针刀结合艾条压灸治疗颈性眩晕临床观察

Clinical Effect of Needle Knife Combined with Compressive Moxibustion with Moxa Stick in Treatment of Cervical Vertigo

目的观察小针刀结合艾条压灸治疗颈性眩晕的临床疗效。方法选取颈性眩晕患者40例,通过随机数字表法分为治疗组和对照组。治疗组20例予针刀结合艾条压灸治疗,对照组20例予常规口服西药治疗。采用颈性眩晕症状与功能评估量表测评两组患者治疗前后各项症状积分变化,并在疗程结束3个月后对患者进行追踪评价远期疗效。结果两组临床疗效的分布比较,差异具有统计学意义(P<0.05)。与治疗前比较,观察组治疗后及疗程结束3个月后随访时颈性眩晕症状与功能量表各维度评分均有显著提高(P<0.05);对照组治疗后除头痛评分较治疗前无明显变化外,总分和其余维度评分均较治疗前显著升高(P<0.05)。疗程结束3个月后随访时,对照组头痛、日常生活和工作评分与治疗后比较,差异无统计学意义(P>0.05),总分和其余维度评分与治疗后比较差异均有统计学意义(P<0.05);观察组眩晕、头痛、心理及社会适应能力评分与治疗后比较,差异无统计学意义(P>0.05),总分和其余维度评分与治疗后比较差异均有统计学意义(P<0.05)。观察组治疗后及疗程结束3个月后随访时总分及绝大多数维度评分均较对照组明显升高(P<0.05)。结论针刀结合艾条压灸可明显减轻颈性眩晕患者眩晕、颈肩痛、头痛等症状并提高日常生活及工作等能力,疗效明显优于单纯口服西药治疗,且具有较好的远期疗效。

Objective To investigate the clinical effect of small needle knife combined with compressive moxibustion with moxa stick in the treatment of cervical vertigo. Methods A total of 40 patients with cervical vertigo were randomly divided into treatment group and control group using a random number table. The 20 patients in the treatment group were treated with needle knife combined with compressive moxibus-tion with moxa stick, and the 20 patients in the control group were given routine oral Western medicine treatment. The cervical vertigo symptom and function evaluation scale was used to observe the changes in scores of all symptoms after treatment, and the patients were followed up at 3 months after the treatment to evaluate the long-term efficacy. Results There was a significant difference in the distribution of clinical outcomes between the two groups （P〈0. 05）. The treatment group showed significant increases in the scores on all subscales of the cervical vertigo symptom and function evaluation scale immediately and at 3 months after the treatment （P〈0. 05）; the control group showed no significant change in headache score, but had significant increases in the total score and the scores on all the other subscales （P〈0.05）. In the control group, there were no significant changes in the scores of headache, daily life, and work from immediately after treatment to the follow-up at 3 months after the treatment （P〉0. 05）, while there were sig- nificant changes in the total score and the scores on all the other subscales （P〈0. 05）. In the treatment group, there were no significant changes in the scores of dizziness, headache, mental health, and social adaptability from immediately after treatment to the follow-up at 3 months after the treatment （P〉0. 05）, while there were significant changes in the total score and the scores on all the other subscales （P〈0. 05）. Compared with the control group, the treatment group showed significant increases in the total score and the scores on most of the subscales immediately and at 3 months after the treatment （P〈0. 05）. Conclusion In patients with cervical vertigo, needle knife combined with compressive moxibustion with moxa stick can significantly reduce the symptoms including dizziness, neck and shoulder pain, and headache and improve the abilities of daily life and work, with a significantly better clinical effect than oral Western medicine alone and good long-term efficacy.