摘要
目的探讨通络定眩针法联合银杏达莫注射液治疗后循环缺血性眩晕(PCIV)的临床效果。方法抽取2019年1月至2021年2月郑州市中医院收治的PCIV患者104例,按随机数字表法分为观察组(52例)与对照组(52例),对照组采用银杏达莫注射液,观察组在对照组基础上采用通络定眩针法。比较两组疗效和治疗前后中医证候积分,血液流变学(血液黏度高切、血浆比黏度),血流速度包括左椎动脉(LVA)血流速度、基底动脉(BA)血流速度,日常生活能力量表(ADL)评分、眩晕障碍量表(DHI)评分。结果观察组总有效率96.15%(50/52)高于对照组的84.62%(44/52),P<0.05;治疗后,观察组眩晕耳鸣、头目胀痛评分低于对照组(P<0.05);治疗后,观察组血液黏度高切、血浆比黏度低于对照组(P<0.05);治疗后,观察组LVA、BA血流速度高于对照组(P<0.05);治疗后,观察组ADL、DHI评分低于对照组(P<0.05)。结论通络定眩针法联合银杏达莫注射液治疗PCIV患者可提高疗效,改善血液流变学和血流速度,缓解临床症状,减轻眩晕障碍程度,提高日常生活能力。
Objective To analyze the clinical effect of tongluo dingxuan acupuncture combined with ginkgo-damole injection in the treatment of posterior circulation ischemic vertigo(PCIV).Methods A total of 104 PCIV patients in Zhengzhou Hospital of Traditional Chinese Medicine from January 2019 to February 2021 were selected and divided into the observation group(52 cases)and the control group(52 cases)according to the random number table.The control group was treated with ginkgo-damole injection.The observation group was treated with tongluo dingxuan acupuncture method on the basis of the control group.The curative effect,TCM syndrome score,hemorheology(high blood viscosity,plasma specific viscosity),blood flow velocity including velocity of left vertebral artery(LVA),basilar artery(BA),activies of daily living(ADL)score,dizziness handicap inventory(DHI)score before and after treatment were compared between the two groups.Results The total effective rate of the observation group was 96.15%(50/52),which was higher than 84.62%(44/52)of the control group(P<0.05).After treatment,the scores of vertigo,tinnitus and headache of the observation group were lower than those of the control group(P<0.05).After treatment,the high blood viscosity and plasma specific viscosity of the observation group were lower than those of the control group(P<0.05).After treatment,the blood flow velocity of LVA and BA in the observation group was higher than that in the control group(P<0.05).After treatment,the ADL and DHI scores of the observation group were lower than those of the control group(P<0.05).Conclusions Tongluo dingxuan acupuncture combined with ginkgo-damole injection can improve the curative effect of PCIV patients,improve hemorheology and blood flow velocity,relieve clinical symptoms,reduce the degree of vertigo disorder,and improve the ability of daily life.
作者
张利平
Zhang Liping(Department of Encephalopathy,Zhengzhou Hospital of Traditional Chinese Medicine,Zhengzhou 450007,China)
出处
《中国实用医刊》
2021年第18期114-117,共4页
Chinese Journal of Practical Medicine
关键词
眩晕
后循环缺血性
通络定眩针法
银杏达莫注射液
Vertigo
Posterior circulation ischemic
Tongluo dingxuan acupuncture
Ginkgo-damole injection
作者简介
通信作者:张利平,Email:zhanglp0608@126.com。
