综合护理联合针药治疗颈性眩晕随机平行对照研究

Randomized Parallel Controlled Study of Comprehensive Nursing combined with Acupuncture and Chinese Herbal Medicine in the Treatment of Cervical Vertigo

[目的]观察综合护理联合针药治疗颈性眩晕疗效。[方法]使用随机平行对照方法,将106例住院患者按病志号抽签方法简单随机分为两组。均予天麻钩藤饮,天麻15g,杜仲、川芎、葛根、钩藤各12g,黄芩15g,牛膝、白术各12g,夜交藤30g,桑寄生、茯苓各15g;肝阳上亢加羚羊角12g,石决明15g;气血亏虚加熟地15g,黄芪45g;痰浊中阻加半夏9g,陈皮15g;肾精亏损加黄精10g,山萸肉15g,1剂/d,水煎400mL,早晚温服。电针治疗选用连续波,取穴:百会、四神聪、颈夹脊穴、列缺、风池;气血亏虚加三阴交、足三里;痰浊中阻加丰隆、阳陵泉;肝阳上亢加太冲、太溪;肾精亏损加肾俞、血海,平补平泻法,留针30min,1次/d,10d为1疗程。中药热奄包颈痛方热敷颈部,药物组方是当归、川芎、藁本、菖蒲、辛夷花、羌活、细辛、白芷,两面针各30g研为细末,装进棉质布袋作药包,通过加热后置于患者颈下,保持热度,20min/次,2次/d。对照组53例常规护理。治疗组53例:急性期护理(心理护理、生活护理);治疗中护理(用药护理、针灸治疗护理、热奄包治疗护理、功能锻炼、饮食调理、健康宣教)。[结果]DHI减分值治疗组优于对照组(P<0.05),HAMA评分、HDMA评分均显著降低(P<0.05),治疗组低于对照组(P<0.05)。[结论]综合护理颈性眩晕,疗效满意,无严重不良反应,值得推广。

[Objective] To observe the curative effect of comprehensive nursing combined with acupuncture and medicine in the treatment of cervical vertigo. [Methods] 106 patients were randomly divided into two groups according to random parallel control method. Were treated with Tianmagouteng Decoction, Tianma 15g, Duzhong, Chuanxiong, Gegen, Gouteng, 12g, Huangqin 15g, Niuxi, Baizhu,12g, Yejiaoteng, 30g, Sangjisheng, Fuling, 15 g; liver Yang hyperactivity giving Lingyangjiao 12g, Shijueming 15g; deficiency of Qi and blood , giving Shudi 15g, Huangqi 45g; phlegm add Banxia 9 g, orange peel 15g; kidney deficiency add Huangjing 10 g, Shanyurou 15g, 1 agent/d, decoction 400 mL, sooner or later. Electroacupuncture treatment using continuous wave, acupoints： Baihui, Sishencong, Jiaji, Lieque, Fengchi; Qi deficiency plus Sanyinjiao, Zusanli; phlegm Fenglong, Yanglingquan; hyperactivity of liver Yang, Taichong and Taixi; kidney deficiency and Shenshu, Xuehai, reinforcing reducing method the needle, 30 min, l/d, 10d for 1 courses. Herbal Reyanbao fomentation neck neck pain side, drug prescription is angelica, chuanxiong, Ligusticum, calamus, magnolia flower, dahurian angelica root, notopterygium, asarum, nitidine each 30 g grind for powder, put into the cotton bag for charge, by heating in patients under the neck, keeping the heat, 20 min/times, 2 times/d. Control group of 53 cases of routine care. The treatment group of 53 cases of acute nursing （psychological nursing, life nursing）; treatment nursing （nursing, medication nursing, acupuncture Reyanbao therapy nursing and functional exercise, diet, health education）. [Results] DHI reduction score treatment group than the control group （P〈0.05）, HAMA score, HDMA score were significantly lower （P〈0.05）, the treatment group was lower than the control group （P〈0.05）. [Conclusion] The comprehensive nursing cervical vertigo, curative effect satisfaction, no serious adverse reaction, it is worth promoting.