斜圆刃针合和解汤加减对颈性眩晕患者的疗效分析

Analysis of curative effect of oblique round blade needle and hejie decoction on patients with cervical vertigo

目的研究斜圆刃针合和解汤加减对颈性眩晕患者的临床疗效。方法选取2017年2月至2019年2月新疆医科大学第一附属医院针灸科收治的94例颈性眩晕患者,,随机分为观察组(47例)和对照组(47例)。对照组采用斜圆刃针治疗,观察组采用斜圆刃针合和解汤加减治疗,比较两组疗效、复发情况、临床症状变化时间,采用放射免疫分析法检测两组治疗前及治疗1个月后血浆神经肽Y(NPY)、内皮素1(ET-1)、降钙素基因相关肽(CGRP)水平,采用超声经颅多普勒血流分析仪测定两组治疗前及治疗1个月后左侧椎动脉(LVA)、基底动脉(BA)、右侧椎动脉(RVA)变化。结果观察组总有效率为95.74%,高于对照组的80.85%,差异有统计学意义(P<0.05)。与对照组比较,观察组眩晕减轻时间、眩晕消失时间均缩短,差异有统计学意义(P<0.05)。与本组治疗前比较,治疗后两组NPY、ET-1水平降低,差异有统计学意义(P<0.05),CGRP水平提高,差异有统计学意义(P<0.05);与对照组比较,观察组治疗后NPY、ET-1水平降低,差异有统计学意义(P<0.05),CGRP水平升高,差异有统计学意义(P<0.05)。与本组治疗前比较,治疗后两组LVA、BA、RVA水平升高,差异有统计学意义(P<0.05);与对照组比较,观察组治疗后LVA、BA、RVA水平升高,差异有统计学意义(P<0.05)。观察组复发率为4.26%,显著低于对照组的17.02%,差异有统计学意义(P<0.05)。结论斜圆刃针合和解汤加减治疗颈性眩晕疗效确切,可以改善患者颅内血流指标,缓解患者眩晕症状。

Objective To study the clinical effect of oblique round blade needle combined with Hejie Decoction on pa⁃tients with cervical vertigo.Methods 94 patients with cervical vertigo admitted to the Department of Acupuncture and Moxibustion of the First Affiliated Hospital of Xinjiang Medical University from February 2017 to February 2019 were randomly divided into observation group(47 cases)and control group(47 cases)by coin flipping method.The control group was treated with oblique round blade acupuncture,and the observation group was treated with oblique round blade acupuncture combined with Hejie Decoction.The curative effect,recurrence,and clinical symptoms change time of the two groups were compared.Radioimmunoassay was used to detect the two groups before treatment and 1 month after treatment.Plasma neuropeptide Y(NPY),endothelin 1(ET-1),and calcitonin gene-related peptide(CGRP)lev⁃els were measured by ultrasound transcranial Doppler blood flow analyzer before treatment and 1 month after treatment Posterior left vertebral artery(LVA),basilar artery(BA),right vertebral artery(RVA)changes.Results The total effec⁃tive rate of the observation group was 95.74%,which was higher than 80.85%of the control group(P<0.05).Com⁃pared with the control group,the time to reduce dizziness and disappearance of dizziness in the observation group was shortened(P<0.05).Compared with this group before treatment,the levels of NPY and ET-1 in the two groups were decreased after treatment(P<0.05),and the level of CGRP in the two groups was increased(P<0.05);compared with the control group,the levels of NPY and ET-1 in the observation group were decreased after treatment(P<0.05),and the level of CGRP was increased(P<0.05).Compared with both groups before treatment,the LVA,BA,and RVA in⁃dexes of the two groups were increased after treatment(P<0.05).Compared with the control group,the LVA,BA,and RVA indexes in the observation group after treatment were increased(P<0.05).The recurrence rate of the observation group was 4.26%,which was significantly lower than the 17.02%of the control group(P<0.05).Conclusion Oblique round blade needle combined with Hejie Decoction is effective in treating patients with cervical vertigo,and improves the intracranial blood flow and relieves the symptoms of vertigo.