浮针环枕线上肌筋膜触发点治疗眩晕疗效观察

Therapeutic Observation on Superficial Needling at the Myofascial Trigger Point along Atlanto-occipit Line for Vertigo

目的比较浮针疗法和常规毫针刺法治疗颈性眩晕的疗效差异,从而找到更有效、更快捷的治疗方法,以减轻患者的痛苦。方法将76例颈性眩晕患者随机分为浮针组和毫针组,每组38例。浮针组采用浮针疗法对环枕线上相应的肌筋膜触发点(MTrP点)进行浮针操作,并留置6 h;毫针组采用常规针刺疗法针刺风府、风池、列缺、百会等穴及相应的夹脊穴,留针30 min。两组均每日治疗1次,每治疗5 d休息2 d,7 d为1个疗程,共治疗2个疗程。结果浮针组治愈率为60.5%,总有效率为97.4%;毫针组治愈率为39.5%,总有效率为89.5%,两组疗效比较差异均具有统计学意义(P<0.01)。两组间减轻眩晕起效时间比较差异有统计学意义(P<0.01)。2个疗程后浮针组3项评分均低于毫针组(P<0.01)。结论浮针治疗颈性眩晕效果优于常规针刺法疗效。

Objective To compare the therapeutic efficacies between superficial acupuncture and ordinary acupuncture in treating cervical vertigo, for seeking a more effective and efficient method and reducing patients＇ hurt. Method Seventy-six patients with cervical vertigo were randomized into a superficial needling group and an ordinary acupuncture group, 38 in each. The superficial acupuncture group was intervened by superficial needling at the myofascial trigger point （MTrP） along the atlanto-occipit line, with the needles retained for 6 h; the ordinary acupuncture group was by conventional acupuncture at Fengfu （GV16）, Fengchi （GB20）, Lieque （LU7）, and Baihui （GV20）, as well as the corresponding Jiaji （EX-B2）, with the needles retained for 30 rain. For both groups, the treatment was given once a day, with a 2-day interval after 5-day treatment, 7 d as a treatment course, and totally 2 treatment courses were given. Result The recovery rate and total effective rate were 60.5% and 97.4% in the superficial needling group, versus 39.5% and 89.5% in the ordinary acupuncture group, and the differences were statistically significant （P〈0.01）. There was a significant difference in comparing the onset time in relieving vertigo between the two groups （P〈0.01）. After 2 treatment courses, the superficial needling group was lower than the ordinary acupuncture group in comparing the scores of 3 items （P〈0.01）. Conclusion Superficial needling has better therapeutic efficacy than ordinary acupuncture in treating cervical vertigo.