腹针配合悬灸百会穴治疗颈性眩晕的临床研究

Abdominal acupuncture and suspended moxibustion Baihui clinical research for the treatment of cervical vertigo

目的:观察腹针配合悬灸百会穴治疗颈性眩晕(CV)的临床疗效。方法:将90例CV患者随机分为腹针配合悬灸百会穴组(A)、单纯腹针疗法组(B)及单纯悬灸百会穴组(C),每组30例。治疗前、后均行经颅多普勒(TCD)检测双侧椎动脉(LVA-Vm、RVA-Vm)和基底动脉平均血流速度(BA-Vm),治疗前后作症状学积分及疗效评定。结果:TCD检测结果及症状学积分疗效评定均显示,3组治疗后与治疗前比均有显著性差异(P<0.01),且A组优于B、C组(P<0.05,P<0.01)。结论:腹针配合悬灸百会穴疗效明显优于单一疗法,可能与调整患者机体的阴阳平衡,并有效改善椎-基底动脉的血流速度有关。

Objective： To observe the abdominal needle with suspended moxibustion Baihui treatment of cervical vertigo （CV） clinical efficacy. Methods： CV patients were randomly divided into abdominal acupuncture with moxibustion Balhui group （A）, simple abdominal acupuncture group（B） and simply hanging moxibustion Baihui group（C）, each group of 30 cases. Before and after treatment, the transcranial Doppler（TCD） detection was used to test bilateral vertebral artery（LVA-Vm of the RVA- Vm） and basilar artery mean blood flow velocity（BA-Vm）. The symptomatology integral and efficacy assessment were evaluated as well. Results： The TCD results and efficacy evaluation showed significant differences（P〈0.01） amid the three groups before and after treatment, Group A was significantly better than group B and C （P〈0.05, P〈0.01）. Conclusion： Complex therapy of abdominal acupuncture plus suspended moxibustion Balhui is significantly better than single therapy, that may be related to adjust the balance of yin and yang of the body in patients and improve vertebral-basilar artery blood flow velocity.