针刺联合益气活血法治疗颈性眩晕患者的疗效分析
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杨霜,女,副主任医师,主要研究方向针灸治疗常见病、多发病。

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R 441.2

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Analysis of the Effect of Acupuncture Combined with Enriching Qi and Activating Blood Therapy on Patients with Cervical Vertigo
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    摘要:

    摘 要目的:分析针刺联合益气活血法治疗颈性眩晕患者的临床效果及对血流动力学的影响。 方法:选取厦门市同 安区中医医院 2019 年 3 月至 2020 年 3 月期间收治的 78 例颈性眩晕患者,根据治疗方案不同分为对照组与观察组,各 39 例。 对照组采用针刺治疗,观察组于此基础上加用益气活血法治疗。比较两组患者的临床效果。 结果:观察组患者治疗总有效 率为 92.31 %,高于对照组的 74.36 %,差异具有统计学意义(P < 0.05);治疗后两组患者的左侧椎动脉(LVA)、右侧 椎动脉(RVA)、基底动脉(BA)等血管收缩峰值(Vp)、平均血流速度(Vm)高于治疗前,且观察组高于对照组, 差异具有统计学意义(P < 0.05);治疗后两组患者的视觉模拟评分法(VAS)评分低于治疗前、生活质量综合评定问卷 (GQOLI–74)评分高于治疗前,且观察组 VAS 低于对照组,GQOLI–74 评分高于对照组,差异具有统计学意义(P < 0.05)。 结论:针刺联合益气活血法治疗颈性眩晕患者疗效确切,能减轻患者症状,改善血流动力学,提高生活质量。

    Abstract:

    AbstractObjective To analyze the clinical effect of acupuncture combined with enriching qi and activating blood therapy on patients with cervical vertigo and its impact on hemodynamics. Methods 78 patients with cervical vertigo admitted into Xiamen Tong'an District Hospital of Traditional Chinese Medicine from March 2019 to March 2020 were selected and divided into the control group and the observation group, 39 patients in each group. The control group was treated with acupuncture, and the observation group received enriching qi and activating blood therapy on the basis of acupuncture. The clinical effects were compared between the two groups. Results The total effective rate of the observation group was 92.31%, higher than 74.36% in the control group, and the difference was statistically significant (P < 0.05); left vertebral artery (LVA), right vertebral artery (RVA), basal artery (BA), peak vasoconstriction (Vp), mean flow velocity (Vm) were raised after treatment for both groups. The values of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05); After treatment, the visual analogue scale (VAS) score was reduced and the general quality of life inventory 74 (GQOLI 74) score was increased for both groups. The VAS score of the observation group was lower than that of the control group, and the GQOLI–74 score of the observation group was higher than that of the control group, the differences were statistically significant (P < 0.05). Conclusion Acupuncture combined with enriching qi and activating blood therapy has an exact effect on patients with cervical vertigo. It can reduce symptoms, improve hemodynamics and enhance the quality of life.

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  • 收稿日期:2021-09-23
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  • 在线发布日期: 2023-07-20
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