针刺治疗椎-基底动脉供血不足疗效观察

Therapeutic Observation of Acupuncture in Treating Vertebrobasilar Ischemia

目的观察针刺项后9穴为主治疗椎-基底动脉供血不足的临床疗效。方法将100例椎-基底动脉供血不足患者随机分为治疗组和对照组,每组50例。治疗组采用针刺风府、风池、完骨、天柱、C3夹脊穴治疗,对照组采用口服尼莫地平片治疗。观察两组治疗前后TCD各项指标及眩晕评定量表的评分系统(DARS)平均评分,并比较两组临床疗效。结果治疗组治疗后TCD各项指标与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组治疗后TCD相关指标[Vs(RVA)、Vd(BA、LVA)、Vm(BA、RVA)、PI(BA)]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相关指标[Vs(BA、LVA、RVA)、Vd(BA、RVA)、Vm(BA、LVA)、PI(BA)]与对照组比较,差异均具有统计学意义(P<0.05)。两组治疗7 d后DARS平均评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。两组治疗后DARS平均评分与同组治疗7 d后比较,差异均具有统计学意义(P<0.01)。治疗组治疗7 d后及治疗后DARS平均评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组愈显率和总有效率分别为76.0%和98.0%,对照组分别为44.0%和96.0%。两组愈显率比较,差异具有统计学意义(P<0.05)。结论针刺项后9穴是一种治疗椎-基底动脉供血不足的有效方法。

Objective To observe the clinical efficacy of acupuncture at the nine acupoints on nape in treating vertebrobasilar ischemia （VBI）. Methods Totally 100 VBI patients were randomized into a treatment group and a control group, 50 in each group. The treatment group was intervened by acupuncture at Fengfu （GV 16）, Fengchi （GB 20）, Wangu （GB 12）, Tianzhu （BL 10）, and Jiaji （EX-B 2, C3）;while the control group was by oral administration of Nimodipine tablets. The parameters in Transcranial Doppler （TCD） and Dizziness Assessment Rating Scale （ADRS） were observed before and after intervention, and the clinical efficacies were compared. Results The TCD parameters were significantly changed in the treatment group after intervention （P〈0.05）. The TCD parameters [Vs （RVA）, Vd （BA, LVA）, Vm （BA, RVA）, PI （BA）] were significantly changed in the control group after intervention （P〈0.05）. After intervention, there were significant differences in comparing the TCD parameters [Vs （BA, LVA, RVA）, Vd （BA, RVA）, Vm （BA, LVA）, PI （BA）] between the two groups （P〈0.05）. The DARS average scores were significantly changed in both groups after 7-day treatment （P〈0.01）. The DARS average scores after the whole intervention were significantly different from that after 7-day treatment in both groups （P〈0.01）. There were significant differences in comparing the DARS average scores between the two groups after 7-day intervention and after the whole intervention （P〈0.01）. The recovery-markedly effective rate and total effective rate were respectively 76.0%and 98.0%in the treatment group versus 44.0%and 96.0%in the control group, and there was a significant difference in comparing the recovery-markedly effective rate （P〈0.05）. Conclusions Acupuncture at the nine nape acupoints is an effective method in treating VBI.