针灸联合四物汤加减治疗缺血性眩晕疗效观察

Efficacy of acupuncture plus the Siwu decoction on ischemic vertigo

目的:观察针灸联合四物汤加减治疗缺血性眩晕疗效。方法:选取我院2016年7月-2017年7月收治的缺血性眩晕患者,共计60例,将所有患者按照随机数字表法分为观察组(30例)和对照组(30例)。对照组患者给予氟桂利嗪、眩晕停治疗,观察组患者给予针灸联合四物汤加减治疗。比较两组患者治疗前后的眩晕程度以及血流速度改变情况,并评估两组患者的临床治疗效果,随访1年后,观察两组患者的复发情况。结果:两组患者治疗后的DHI-S评分均明显低于治疗前(P <0.05),且观察组的DHI-S评分显著低于对照组,差异具有统计学意义(P <0.05)。两组患者治疗后的VA、VS以及VD指标相比均显著改善(P <0.05)。观察组患者治疗后的VA、VS以及VD指标改善情况明显优于对照组,差异具有统计学意义(P <0.05)。两组患者治疗后的GMP-140评分均明显低于治疗前,差异具有统计学意义(P <0.05),且观察组患者治疗后的GMP-140评分显著低于对照组,差异具有统计学意义(P <0.05)。观察组患者的治疗有效率(96.67%)明显大于对照组的治疗有效率(76.67%),两组数据对比差异具有统计学意义(P <0.05)。观察组患者的复发率(3.33%)明显低于对照组的复发率(20.00%),两组数据对比差异具有统计学意义(P <0.05)。结论:针灸联合四物汤加减治疗缺血性眩晕,疗效确切,复发率低,安全可靠,值得在临床大力推广和使用。

Objective:To observe clinical efficacy of acupuncture plus the Siwu decoction(四物汤)on ischemic vertigo.Methods:60 cases were divided into two groups,30 in each.The control group was given Flunarizine and Difenidol.The observation group was given acupuncture plus the Siwu decoction.Results:After treatment,the DHI-S score and GMP-140 scores in two groups were significantly reduced(P<0.05),and the observation group was lower(P<0.05).The VA,VS and VD indexes in two groups were significantly improved(P<0.05),and the observation group was better(P<0.05).The clinical efficiency in the observation group was 96.67%,significantly higher than 76.67%in the control group(P<0.05).The recurrence rate in the observation group was 3.33%,significantly lower than 20.00%in the control group(P<0.05).Conclusion:Acupuncture plus the Siwu decoction on ischemic vertigo shows a good effect,with less recurrence rate,and is worthy of promotion.