热敏灸联合穴位贴敷治疗后循环缺血性眩晕临床观察

Clinical Observation of Heat-Sensitive Moxibustion Combined with Acupoint Application in Treatment of Posterior Circulation Ischemic Vertigo

目的:观察热敏灸联合穴位贴敷治疗后循环缺血性眩晕临床疗效。方法:将60例后循环缺血性眩晕患者以随机数字表法分为对照组和观察组各30例。常规干预基础上对照组给予热敏灸治疗(选取穴位行穴位敏化激发),观察组在对照组的基础上予穴位贴敷治疗,共治疗2个疗程。比较两组患者治疗前后眩晕中医证候积分及椎基底动脉血流动力学指标[平均血流速度(Vm)、搏动指数(PI)和阻力指数(RI)],评价临床疗效。结果:治疗后两组眩晕中医证候积分均低于治疗前(P<0.05),且观察组低于同期对照组(P<0.01)。第1、第2疗程结束后观察组左右椎动脉、基底动脉的Vm均较治疗前升高,且高于同时期对照组(P<0.05);第2疗程结束后观察组PI、RI均较治疗前降低,且低于同时期对照组(P<0.05);第2疗程结束后对照组左右椎动脉、基底动脉的Vm均较治疗前升高,基底动脉的PI和RI均较治疗前降低(P<0.05)。观察组总有效率为93.33%,对照组70.00%,两组疗效比较,差异有统计学意义(P<0.05)。结论:热敏灸联合穴位贴敷可有效改善后循环缺血性眩晕患者椎基底动脉供血,调节脑血管流量,缓解临床症状。

Objective:To observe the clinical efficacy of heat-sensitive moxibustion combined with acupoint application in the treatment of posterior circulation ischemic vertigo.Methods:A total of 60 patients with posterior circulation ischemic vertigo were divided into the control group and the observation group according to random number table method,with 30 patients in each group.On the basis of routine intervention,the control group was given heat-sensitive moxibustion treatment(acupoint sensitization stimulation was performed at selected acupoints),and the observation group was given acupoint appli⁃cation treatment on the basis of the treatment of the control group.Both groups were treated for 2 courses.Traditional Chinese medicine(TCM)syndrome score of vertigo and vertebra basilar hemodynamic index[mean blood flow velocity(Vm),pulsation index(PI)and resistance index(RI)]before and after treatment were compared between the two groups to evaluate the clinical effect.Results:After treatment,the TCM syndrome scores of vertigo in both groups were lower than those before treatment(P<0.05),and the observation group was lower than the control group(P<0.01).After the first and second course of treatment,Vm of left and right vertebral artery and basilar artery in the observation group those were higher than those before treatment,and higher than those in the control group(P<0.05).After the second course of treatment,PI and RI in the observation group were lower than those before treatment,and lower than those in the control group(P<0.05).After the second course of treatment,Vm of left and right vertebral artery and basilar artery in the control group were higher than those before treatment,PI and RI of basilar artery were lower than those before treatment(P<0.05).The total effective rate was 93.33%in the observation group and 70.00%in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Heat-sensitive moxibustion combined with acupoint application can effectively improve vertebrobasilar artery blood supply,regulate cerebrovascular flow and relieve clinical symptoms in patients with posterior circulation ischemic vertigo.