针刺联用药物治疗椎-基底动脉供血不足临床疗效观察

Clinical efficacy observation of acupuncture combined with medicine for vertebrobasilar insuffi-ciency

目的探讨针刺联用盐酸氟桂利嗪治疗椎-基底动脉供血不足患者的临床疗效。方法将82例椎基。底动脉供血不足患者按治疗方法不同分为对照组和观察组，每组41例，对照组采用盐酸氟桂利嗪治疗，观察组在对照组基础上加用中医针刺治疗，观察两组治疗后疗效、经颅多普勒及血流动力学指标变化。结果观察组痊愈14例，显效16例，有效9例，总有效率为95．12％，对照组痊愈6例，显效10例，有效14例，总有效率为73．17％，两组比较差异有统计学意义（P〈0．05）；观察组血流动力学指标及经颅多普勒改善显著优于对照组。结论针刺联用盐酸氟桂利嗪治疗椎．基底动脉供血不足疗效显著，可改善患者血液黏度及椎-基底动脉供血不足，值得临床推广应用。

Objective To observe the clinical efficacy of acupuncture combined with Flunarizine Hydrochloride on patients with vertebrobasilar insufficiency. Methods Eighty-two patients were randomly di- vided into observation group and control group, with 41 patients in each group. The patients in observation group were given acupuncture and Sibeliun, while the control group were given Sibeliun. The efficacy and the average speed of blood flow of TCD before and after treatment were observed. Results In observation group, 14 cases were cured,16 cases were remarkably effective, 9 cases were effective, the cure rate was 95. 12%. In control group, 6 cases were cured, 10 cases were remarkably effective, 14 cases were effective, the cure rate was 73. 17%, there were significant differences between the two groups （P 〈 0. 05）, ,there were significant differences between the two groups in the experimental indexes of TCD and hemodynamics. Conclusions Ac- upuncture combined with Flunarizine Hydroehloride is effective on patients with vertebrobasilar insufficiency, and can allieviate the blood viscosity and vertebrobasilar insufficiency, so it is worthy clinical application.