针刺供血穴联合晕乃停和西比灵治疗颈性眩晕气虚血瘀证的临床疗效观察

Clinical Observation of Acupuncture with Gongxue Point as the Main Point Combined with Yunnaiting and Cilbilene in the Treatment of Carotid Vertigo with Qi Deficiency and Blood Stasis

目的探讨针刺供血穴联合晕乃停和西比灵治疗颈性眩晕气虚血瘀证的临床疗效。方法选取2016年7月—2019年7月期间广东省中医院针灸科收治的颈性眩晕患者120例,按随机数字表法分为对照组、针刺组、中药组以及针药组,各30例。对照组患者采用口服西比灵进行治疗,针刺组采用以供血穴为主穴的针刺疗法以及口服西比灵治疗,中药组采用口服晕乃停和西比灵治疗,针药组联合口服晕乃停、西比灵和针刺供血穴进行治疗,4组患者均治疗4周。治疗结束后观察比较4组患者治疗前后中医症状评分变化以及临床疗效。结果治疗后针药组总有效率93.33%(28/30)、针刺组总有效率83.33%(25/30)、中药组总有效率80.00%(24/30)均明显优于对照组63.33%(19/30),差异有统计学意义(P<0.05);且针药组临床疗效明显优于针刺组和中药组,差异有统计学意义(P<0.05),针刺组临床疗效明显优于中药组,差异有统计学意义(P<0.05)。治疗后4组患者中医症状评分均较治疗前明显降低,差异有统计学意义(P<0.05);且针药组、针刺组和中药组治疗后中医症状评分降低明显优于对照组,差异有统计学意义(P<0.05);针药组治疗后中医症状评分明显优于针刺组和中药组,差异有统计学意义(P<0.05)。结论针刺供血穴具有补气活血、醒脑开窍的功效,晕乃停具有平肝化痰、调和气血的功效,针刺、中药以及西比灵的联合运用治疗气虚血瘀型颈性眩晕,临床效果显著。针药结合治疗不仅对眩晕本身有治疗作用,对颈性眩晕其他的兼证也有良好的疗效,对于提高患者的生活质量以及满意度有重要作用。

Objective To investigate the clinical effect of acupuncture at the Gongxue point combined with Yunnaiting and cilbilene in the treatment of cervical vertigo with Qi deficiency and blood stasis syndrome.Methods 120 patients with cervical vertigo from 25 to 75 years old who were admitted to the Department of Acupuncture and Moxibustion,Guangdong Provincial Hospital of Traditional Chinese Medicine from July 2016 to July 2019 were selected as the research objects.They were divided into four groups according to the random number table method,including control group,acupuncture group,traditional Chinese medicine group and acupuncture medicine group,30 cases each group.The patients in the control group were treated with oral cilbilene,the acupuncture group was treated with acupuncture with blood supply as the main point,and the oral cilbilin treatment was used.The acupuncture medicine group were treated with oral Yunnaiting and cilbilene,and acupuncture at the blood supply point for 4 weeks.After the course of treatment,the changes of TCM syndrome points before and after treatment and the results of clinical efficacy were counted.Results After treatment,the total effective rate of the acupuncture group was 93.33%(28/30),the total effective rate of the acupuncture group was83.33%(25/30),and the total effective rate of the traditional Chinese medicine group was 80.00%(24/30).All were significantly better than the control group 63.33%(19/30),the difference is statistically significant(P<0.05);and the clinical efficacy of the acupuncture group is significantly better than that of the acupuncture group and the traditional Chinese medicine group,the difference is statistically significant(P<0.05),the clinical efficacy of the acupuncture group is obvious Better than the traditional Chinese medicine group,the difference was statistically significant(P<0.05).After treatment,the TCM symptom scores of the 4 groups of patients were significantly lower than those before the treatment,the difference was statistically significant(P<0.05);and the acupuncture group,acupuncture group and traditional Chinese medicine group after treatment were significantly lower than the control group.There is statistical significance(P<0.05);after treatment,the TCM symptom score of the acupuncture group is significantly lower than that of the acupuncture group and the TCM group,and the difference is statistically significant(P<0.05).Conclusion Acupuncture at Gongxue points has the effect of invigorating Qi and activating blood circulation,rejuvenating the brain and inducing resuscitation.Yunnaiting has the effect of calming liver and resolving phlegm and reconciling Qi and blood.The clinical effect of combination of acupuncture,Chinese medicine and cilbilene not only has a therapeutic effect on carotid vertigo,but also has a good effect on other concurrent syndromes of carotid vertigo.This has a very important role in improving the quality of life and satisfaction of patients.