针药结合治疗颈性眩晕(痰浊阻窍证)的临床观察OA
Clinical Study on Acupuncture-Medication Combined Therapy for Cervical Vertigo of Turbid Phlegm Obstructing Orifices Type
目的 观察基于升清降浊理论针药结合治疗颈性眩晕(痰浊阻窍证)的临床疗效.方法 选取颈性眩晕(痰浊阻窍证)患者90例,随机分为对照1组(常规针药结合)、对照2组(盐酸氟桂利嗪胶囊)及观察组(基于升清降浊理论的针药结合),干预周期为7 d.观察各组治疗前及治疗第1、3、7天的眩晕障碍量表(DHI)评分、颈部残障指数(NDI)评分、治疗前后椎基底动脉血流速度及临床疗效.结果 观察组的DHI评分、NDI评分在治疗第1、3、7天时显著低于两对照组(P<0.05);治疗7 d时观察组椎基底动脉血流速度较两对照组显著增快(P<0.05);观察组总有效率显著高于两对照组(P<0.05).结论 基于升清降浊理论的针药结合法可有效改善颈性眩晕(痰浊阻窍证)患者临床症状,且起效迅速,并显著增加椎基底动脉血流速度.
Objective:To observe the clinical efficacy of acupuncture-medication combined therapy based on the theory of ascending lucidity and descending turbidity for cervical vertigo of turbid phlegm obstructing orifices type.Methods:A total of 90 patients with cervical vertigo of turbid phlegm obstructing orifices type were random-ly divided into control group 1(conventional acupuncture-medication combined therapy),control group 2(flunari-zine hydrochloride capsule therapy)and observation group(acupuncture-medication combined therapy based on ascending lucidity and descending turbidity theory).The intervention period was 7 days.The Dizziness Handicap Inventory(DHI)score,Neck Disability Index(NDI)score before treatment and on day 1,3,7 of treatment,vertebro-basilar blood flow velocity before and after treatment,and clinical efficacy were observed in each group.Results:The DHI score and NDI score of the observation group were significantly lower than those of the control groups on day 1,3,7 of treatment(P<0.05);the vertebrobasilar blood flow velocity of the observation group was significantly higher than that of the two control groups on day 7 of treatment(P<0.05);the total effective rate of the observa-tion group was significantly higher than that of the two control groups(P<0.05).Conclusion:Acupuncture-medi-cation combined therapy based on ascending lucidity and descending turbidity theory can significantly improve the clinical symptoms of patients with cervical vertigo of turbid phlegm obstructing orifices type,with rapid onset and increased vertebrobasilar blood flow velocity.
李辉;刘美婷;代秀;雷鸣;杨瑞勇
重庆市江北区中医院,重庆 400020重庆市江北区中医院,重庆 400020重庆市江北区中医院,重庆 400020重庆市中医院,重庆 400021重庆市红十字会医院,重庆市江北区人民医院,重庆 400020
医药卫生
颈性眩晕升清降浊针刺痰浊阻窍
Cervical vertigoAscending lucidity and descending turbidityAcupunctureTurbid phlegm obstruct-ing orifices
《中国中医急症》 2026 (5)
573-576,4
重庆市科卫联合中医药项目(2022MSXM176)
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