项丛刺结合颈夹脊穴针刺、TDP神灯照射治疗颈源性眩晕50例临床观察

Clinical efficacy of neck clustered needling combined with acupuncturing cervical Jiaji points(Ex-B2) and TDP irradiation in treating cervical vertigo

目的观察项丛刺结合颈夹脊穴针刺、TDP神灯照射治疗颈源性眩晕的临床疗效。方法将97例颈源性眩晕患者随机分为治疗组和对照组。对照组47例采用颈夹脊穴针刺联合TDP神灯照射治疗,治疗组50例在对照组治疗方法的基础上结合项丛刺治疗。连续治疗10次为1个疗程,2个疗程后统计疗效。结果治疗组总有效率为94.00%,显著高于对照组的80.85%,2组比较差异有统计学意义(P<0.05);与同组治疗前比较,2组治疗后颈性眩晕症状与功能评估(ESCV)评分显著升高,差异均有统计学意义(P<0.05),且治疗组治疗后ESCV评分显著高于对照组,差异有统计学意义(P<0.01)。结论项丛刺结合颈夹脊穴针刺、TDP神灯照射治疗颈源性眩晕疗效满意,并能迅速缓解眩晕、头痛、颈肩痛等症状,值得临床推广运用。

Objective To observe the clinical efficacy of neck clustered needling combined with acupunctu- ring cervical Jiaji points （EX-B2） under radiation of TDP. Methods 97 patients with cervical vertigo were ran- domly divided into treatment group （50 cases） and control group （47 cases）. The control group was acupunctured on cervical Jiaji points （EX-B2） under radiation of TDP. Based on that, the treatment group was intervened by neck clustered needling on the side. 10 times were as one course,curative effect was analyzed after 2 courses. Re- suits Total effective rates of treatment group and control group were 94.00% and 80.85% respectively ,the diffe- rence was significant （P〈0.05）. After treatment, ESCV of 2 groups increased visibly while that of treatment group increased more, the differences were statistically significant （P〈0.05）. Conclusion The combined therapy is ef- fective in treating cervical vertigo by relieving dizziness, headache, neck and shoulder pain promptly. It is worth popularizing and applying in clinic.