【摘要】：目的:本課題觀察針刺結(jié)合梅花針叩刺治療頸性眩暈(肝陽(yáng)上亢型)的臨床療效,為臨床治療頸性眩暈(肝陽(yáng)上亢型)提供有效的治療方法。方法:臨床選取60例頸性眩暈(肝陽(yáng)上亢型)患者,隨機(jī)分為治療組和對(duì)照組各30例。治療組采用常規(guī)針刺結(jié)合梅花針叩刺治療,對(duì)照組僅采用常規(guī)針刺治療,7天為1療程,每療程間隔1天,治療3個(gè)療程。分別于治療前后對(duì)患者基底動(dòng)脈(BA)及雙側(cè)椎動(dòng)脈(VA)血管的收縮峰期血流速度(Vs)、舒張末期血流速度(Vd)、平均血流速度(Vm)、血管搏動(dòng)指數(shù)(PI)進(jìn)行檢測(cè),根據(jù)頸性眩暈癥狀與功能評(píng)估量表進(jìn)行評(píng)分,根據(jù)國(guó)家中醫(yī)藥管理局制定的《中醫(yī)病證診斷療效標(biāo)準(zhǔn)》進(jìn)行療效判定,統(tǒng)計(jì)數(shù)據(jù)并進(jìn)行分析。結(jié)果:1.治療組的30例患者中,痊愈20例,顯效6例,有效2例,無(wú)效2例,總有效率93.33%;對(duì)照組的30例患者中,痊愈15例,顯效7例,有效4例,無(wú)效4例,總有效率86.67%。在痊愈率和總有效率兩方面,治療組明顯高于對(duì)照組。2.在改善椎-基底動(dòng)脈血流速度方面,雙側(cè)椎動(dòng)脈、基底動(dòng)脈血流速度變化差異有顯著性意義(P0.05),提示針刺結(jié)合梅花針叩刺在一定程度上能改善血流速度。3.在改善頸性眩暈癥狀方面,針刺結(jié)合梅花針叩刺的療效優(yōu)于常規(guī)針刺治療,差異有統(tǒng)計(jì)學(xué)意義(P0.05),提示針刺結(jié)合梅花針叩刺能夠明顯改善頸性眩暈癥狀。結(jié)論:1.針刺結(jié)合梅花針叩刺治療頸性眩暈臨床效果顯著,可明顯緩解或消除眩暈癥狀。2.通過治療組和對(duì)照組對(duì)比,針刺結(jié)合梅花針叩刺治療頸性眩暈優(yōu)于常規(guī)針刺。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with plum-blossom acupuncture in the treatment of cervical vertigo (liver-yang hyperactivity type), and to provide an effective treatment method for cervical vertigo (liver-yang hyperactivity type). Methods: 60 patients with cervical vertigo (liver-yang hyperactivity) were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with routine acupuncture combined with plum-blossom acupuncture, while the control group was treated with routine acupuncture for 7 days as a course of treatment, the interval of each course was 1 day, and there were 3 courses of treatment. Systolic peak velocity (Vs),) end-diastolic velocity (Vd),) mean blood velocity (Vm),) pulsatility index (PI) of basilar artery (BA) and bilateral vertebral artery (VA) were measured before and after treatment. According to the evaluation scale of cervical vertigo symptom and function, and according to the National Administration of traditional Chinese Medicine (TCM) to determine the efficacy of the criteria for diagnosis of disease and syndrome, statistical data and analysis. The result is 1: 1. In the treatment group, 20 cases were cured, 6 cases were markedly effective, 2 cases were ineffective, the total effective rate was 93.33%, while in the control group, 15 cases were cured, 7 cases were markedly effective, 4 cases were ineffective, and the total effective rate was 86.67%. In both the cure rate and the total effective rate, the treatment group was significantly higher than the control group. 2. 2. In improving the blood flow velocity of vertebrobasilar artery, there was significant difference in blood flow velocity between bilateral vertebral artery and basilar artery (P0.05), indicating that acupuncture combined with plum-blossom acupuncture can improve blood flow velocity to a certain extent. 3. In improving the symptoms of cervical vertigo, acupuncture combined with plum-blossom acupuncture is better than conventional acupuncture treatment, the difference is statistically significant (P0.05), indicating that acupuncture combined with plum acupuncture can significantly improve the symptoms of cervical vertigo. Conclusion 1. The clinical effect of acupuncture combined with plum-blossom acupuncture on cervical vertigo was remarkable, and the symptoms of vertigo could be alleviated or eliminated significantly. Compared with control group, acupuncture combined with plum-blossom acupuncture was superior to conventional acupuncture in the treatment of cervical vertigo.
【學(xué)位授予單位】：黑龍江省中醫(yī)藥科學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 周延生;楊裕芳;王新芳;;天麻鉤藤飲聯(lián)合黛力新治療頸性眩暈的療效觀察[J];陜西中醫(yī);2015年12期

2 楊繼文;龔樹輝;秦春;白慧敏;高珊;張丹;;頸性眩暈患者的X線及腦干聽覺誘發(fā)電位特征[J];中國(guó)康復(fù);2015年01期

3 田向東;謝國(guó)慶;王慶甫;杜春林;余軍;時(shí)宗庭;楊驍俠;薛志朋;;針刀療法聯(lián)合星狀神經(jīng)節(jié)阻滯術(shù)治療頸性眩暈作用機(jī)制探討及臨床療效觀察[J];中國(guó)中醫(yī)基礎(chǔ)醫(yī)學(xué)雜志;2014年12期

4 肖展翅;張慧;王洲羿;倪小紅;饒偉華;高聚;;天麻素聯(lián)合異丙嗪治療頸性眩暈的臨床觀察[J];中西醫(yī)結(jié)合心腦血管病雜志;2014年10期

5 諸興明;黃麗娜;萬(wàn)琦;陳陽(yáng);;經(jīng)顱多普勒超聲轉(zhuǎn)頸試驗(yàn)在頸性眩暈診斷中的應(yīng)用價(jià)值[J];脊柱外科雜志;2014年03期

6 龔國(guó)勝;朱以蔚;全坤;康小燕;汪衛(wèi)萍;王建利;祁嘉;鮑飛;;風(fēng)池、風(fēng)府穴位注射結(jié)合針刀治療頸性眩暈60例[J];針灸臨床雜志;2014年06期

7 賈應(yīng)勃;史丙利;劉健;王允華;;甲磺酸倍他司汀片聯(lián)用銀杏酮酯滴丸治療頸性眩暈的臨床觀察[J];中醫(yī)藥導(dǎo)報(bào);2014年05期

8 孫勝;張強(qiáng);趙昌松;李鑫;袁征;蔡娟;劉琨;陳宗峰;王晶晶;李曙光;;低溫等離子射頻消融術(shù)治療頸性眩暈的療效觀察[J];頸腰痛雜志;2014年03期

9 沈瑾;徐緯;張大同;裘濤;;方便撳針留針候氣治療頸性眩暈57例[J];浙江中醫(yī)藥大學(xué)學(xué)報(bào);2014年05期

10 周明;劉志軍;常崢;;針灸聯(lián)合加味益氣聰明湯治療氣血虧虛型頸性眩暈的臨床觀察[J];湖南中醫(yī)藥大學(xué)學(xué)報(bào);2014年03期

相關(guān)博士學(xué)位論文 前1條

1 王冼生;頸三針加四神針治療頸性眩暈的臨床研究[D];廣州中醫(yī)藥大學(xué);2011年

相關(guān)碩士學(xué)位論文 前9條

1 張東巖;針刺暈聽區(qū)配合頸夾脊穴治療頸性眩暈的臨床研究[D];黑龍江中醫(yī)藥大學(xué);2016年

2 肖清清;半夏白術(shù)天麻湯加減方治療痰濕中阻型頸性眩暈的臨床觀察[D];成都中醫(yī)藥大學(xué);2015年

3 劉麒麟;針刺四神聰穴為主治療頸性眩暈的臨床研究[D];湖北中醫(yī)藥大學(xué);2013年

4 葉青;和解湯治療少陽(yáng)郁熱型頸性眩暈臨床療效觀察[D];成都中醫(yī)藥大學(xué);2013年

5 熊小翠;薄氏腹針治療頸性眩暈的臨床研究[D];廣州中醫(yī)藥大學(xué);2012年

6 畢娟;靈龜八法推拿治療頸性眩暈的臨床研究[D];廣州中醫(yī)藥大學(xué);2012年

7 張瑞瑞;針刺攢竹穴對(duì)頸性眩暈患者椎—基底動(dòng)脈血流動(dòng)力學(xué)的影響[D];山東中醫(yī)藥大學(xué);2011年

8 李斌;龍氏正骨手法結(jié)合針灸治療頸性眩暈的臨床研究[D];廣州中醫(yī)藥大學(xué);2009年

9 陳云;針刺后溪申脈治療頸性眩暈臨床研究[D];山東中醫(yī)藥大學(xué);2007年

，

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