针刺跷脉治疗颈性眩晕临床观察

Clinical Observations on Acupuncture at Heel Vessels for the Treatment of Cervical Vertigo

目的观察申脉、照海穴治疗颈性眩晕的临床疗效。方法将68例符合诊断标准的患者随机分为治疗组和对照组,每组34例,治疗组选用跷脉腧穴申脉、照海穴结合常规针刺,对照组单纯采用颈夹脊穴常规针刺,通过对两组眩晕症状积分进行评估,观察临床疗效及两组治疗前后评分的变化。结果治疗组总有效率为94.1%,对照组为79.4%,治疗组疗效明显优于对照组(P<0.05);两组在疗程结束后眩晕症状积分均较治疗前显著降低(P<0.01),且治疗组治疗后眩晕改善程度明显优于对照组(P<0.05)。结论在常规针刺的基础上针刺申脉、照海穴治疗颈性眩晕的临床疗效明显优于单纯常规针刺疗法。

Objective To investigate the clinical efficacy of points Shenmai（BL62） and Zhaohai（KI6） in treating cervical vertigo. Method Sixty-eight patients meeting the diagnostic criteria were randomly allocated to treatment and control groups, 34 cases each. The treatment group received conventional acupuncture at heel vessel points Shenmai and Zhaohai plus cervical Huatuo jiaji points and the control group, conventional acupuncture at cervical Huatuo jiaji points alone. In the two groups, the vertigo symptom score was recorded, and the clinical therapeutic effects and pre-/post-treatment change in the score were observed. Result The total efficacy rate was 94.1% in the treatment group and 79.4% in the control group. The therapeutic effect was significantly better in the treatment group than in the control group（P〈0.05）. The vertigo symptom score decreased significantly in the two groups after the course of treatment compared with before（P〈0.01）. Vertigo improved significantly more in the treatment group than in the control group（P〈0.05）. Conclusion Acupuncture at points Shenmai and Zhaohai is significantly effective by comparison with conventional acupuncture in clinical treatment of cervical vertigo.