余伯亮改良“百会压灸”治疗颈性眩晕的疗效观察

Clinical Observation of Yu Boliang's Modified"Baihui Pressing Moxibustion"in the Treatment of Cervical Vertigo

目的探讨研究全国第四、五批名老中医经验继承指导老师余伯亮主任医师对“百会压灸”法进行改良后,治疗颈性眩晕患者的临床效果。方法将我院收治的60例颈性眩晕患者随机分为观察组和对照组,每组各30例患者,观察组用制作好的直径为0.50 cm,高0.70 cm的艾炷放于百会穴,点燃艾炷,然后在百会与四神聪穴中点各方面各选一点行压灸治疗,每日1次,5次1个疗程,连续治疗2个疗程;对照组用点燃的艾条悬灸百会,每日1次,5次1个疗程,治疗2个疗程。结果观察组总有效率为96.67%,显著优于对照组的86.67%,P<0.05数据有统计学意义。治疗前两组ESOV量表比较无明显差异(P>0.05);治疗后观察组ESOV量表明显高于对照组(P<0.05)。观察组患者治疗后生活质量,明显高于对照组患者,P<0.05数据有统计学意义。结论改良后百会压灸可明显减轻颈性眩晕患者眩晕、颈肩痛、头痛等症状并提高日常生活及工作等能力,值得临床推广应用。

Objective To explore and study the clinical effect of the fourth and fifth batch of famous traditional Chinese medicine experience inheritance instructor Yu Boliang,chief physician,on the treatment of cervical vertigo patients after the improvement of"Baihui pressure Moxibustion".Methods Sixty patients with cervical vertigo in our hospital were randomly divided into the observation group and the control group,30 patients in each group.The observation group was given moxa cone with diameter of 0.50 cm and height of 0.70 cm,which was put on Baihui Point and ignited,and then pressure moxibustion treatment was carried out at each point of Baihui and sishencong points,once a day,five times a course of treatment,two consecutive courses of treatment;the control group was treated with moxibustion Baihui,once a day,five times a course of treatment,two courses of treatment.Results The total effective rate of the observation group was 96.67%,which was significantly better than 86.67%of the control group(P<0.05).Before treatment,there was no significant difference in ESOV scale between the two groups(P>0.05);after treatment,the ESOV scale of the observation group was significantly higher than that of the control group(P<0.05).The quality of life of the patients in the observation group ater treatment was significantly higher than that of the patients in the control group,and the data at P<0.05 were statistically significant.Conclusion The improved Baihui pressure moxibustion can significantly reduce the symptoms of vertigo,neck and shoulder pain,headache and improve the ability of daily life and work in patients with cervical vertigo,which is worthy of clinical application.