通督益髓针法治疗基底动脉尖综合征患者眩晕症状疗效观察

Therapeutic Observation of Tong Du Yi Sui Method for Vertigo in Patients with Top of the Basilar Syndrome

目的观察通督益髓针法治疗基底动脉尖综合征(TOBS)患者眩晕症状的临床疗效及对TCD相关检测结果的影响。方法将58例TOBS患者随机分成治疗组和对照组,每组29例。治疗组采用通督益髓针法治疗,对照组采用口服尼莫地平治疗。比较两组治疗前后基底动脉平均血流速度(Vm)、收缩峰期血流速度(Vs)、舒张末期血流速度(Vd)及临床疗效。结果治疗组总有效率为89.7%,对照组为86.2%,两组疗效比较,差异具有统计学意义(P<0.05)。两组治疗后TCD基底动脉各项血流速度与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后TCD基底动脉各项血流速度与对照组比较,差异均具有统计学意义(P<0.05)。结论通督益髓针法能改善基底动脉尖综合征患者的眩晕症状。

Objective To observe the clinical efficacy of Tong Du Yi Sui method in treating top of the basilar syndrome （TOBS） and its effect on the transcranial doppler （TCD） examination results. Method Fifty-eight TOBS patients were randomized into a treatment group and a control group, 29 in each group. The treatment group was intervened by Tong Du Yi Sui method, and the control group was by oral administration of Nimodipine. The mean blood flow velocity of basilar artery （Vm）, peak systolic velocity （Vs）, end-diastolic velocity （Vd）, and clinical efficacy were compared. Result The total effective rate was 89.7% in the treatment group versus 86.2% in the control group, and the difference was statistically significant （P〈0.05）. The two groups both achieved significant changes in various blood flow velocities according to TCD after treatment （P〈0.05）. There were significant differences between the two groups in comparing the blood flow velocities after treatment （P〈0.05）. Conclusion Tong Du Iq Sui method is effective in improving vertigo in patients with TOBS.