葛根汤加味联合针灸治疗颈性眩晕患者的临床效果

Clinical efficacy of Modified Puerariae Decoction combined with acupuncture and moxibustion on patients with cervical vertigo

目的观察葛根汤加味联合针灸治疗颈性眩晕患者的临床效果。方法60例颈性眩晕患者,全部来自绍兴市中心医院中医风湿科2016年1月至2019年1月门诊患者。按照随机数字表方法分为治疗组和对照组,每组各30例。治疗组与对照组均采用针灸治疗。治疗组在针灸的基础上给予葛根汤加味,水煎服,每日1剂。对照组单纯用针灸治疗。两组疗程均为14 d。两组治疗前后分别运用视觉模拟量表(visual analogue scale,VAS)评分法评估眩晕VAS评分、头痛VAS评分、颈项痛VAS评分。结果治疗组治疗后的总有效率显著高于对照组(P<0.05)。治疗组治疗后头痛、眩晕及颈项痛VAS评分较治疗前明显降低(P<0.01或P<0.05)。对照组治疗后头痛、眩晕及颈项痛VAS评分较治疗前明显降低(P<0.05)。治疗后治疗组肩关节疼痛VAS评头痛、眩晕及颈项痛VAS评分明显低于对照组(P<0.01或P<0.05)。结论葛根汤加味联合针灸治疗颈性眩晕患者在改善眩晕及减轻头痛、颈项痛方面明显优于单独针灸治疗,值得临床推广。

Objective To observe the clinical efficacy of Modified Puerariae Decoction combined with acupuncture and moxibustion on patients with cervical vertigo.Methods A total of 60 patients with cervical vertigo admitted to the outpatient of Department of Rheumatology in Traditional Chinese Medicine of Shaoxing Central Hospital from January 2016 to January 2019 were selected.They were divided into the treatment group(n=30)and the control group(n=30)according to the random number table method.Both the treatment group and the control group were treated with acupuncture and moxibustion.On the basis of acupuncture and moxibustion,the treatment group was treated with Modified Puerariae Decoction,which was decocted with water,one dose per day.The control group was treated with acupuncture and moxibustion alone.The course of treatment was 14 days in both groups.The visual analogue scale(VAS)scores were used to evaluate vertigo VAS score,headache VAS score and neck pain VAS score before and after treatment in the two groups,respectively.Results The total effective rate of the treatment group after treatment was significantly higher than that of the control group,with statistically significant difference(P<0.05).After treatment,the VAS scores of headache,vertigo and neck pain in the treatment group were significantly lower than those before treatment(P<0.01 or P<0.05).After treatment,the VAS scores of headache,vertigo and neck pain in the control group were significantly lower than those before treatment(P<0.05).After treatment,the VAS scores of shoulder pain,headache,vertigo and neck pain in the treatment group were significantly lower than those in the control group(P<0.01 or P<0.05).Conclusion Modified Puerariae Decoction combined with acupuncture and moxibustion is remarkably superior to the acupuncture and moxibustion alone in improving vertigo and relieving headache and neck pain.Therefore,it is worthy of clinical promotion.