摘要
目的探讨艾灸镇静穴对颈性眩晕患者血浆中血栓素A_(2)(TXA_(2))、前列环素I_(2)(PGI_(2))的影响.方法选取2020年8月—2021年5月本院收治的40例颈性眩晕患者,随机分为研究组和对照组,各20例.对照组服用甲磺酸倍他司汀治疗,研究组在对照组基础上增加艾灸镇静穴治疗,均治疗7 d.比较两组临床疗效、血浆中TXA_(2)、PGI_(2)水平及颈性眩晕症状与功能评估量表(ESCV)评分.结果研究组总有效率95.00%高于对照组的85.00%,差异有统计学意义(P<0.05).治疗后两组TXA_(2)、PGI_(2)水平均优于治疗前,且研究组TXA_(2)水平低于对照组,PGI_(2)水平高于于对照组,组间差异有统计学意义(P<0.05).治疗后,两组ESCV各维度评分及总分均高于治疗前,且研究组ESCV各维度评分及总分均高于对照组,组间差异有统计学意义(P<0.05).结论艾灸镇静穴可以通过降低TXA_(2)的水平、升高PGI_(2)水平,增强血管扩张的能力,增加椎基底动脉供血,缓解颈性眩晕的症状.
Objective To investigate the effect of moxibustion at sedative points on plasma thromboxane A_(2)(TXA_(2))and prostacyclin I_(2)(PGI_(2))in patients with cervical vertigo.Methods 40 patients with cervical vertigo who were admitted to our hospital from August 2020 to May 2021 were selected and randomly divided into the study group and the control group,20 cases in each group.The control group was treated with betahistine mesylate,and the study group was additionally treated with moxibustion and sedative points on the basis of the control group,both for 7 d.The clinical efficacy,plasma TXA_(2)and PGI_(2)levels and cervical vertigo symptom and function evaluation scale(ESCV)scores were compared between the two groups.Results The total effective rate of the study group 95.00%was higher than that of the control group,85.00%,and the difference was statistically significant(P<0.05).After treatment,the levels of TXA_(2)and PGI_(2)in the two groups were better than those before treatment,and the level of TXA_(2)in the study group was lower than that in the control group,and the level of PGI_(2)in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the ESCV dimension scores and total scores in the two groups were higher than those before treatment,and the ESCV dimensions and total scores in the study group were higher than those in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion Moxibustion at sedative points can reduce the level of TXA_(2),increase the level of PGI_(2),enhance the ability of vasodilation,increase the blood supply of the vertebrobasilar artery,and relieve the symptoms of cervical vertigo.
作者
林敏娜
陈秀明
林坚
申金铭
蔡树河
LIN Minna;CHEN Xiuming;LIN Jian;SHEN Jinming;CAI Shuhe(School of Rehabilitation Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou Fujian,350122,China;Department of Orthopaedic Rehabilitation,Affiliated Rehabilitation Hospital,Fujian University of Traditional Chinese Medicine,Fuzhou Fujian,350003,China;Key Laboratory of Rehabilitation Technology,Fujian Province,Fuzhou Fujian,350003,China)
出处
《反射疗法与康复医学》
2021年第22期8-10,14,共4页
Reflexology And Rehabilitation Medicine
基金
中央引导地方科技发展专项(2018L3009)
南少林骨伤学术流派传承工作室建设项目(国中医药人教函[2019]62号)。
作者简介
林敏娜(1984-),女,福建福州人,硕士在读,研究方向:中医康复学;通信作者:蔡树河(1970-),男,福建泉州人,博士,主任医师,研究方向:脊柱疾病康复的基础与临床研究,邮箱:13706989977@139.com。
