眩晕患者经颅多普勒检测分析与耳穴埋籽疗法

摘要

Objective:To explore the vertigo patients with transcranial Doppler(TCD) of flow velocity and the change of spectrum and ear acupuncture point buries a seed treatment.Method:160 cases of vertigo patients with TCD examination neurology clinic and ear acupuncture point buries a seed treatment. Result:88 cases(55%) vertigo were examined by TCD in bilateral vertebral-basilar artery Vm fast,spectrum without exception.48 cases(30%) with vertigo in bilateral vertebral-basilar artery slowed,Vm spectrum without exception.16 cases(10%) with vertigo in bilateral middle cerebral artery and bilateral vertebral-basilar artery faster Vm,spectrum anomaly eddy current.8 cases(5%) with vertigo in bilateral middle cerebral artery and bilateral vertebral-basilar artery slowed, Vm spectrum morphology change,S2>S1.Respectively for the several types of vertigo patients ear main point with different buried seeds treated with acupuncture point,dizziness symptoms rapidly improved.Conclusion:Transcranial Doppler detection in patients with vertigo intracranial cerebral artery ring is the first choice for the ring(Willis),it is noninvasive,strong repeatability,indicators objective,etc.Ear acupuncture point buries a seed treatment in patients with vertigo is a kind of noninvasive therapy,has the advantages of simple,convenient,safe and effective,it is worthy of clinical popularization and application.%目的：探讨眩晕患者经颅多普勒(TCD)的流速、频谱变化与耳穴埋籽疗法。方法：对160例神经内科门诊眩晕患者进行TCD检查和耳穴埋籽治疗。结果：TCD检查，88例(55%)眩晕患者出现双侧椎-基底动脉Vm增快，频谱无异常；48例(30%)眩晕患者出现双侧椎-基底动脉Vm减慢，频谱无异常；16例(10%)眩晕患者出现双侧大脑中动脉及双侧椎-基底动脉Vm增快，频谱异常有涡流；8例(5%)眩晕患者出现双侧大脑中动脉及双侧椎-基底动脉Vm减慢，频谱形态改变，S2>S1。分别对上述几种类型眩晕患者耳部的主穴加不同的配穴进行埋籽治疗，眩晕症状迅速改善。结论：经颅多普勒(TCD)是检测眩晕患者颅内大脑动脉环(willis环)的首选检查方法，它具有无创、重复性强、指标客观等优点。眩晕患者的耳穴埋籽治疗是一种无创性的外治疗法，具有简易、方便、安全有效等优点，值得临床推广应用。