化瘀通络灸法治疗颈性眩晕临床研究

Clinical Research of Huayu Tongluo Moxibustion Therapy in Treating Cervical Vertigo

目的:比较化瘀通络灸法和常规药物对颈性眩晕的影响及疗效。方法:2015年3月至2016年9月收治132例颈性眩晕患者,按随机数字表方法分成化瘀通络灸组(67例)和药物组(65例)为对照进行观察。应用改良的《中医病证诊断疗效标准》进行有效率评估,采用数字评分法(NRS)评估眩晕及随同症状的改善状况。结果:治疗组总有效率高于对照组,两组疗效有显著性差异(92.53%>73.85%,P<0.05)。化瘀通络灸组的患者眩晕及伴随症状的平均NRS评分较治疗前明显下降(P<0.01),与药物组比较也有显著性差异(P<0.05)。结论:采取化瘀通络灸治疗颈性眩晕,发现2个疗程结束后交感神经症状的改善程度及NRS评分的结果和疗效比均优于尼莫地平组。

Objective： To compare the effects and therapeutic effects of Huayu Tongluo moxibustion and conventional drugs on cervical vertigo. Methods： From March 2015 to September 2016, 132 patients with cervical vertigo were treat- ed. The patients were divided into the Huatan Tongluo moxibustion group （67 cases） and the drug group （65 cases） as a control. The improved ＂Evaluation and Efficacy Criteria for the Diagnosis and Treatment of TCM Syndromes＂ was used to evaluate the effectiveness and the digital scoring method （NRS） was used to assess the dizziness and the improvement of the symptoms. Results： The total effective rate of the treatment group was higher than that of the control group. There was a significant difference between the two groups （92.53%〉 73.85%, P〈0.05）. The average NRS scores of patients with vertigo and concomitant symptoms in the Huayu Tongluo moxibustion group were significantly lower than before treatment （P〈0.01）, and there was also a significant difference compared with the drug group （P〈0.05）. Conclusion： The treatment of cervical vertigo with Huayu Tongluo moxibustion and has found that the improvement of sympathetic symptoms and the results of NRS score and the therapeutic effect ratio after the two courses of treatment are superior to the nimodipine group.