶囊,连续治疗15 d为1个疗程,观察两组疗效及治疗前后经颅多普勒检测椎动脉血流,并随访3个月。结果针刺组总有效率为89.1%,药物组总有效率为65.4%,两组比较差异有统计学意义(P<0.01);针刺组椎动脉血流改善明显优于药物组(P<0.01);针刺组复发率亦低于药物组(P<0.05)。结论针刺风池配四关穴为主治疗颈性眩晕疗效明显优于口服盐酸氟桂利嗪胶囊治疗,且复发率低。

Objective To observe the therapeutic effect of acupuncture predominantly at Fengchi （GB20） plus Siguan（LI4,LR3） points in treating cervical vertigo. Method A hundred and seven patients were randomized into an acupuncture group of 55 cases and a medication group of 52 cases. The acupuncture group received acupuncture majorly at Fengchi and Siguan points, and the medication group was prescribed with orally taken Flunarizine Hydrochloride capsules, successive 15-day treatments as a course. The therapeutic effects in the two groups were observed, and the blood flow of vertebral artery was detected by transcranial Doppler before and after treatment, and then a 3-month follow-up study was conducted. Result The total effective rate was 89.1% in the acupuncture group, versus 65.4% in the medication group, and the difference was statistically significant （P〈0.01）; the improvement of the blood flow of vertebral artery in the acupuncture group was obviously better than that in the medication group （P〈 0.01）; the relapse rate in the acupuncture group was significantly lower than that in the medication group （P〈0.05）. Conclusion Compared with orally taken Flunarizine Hydrochloride capsules, acupuncture predominantly at Fengchi plus Siguan points has better therapeutic effect and lower relapse rate in treating cervical vertigo.