基于中医“治未病”理论的艾灸疗法干预中风高危状态临床观察

Moxibustion Treatment of Stroke in High-Risk State under Guidance of Zhiweibing Theory of Traditional Chinese Medicine

目的:观察艾灸疗法对中风高危状态(椎-基底动脉供血不足性眩晕)的临床疗效及其作用机制。方法:80例椎基底动脉供血不足性眩晕患者随机分为观察组与对照组各40例。两组均给予口服肠溶阿斯匹林及盐酸氟桂利嗪,观察组在此基础上另给予艾灸疗法,连续治疗4周。观察两组的临床疗效及治疗前后椎基底动脉平均血流速度。结果:(1)观察组临床治愈6例,显效24例,有效8例,无效2例。对照组临床治愈2例,显效8例,有效21例,无效9例。两组疗效比较,观察组优于对照组(P<0.05)。(2)观察组椎基底动脉平均血流速度较对照组改善明显(P<0.05)。结论:艾灸疗法是干预中风高危状态(椎基底动脉供血不足性眩晕)的一种安全、有效的方法,值得临床推广应用。

Objective： To observe the clinical effect and the mechanism of moxibustion on the stroke in high - risk state （vertebral -basilar artery insufficiency vertigo）. Methods：Eighty patients with vertebral -basilar artery insufficiency ver- tigo were randomly divided into observation group and control group,40 cases in each group. Two groups were given Aspi- rin and flunarizine hydrochloride orally for g weeks. On this basis, the observation group was treated with moxibustion. The clinical effects of the two groups were observed and the average blood flow velocity of vertebral - basilar artery was al- so observed before and after treatment. Results ： （ 1 ） In the observation group, the numbers of clinical cured cases, remark- able effective cases, effective cases and inefficacy cases after treatment Were 6,24,8 and 2 respectively. In the control group,those were 2,8,21 and 9 cases respectively after treatment. By comparison,the clinical efficacy of the observation group was better than that of the control group （ P 〈 0.05 ）. （2） The average blood flow velocity of the vertebral - basilar artery in the observation group was significantly improved than those in the control group（P 〈 0. 05）. Conclusion：Moxi- bustion is a safe and effective therapy in the treatment of stroke in high - risk state （ vertebral - basilar artery insufficiency vertigo）. It is worthy of clinical application,worthy of recommending in clinic.