摘要
目的:观察针灸联合天麻钩藤饮加减治疗颈源性眩晕的临床疗效。方法:将80例颈源性眩晕患者按照随机数字表法分为常规组和试验组,每组各40例。常规组给予针灸治疗,试验组在常规组治疗的基础上联合天麻钩藤饮加减。比较两组患者的临床疗效及治疗前后眩晕障碍量表(dizziness handicap inventory,DHI)评分、临床症状积分、血流动力学指标、炎性因子水平[肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α),白细胞介素-6(interleukin-6,IL-6)、C反应蛋白(C reactive protein,CRP)]、心理状态[汉密尔顿焦虑量表(hamilton depression scale,HAMD)、汉密尔顿焦虑量表(hamilton anxiety scale,HAMA)]变化情况。结果:两组患者治疗后躯体、功能、情感、总分等DHI评分、临床症状积分、HAMA、HAMD评分低于本组治疗前,且治疗后试验组低于常规组(P<0.05)。两组患者治疗后左侧椎动脉、右侧椎动脉及基底动脉血流速度大于本组治疗前,且治疗后试验组大于常规组(P<0.05)。两组患者治疗后IL-6、CRP及TNF-α水平低于本组治疗前,且治疗后试验组低于常规组(P<0.05)。试验组有效率为92.50%,常规组有效率为72.50%,试验组有效率高于常规组(P<0.05)。结论:针灸联合天麻钩藤饮加减治疗颈源性眩晕,可改善患者的眩晕症状及心理状态,主要通过抑制炎性因子水平、调节血管活性物质而发挥疗效。
Objective:To observe the clinical efficacy of acupuncture and moxibustion combined with Gastrodia and Uncaria Decoction on cervical vertigo.Methods:A total of 80 patients with cervical vertigo were divided into the conventional group and the experimental group according to the random number table method,with 40 cases in each group.The conventional group was given acupuncture treatment,while the experimental group was combined with Gastrodia and Uncaria Decoction on the basis of the conventional group.The clinical efficacy,changes in dizziness handicap inventory(DHI)score,clinical symptom score,hemodynamic index,and inflammatory factor lev⁃els[including tumor necrosis factor⁃α(TNF⁃α),interleukin⁃6(IL⁃6),C reactive protein(CRP)],psychological status[including Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)]of the two groups before and after treatment were compared.Results:After treatment,DHI scores(such as body,function,emotion and total score),clinical symptom scores,HAMA and HAMD scores in two groups were lower than those before treatment,and the above scores of the experimental group were lower than those of the conventional group(P<0.05);The blood flow velocities of left vertebral artery,right vertebral artery and basilar artery in the two groups were higher than those before treatment,and the above indexes of the experimental group were lower than those of the convention⁃al group(P<0.05);The levels of IL⁃6,CRP and TNF⁃αin the two groups were lower than those before treatment,and the above inde⁃xes of the experimental group were lower than those in the conventional group(P<0.05).The effective rate was 92.50%in the exper⁃imental group,and 72.50%in the conventional group,and the effective rate of the experimental group was higher than that of the conventional group(P<0.05).Conclusion:Acupuncture and moxibustion combined with Gastrodia and Uncaria Decoction in the treatment of cervical vertigo can improve the vertigo symptoms and psychological status of patients,mainly by inhibiting the levels of inflammatory factors and regulating vasoactive substances.
作者
赵贝贝
崔晓峰
ZHAO Beibei;CUI Xiaofeng(Shenzhen Bao′an District Hospital of Traditional Chinese Medicine,Shenzhen,Guangdong,China,518133)
出处
《河南中医》
2023年第9期1423-1427,共5页
Henan Traditional Chinese Medicine
关键词
颈源性眩晕
天麻钩藤饮
针灸疗法
cervical vertigo
Gastrodia and Uncaria Decoction
acupuncture and moxibustion
作者简介
赵贝贝(1982-),女,河南新乡人,医学博士,副主任中医师;通信作者:崔晓峰,E-mail:64699609@qq.com。
