摘要
目的探讨温通刮痧疗法联合基础疗法治疗前庭性头晕患者的临床效果。方法选取嘉兴市中医医院2020年4月-2022年3月治疗的前庭性头晕患者100例作为研究对象,采用随机数字表法将其分为联合组与对照组各50例,两组患者的基础治疗方案均为西医药物+葛根汤治疗,联合组在上述治疗方案基础上同时接受温通刮痧疗法,10 d为1个疗程,连续治疗2个疗程;比较两组患者治疗前后的前庭症状指数评分、血清一氧化氮(nitrogen,NO)、内皮素-1(endothelin-1,ET-1)、眩晕障碍量表(dizziness disorder inventory,DHI)评分、临床疗效差异。结果治疗前,联合组和对照组的平衡障碍、眩晕、头晕、恶心、视觉敏感、头痛、前庭症状指数评分比较,差异均无统计学意义(P>0.05);治疗后,联合组患者的眩晕、头晕、恶心、头痛、前庭症状指数评分均低于对照组,差异具有统计学意义(P<0.05);治疗前,联合组和对照组的DHI评分、视频头脉冲试验(video head ivnpulse test,vHIT)增益平均值比较,差异均无统计学意义(P>0.05);治疗后,联合组患者的DHI评分、vHIT增益平均值低于对照组,差异具有统计学意义(P<0.05);治疗前,联合组和对照组的NO、ET-1水平比较,差异均无统计学意义(P>0.05);治疗后,联合组患者的ET-1水平低于对照组,NO水平高于对照组,差异具有统计学意义(P<0.05);治疗前,联合组和对照组的脑血管平均血流速度(Vm)、平均脑血流量(Qm)、脑血管阻力(R)、动态阻力(dynamic resistence,DR)测定值比较,差异均无统计学意义(P>0.05);治疗后,联合组患者的Vm高于对照组,差异具有统计学意义(P<0.05);治疗20 d后,联合组患者的治疗效果优于对照组,差异具有统计学意义(P<0.05)。结论温通刮痧疗法联合中医葛根汤治疗前庭性头晕患者能更有效的改善患者的临床症状,提高临床治疗效果。
Objective To explore the clinical effect of combination of warming and dredging Guasha therapy and basic therapy on patients with vestibular dizziness.Methods A hundred patients with vestibular dizziness treated in Jiaxing Hospital of Traditional Chinese Medicine from April 2020 to March 2022 were as the research objects,and divided into a combination group and a control group with 50 cases in each using a random number table.The basic therapy was Western medicine+Gegen Decoction(葛根汤).The combination group received warming and dredging Guasha therapy on the basis of the above treatment plan,10 days as a course of treatment,2 consecutive courses of treatment.The vestibular symptom index scores,serum monoxide levels of the two groups of patients before and after treatment were compared.The levels of nitrogen(NO),endothelin-1(ET-1),dizziness disorder inventory(DHI)scores and clinical efficacy of two groups were compared.Results Before treatment,the scores of balance disorder,dizziness,nausea,visual sensitivity,headache and vestibular symptom index between the combination group and the control group had no significant difference(P>0.05).After treatment,the scores of vertigo,dizziness,nausea,headache and vestibular symptom index in the combination group were lower than those in the control group,with a statistically significant difference(P<0.05).Before treatment,there was no significant difference between the combination group and the control group in DHI score or video head impulse test(vHIT)gain(P>0.05).After treatment,the DHI score and the average gain of vHIT in the combination group were lower than those in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the levels of NO or ET-1 between the combination group and the control group(P>0.05).After treatment,the level of ET-1 in the combination group was lower than that in the control group,and the level of NO was higher than that in the control group,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in Vm,Qm,R or DR between the combination group and the control group(P>0.05).After treatment,the Vm of the combination group was higher than that of the control group,with a statistically significant difference(P<0.05).After 20 days of treatment,the treatment effect of the combination group was better than that of the control group,with a statistically significant difference(P<0.05).Conclusion Warming and dredging Guasha therapy combined with Gegen Decoction in the treatment of vestibular dizziness can more effectively improve the clinical symptoms and the clinical treatment effect.
作者
顾晨晓
楼爽爽
白允建
GU Chenxiao;LOU Shuangshuang;BAI Yunjian(Jiaxing Hospital of Traditional Chinese Medicine,Jiaxing 314400,Zhejiang,China)
出处
《辽宁中医杂志》
北大核心
2025年第9期152-155,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
浙江省医学会临床医学专项项目(2022ZYC-A191)。
关键词
温通刮痧
中医
葛根汤
前庭性头晕
临床效果
warming and dredging Guasha therapy
traditional Chinese medicine
Gegen Decoction(葛根汤)
vestibular dizziness
clinical effect
作者简介
顾晨晓(1988-),女,浙江海宁人,主治医师,学士,研究方向:中西医结合神经内科;通讯作者:白允建(1988-),男,山东聊城人,主治中医师,硕士,研究方向:神经内科,E-mail:baizican@126.com。
