针刺颅底组穴联合热敏灸治疗后循环缺血性眩晕30例

Thirty Cases of Posterior Circulation Ischemia Vertigo Treated with Acupuncture at Acupoint Combination on the Bottom of the Skull in Combination with Heat Sensitive Moxibustion

目的:观察针刺颅底组穴联合热敏灸治疗后循环缺血性眩晕的临床疗效。方法:将60例后循环缺血性眩晕患者按照随机数字表法分为对照组和治疗组,每组各30例。对照组给予针刺颅底组穴治疗,治疗组在对照组的基础上联合热敏灸疗法。比较两组患者的临床疗效,采用经颅多普勒TCD监测两组患者治疗前后左侧椎动脉、右侧椎动脉及基底动脉的平均血流速度(velocity,Vm)和搏动指数(pulsatility index,PI)。结果:治疗组有效率为96.67%,对照组有效率为80.00%,两组患者有效率比较,差异有统计学意义(P<0.05)。两组患者治疗后椎动脉、基底动脉Vm高于治疗前,PI低于治疗前,且治疗组椎动脉、基底动脉Vm高于对照组,PI低于对照组,差异均有统计学意义(P<0.05)。结论:针刺颅底组穴联合热敏灸治疗后循环缺血性眩晕,可改善患者的临床症状,椎动脉、基底动脉血流变化及血流阻力指数。

Objective:To observe the clinical curative effect of acupuncture at acupoint combination on the bottom of the skull in combination with heat sensitive moxibustion on posterior circulation ischemia vertigo(PCIV).Methods:A total of 60 patients with PCIV were divided into the control group and the treatment group according to the method of random number table,with 36 cases in each group.The control group was treated with acupuncture at the acupoint combination on the bottom of the skull,while the treatment group was additionally treated with heat-sensitive moxibustion on the basis of the control group.The clinical effects of the two groups were compared.Their average velocity(Vm) and pulsatility index(PI) of left vertebral artery,right vertebral artery and basilar artery were monitored by TCD before and after treatment.Results:The effective rate was 96.67% in the treatment group and 80.00% in the control group,and the difference was statistically significant(P<0.05).After the treatment,Vms of vertebral artery and basilar artery in the two groups were higher than those before the treatment,while PI was lower than that before the treatment;Vms of vertebral artery and basilar artery in the treatment group were higher than those in the control group,PI was lower than that in the control group,and all the differences were statistically significant(P<0.05).Conclusion:In terms of treating PCIV,acupuncture at acupoint combination on the bottom of the skull in combination with heat sensitive moxibustion can improve the clinical symptoms,blood flow changes of vertebral artery and basilar artery and blood flow resistance index.