电针督脉穴治疗慢性脑供血不足临床观察

摘要

目的 观察电针督脉穴治疗慢性脑供血不足(CCCI)患者的疗效.方法 将60例CCCI患者随机分为治疗组和对照组,每组30例.治疗组给予电针督脉穴(百会、神庭、风府、大椎)配合盐酸倍他司汀片治疗,对照组单纯给予盐酸倍他司汀片,每次8 mg,每日3次.2星期为1个疗程,治疗2个疗程结束,并在3个月后随访.观察两组在治疗后的恢复状况,同时对两组近期和远期疗效进行评估比较.结果 治疗组总有效率为93.3%,对照组为86.7%,两组比较差异有统计学意义(P<0.05).结论 电针督脉穴是治疗CCCI的有效方法,与盐酸倍他司汀片配合治疗的疗效优于单纯给予盐酸倍他司汀片.%Objective To observe the therapeutic efficacy of electroacupuncture at the Governor Vessel points in treating chronic cerebral circulation insufficiency (CCCI).Method Sixty CCCI patients were randomized into a treatment group and a control group, 30 cases in each group. The treatment group was intervened by electroacupuncture at the Governor Vessel points [Baihui (GV20), Shenting (GV24), Fengfu (GV16) and Dazhui (GV14)] plus Betahistine hydrochloride tablets, while the control group was intervened by Betahistine hydrochloride tablets alone, 8 mg at each dose, 3 times a day. Two-week treatment was taken as a course, and 2 courses were conducted in total, followed by a 3-month follow-up study. The two groups were observed after the intervention to measure the improvement, meanwhile, both short-term and long-term therapeutic efficacies were evaluated.Result The total effective rate was 93.3% in the treatment group versus 86.7% in the control group, and the between-group difference was statistically significant (P<0.05).Conclusion Electroacupuncture at the Governor Vessel points is an effective approach in treating CCCI, and it can produce a more significant therapeutic efficacy when used together with Betahistine hydrochloride compared to the use of Betahistine hydrochloride alone.