针刺颈夹脊配合风池、后溪及束骨穴治疗颈性眩晕的疗效及对血流动力学的影响

The Influence of Acupuncture of Neck Cricket with Wind Pool,Houxi and Shugu Points on Neck Vertigo and Hemodynamics

目的观察针刺颈夹脊配合风池、后溪及束骨穴治疗颈性眩晕的临床疗效及对血流动力学的影响。方法将100例病人随机分为治疗组和对照组,对照组给予普通针刺治疗,治疗组以颈夹脊配合风池、后溪、束骨穴治疗,观察治疗前后两组证候量化积分及椎基底动脉、大脑中动脉搏动指数(PI)和阻力指数(RI)变化。结果治疗后,治疗组中医证候量化积分较治疗前下降(P<0.05),且治疗组低于对照组,两组比较差异有统计学意义(P<0.05);治疗后,治疗组双侧大脑中动脉及椎基底动脉RI和PI较治疗前均降低(P<0.05),且治疗组低于对照组,两组比较差异有统计学意义(P<0.05)。结论针刺颈夹脊配合风池、后溪及束骨穴治疗颈性眩晕能有效缓解病人眩晕症状,其作用机制可能与加快椎-基底动脉血流速度有关。

Objective To observe the clinical efficacy and hemodynamic change of the cervical vertigo by acupuncturing at cervical Jiaji(Ex-B2)with Fengchi(GB20),Houxi(SI03)and Shugu(BL65).Methods One hundred patients of cervical vertigo were randomly divided into the treatment group and the control group,50 cases in each group.The control group were treated with general acupuncture,while the treatment group were treated with cervical Jiaji(Ex-B2),Fengchi(GB20),Houxi(SI03)and Shugu(BL65).The scales of Chinese medicine syndromes,pulsation index(PI)and resistance index(RI)of vertebral basilar artery and middle cerebral artery were compared between the two groups.Results After treatment,the scales of Chinese medicine,RI and PI of vertebral basilar artery and middle cerebral artery in the treatment group were significantly decreased than that before treatment,the indexs in the treatment group were lower than those in the control group(P<0.05).Conclusion Acupuncture at cervical Jiaji(Ex-B2)with Fengchi(GB20),Houxi(SI03)and Shugu(BL65)could improve symptoms of cervical vertigo patients and its mechanism maybe that the therapy could increase the velocity of vertebral basilar artery.