项七针针刺联合百会压灸治疗颈性眩晕的疗效观察

Therapeutic observation of Xiang Qi Zhen needling combined with pressing moxibustion at Baihui(GV20)for cervical vertigo

目的观察项七针针刺联合百会压灸治疗颈性眩晕的临床疗效。方法将90例颈性眩晕患者随机分为治疗组和对照组,每组45例。对照组采用项七针针刺治疗,治疗组在对照组基础上采用百会穴压灸治疗。两组治疗后均采用海特光照射颈枕部。观察两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、颈性眩晕症状与功能评估量表(evaluation scale for cervical vertigo,ESCV)评分及颈部红外热成像温度的变化情况,比较两组临床疗效。结果两组治疗后ESCV评分及红外热成像温度均较同组治疗前显著升高,VAS评分显著降低,差异均具有统计学意义(P<0.05)。治疗组治疗后ESCV评分及红外热成像温度明显高于对照组,VAS评分明显低于对照组,差异均具有统计学意义(P<0.05)。治疗组治疗后总有效率为93.2%,明显高于对照组的77.8%,差异具有统计学意义(P<0.05)。结论项七针针刺联合百会穴压灸可明显改善颈性眩晕患者的临床症状,缓解疼痛,有助于提高患者生活质量。

Objective To observe the clinical efficacy of Xiang Qi Zhen(seven nape points)needling combined with pressing moxibustion at Baihui(GV20)in treating cervical vertigo(CV).Method Ninety CV patients were randomly divided into a treatment group and a control group,with 45 cases in each group.The control group was treated with Xiang Qi Zhen needling,and the treatment group received additional pressing moxibustion at Baihui based on the intervention in the control group.Both groups received Hydrosun radiation at the occipital and nape regions after the interventions mentioned above.Post-treatment changes in the visual analog scale(VAS)score,the score of the evaluation scale for cervical vertigo(ESCV),and cervical temperature based on infrared thermal imaging were observed,and the clinical efficacy was also compared between the two groups.Result After the treatment,both groups showed a notable increase in the ESCV score and infrared thermal imaging-based temperature and a significant decrease in the VAS score(P<0.05).After the treatment,the ESCV score and infrared thermal imaging-based temperature were higher in the treatment group than in the control group,and the VAS score was lower in the treatment group,all showing statistical significance(P<0.05).The total effective rate was 93.2%in the treatment group,higher than 77.8% in the control group,and the difference was statistically significant(P<0.05).Conclusion Xiang Qi Zhen needling combined with pressing moxibustion at Baihui can improve clinical symptoms,ease pain,and help enhance the quality of life in CV patients.