“通脱法”针刺治疗后循环缺血性眩晕的临床观察

Clinical observation of “unblocking and invigorating ” acupuncture therapy on the vertigo of posterior circulation ischemia

目的观察"通脱法"针刺治疗后循环缺血性眩晕的临床疗效。方法将150例患者随机分为治疗组(52例)、对照1组(49例)和对照2组(49例)。治疗组采用"通脱法"针刺治疗,对照1组采用常规针刺治疗,对照2组采用单纯西药治疗。3组均连续治疗14天,观察临床疗效,并检测椎-基底动脉血流动力学指标最大血流速度(Vmax)、搏动指数(PI)、阻力指数(RI)的变化情况。结果①治疗组、对照1组、对照2组总有效率分别为94.23%、83.67%、73.47%,治疗组临床疗效优于对照1组及对照2组,差异均有统计学意义(P<0.05);对照1组疗效优于对照2组(P<0.05)。②治疗前后3组各动脉类型(LVA、RVA、BA)组内比较,椎-基底动脉最大血流速度(Vmax)、搏动指数(PI)、阻力指数(RI)水平差异均有统计学意义(P<0.01);治疗后治疗组与对照1组、对照2组各动脉类型分别比较,各指标水平差异均有统计学意义(P<0.01);对照1组与对照2组比较,各指标水平差异均有统计学意义(P<0.01)。结论 "通脱法"针刺治疗能明显缓解后循环缺血性眩晕症状,其机制可能与扩张椎-基底动脉、降低血管阻力、增加血管弹性、改善局部血管痉挛状态有关。

Objective To observe the clinical efficacy of ＂ unblocking and invigorating＂ acupuncture therapy for the treatment of posterior circulation ischemia （PCI）. Methods One hundred and fifty cases were randomized into three groups： treatment group in which 52 cases were treated by ＂ unblocking and invigorating＂ acupuncture therapy, No. 1 control group In which 49 cases were treated by routine acupuncture therapy and No. 2 control group in which 49 cases were treated by western medicine, with the course of 14 .days, The clinical efficacy was observed and changes of Vmax, PI and RI were detected. Results （~） The overall effective rate was 94.23% in the treatment group and 83.67% inthe No. 1 control group and 73.47% in the No. 2 control group ; compared No. 1 control group and No. 2 control group with treatment group, the clinical efficacy in treatment group was better than the two control groups, with significant difference between treatment group and control groups （ P 〈 0.05 ） ; the clinical efficacy in No. 1 control group Was better than that of the No. 2 control group （ P 〈 0.05 ）. （2） In each of the three group, there were significant differences in Vmax, PI and RI between before and after treatment （ P 〈 0.01 ） ; After treatment, there were significant differences in LVA, RVA and BA between treatment group and the two control groups （P 〈0.01 ） ; after treatment, significant differences were found in LVA, RVA and BA between the two control groups （P 〈 0.01 ）. Conclusion The ＂unblocking and invigorating＂ acupuncture treatment can alleviate vertigo in PCI. Its mechanism may be associatied with expanding vertebral-basilar artery, reducing vascular resistance, improving elasticity of blood vessels, improving local vascular spasticity.