针刺结合推拿治疗颈性眩晕疗效观察

摘要

目的:评价针刺加推拿治疗颈性眩晕(CV)的临床疗效.方法:将100例CV患者按照随机数字表法随机分为观察组和针刺组,每组50例.针刺组接受“项八针”针刺治疗;观察组在接受“项八针”针刺治疗基础上加用推拿治疗.两组均隔日治疗1次,共治疗10次.分别于治疗前后进行经颅多普勒(TCD)检查,以评价两组疗效.结果:治疗后,两组患者的椎动脉(VA)和基底动脉(BA)的平均血流速度(Vm)均较治疗前明显改善(均P＜0.001);观察组与针刺组VA和BA的Vm差异均有统计学意(均P＜0.05).观察组总有效率为100.0％,针刺组为82.0％,两组差异有统计学意义(P＜0.01).结论:“项八针”针刺加推拿及“项八针”针刺单独应用均可改善CV病情,但“项八针”针刺加推拿疗效更好.%Objective:To evaluate the clinical efficacy of acupuncture plus tuina in treating cervical vertigo (CV).Methods:One hundred CV patients were randomized into an observation group and an acupuncture group by the random number table,with 50 cases in each group.The acupuncture group received acupuncture at Xiang Ba Zhen (eight acupoints on the nape);the observation group received tuina treatment in addition to the Xiang Ba Zhen acupuncture.The two groups were both treated once every other day for 10 sessions in total.The two groups were examined by transcranial cerebral Doppler (TCD) before and after the treatment,and their therapeutic efficacies were evaluated.Results:After the treatment,the mean velocity (Vm) of vertebral artery (VA) and basilar artery (BA) showed significant improvement in both groups (all P＜0.001);there were significant differences in the Vm of VA and BA between the two groups (both P＜0.05).The total effective rate was 100.0％ in the observation group versus 82.0％ in the acupuncture group,and the difference was statistically significant (P＜0.01).Conclusion:Xiang Ba Zhen acupuncture as a monotherapy or used together with tuina can improve CV,but Xiang Ba Zhen plus tuina can produce a more significant efficacy.