温针灸结合推拿治疗颈性眩晕伴焦虑状态的疗效观察

Observation on the therapeutic efficacy of warming needle therapy combined with Tuina in the treatment of cervical vertigo accompanied by anxiety state

目的:观察温针灸加推拿治疗对颈性眩晕伴焦虑患者临床症状和焦虑状态的影响。方法:将70例颈性眩晕伴焦虑状态的患者采用随机数字表法分成观察组和对照组,每组35例。在疾病宣教基础上,观察组予温针灸加推拿治疗,每周3次,对照组予甲磺酸倍他司汀片口服,每日3次。两组均治疗4周。观察两组治疗后颈性眩晕评估量表(ESCV)、焦虑自评量表(SAS)和汉密尔顿焦虑量表(HAMA)的评分变化。结果:研究过程中观察组有1例因不能配合治疗而脱落。观察组总有效率和愈显率分别为94.1%和50.0%,对照组分别为88.6%和8.6%,两组总有效率和愈显率差异均有统计学意义(P<0.05)。治疗后,两组患者的ESCV、SAS和HAMA评分均较治疗前明显下降(P<0.01),且观察组各项评分低于对照组(P<0.01或P<0.05)。结论:温针灸结合推拿能显著改善颈性眩晕伴焦虑状态患者的临床症状。

Objective:To observe the effect of warming needle therapy combined with Tuina(Chinese therapeutic massage)on the clinical symptoms and anxiety state of patients with cervical vertigo accompanied by anxiety.Methods:Seventy patients with cervical vertigo accompanied by anxiety state were divided into an observation group and a control group using the random number table method,with 35 patients in each group.In addition to disease education,the observation group was treated with warming needle therapy and Tuina 3 times a week,and the control group was treated with betahistine mesylate tablets orally 3 times a day.Both groups were treated for 4 weeks.The changes in the scores of the evaluation scale for cervical vertigo(ESCV),self-rating anxiety scale(SAS),and Hamilton anxiety rating scale(HAMA)were compared between the two groups after treatment.Results:One case in the observation group dropped out due to failure to cooperate with the treatment during the study.In the treatment group,the total effective rate and the cured plus markedly effective rate were 94.1%and 50.0%,respectively,and 88.6%and 8.6%in the control group,respectively;the differences between the two groups were statistically significant(P<0.05).After treatment,the ESCV,SAS,and HAMA scores of both groups decreased significantly compared with those before treatment(P<0.01),and the scores of the observation group were lower than those of the control group(P<0.01 or P<0.05).Conclusion:Warming needle therapy combined with Tuina can significantly improve the clinical symptoms of patients with cervical vertigo accompanied by anxiety state.