颈性眩晕针灸治疗方案的初步优选

Preliminary Optimazation in Acupuncture Treatment Protocol for Cervical Vertigo

目的:对颈性眩晕的针灸治疗方案进行初步优选。方法:选取2014年1月至2015年6月南京市中医院病房及门诊收治的颈性眩晕患者72例为研究对象,采用正交设计,研究穴位及针刺角度方向、针刺深度、针刺根数、留针时间4因素3水平的9组不同搭配组合方案,以颈性眩晕症状与功能评估量表为观察指标,初步确定颈性眩晕针刺治疗优选方案。结果:针灸选穴针刺方向、针刺深度、针刺根数3因素不同水平在临床疗效方面差有统计学意义异,而留针时间差异无统计学意义。结论:颈性眩晕优化治疗初选,采用脑空透风池、脑户透风府,中刺或深刺,应用排针,留针1 h,可以获得相对最佳的疗效。

Objective：To Preliminarily optimize acupuncture treatment protocol for cervical vertigo.Methods：A total of 72 patients with cervical vertigo were selected as research subjects.With orthogonal design,9 different groups in terms of acupoint selection,needling angle and direction and depth,number of needles,needle retaining time,from four factors and three levels were studied.Cervical vertigo symptom and functional evaluation scale were set as observation indicators and the optimal scheme of acupuncture treatment for cervical vertigo was preliminarily determined.Results：Selection of acupoints,needling direction,needling depth,needle number in different levels significantly affected clinical efficacy but no obvious difference in needle retaining time.Conclusion：The primary optimization for Cervical vertigo treatment is from Naokong （GB 19） to Fengchi （GB 20） and from Naohu （GV 17） to Fengfu （GV18）,with media or deep depth,by parallel needling,retaining for 1 hour.Thus,it may receive a relative optimal effect.