[關(guān)鍵詞]
[摘要]
目的 觀察復(fù)方丹參滴丸聯(lián)合針刺治療頸性眩暈的臨床療效。方法 將82例頸性眩暈患者隨機(jī)分為對(duì)照組、針刺組、復(fù)方丹參滴丸組、復(fù)方丹參滴丸+針刺組,對(duì)照組患者給予口服西比靈,每次5~10 mg,每晚睡前頓服,其他3組均在此基礎(chǔ)上加用別的治療方案。針刺組加用針刺(主穴:雙側(cè)風(fēng)池、完骨、天柱;配穴:頸夾脊、百會(huì)、天柱、肩髃、曲池、外關(guān)、合谷),留針30 min,1次/d。復(fù)方丹參滴丸組加用復(fù)方丹參滴丸,10粒/次、3次/d。復(fù)方丹參滴丸+針刺組在復(fù)方丹參滴丸的基礎(chǔ)上聯(lián)合針刺治療,取穴及用藥方法同前。4組療程均為2周。治療結(jié)束后,比較4組的臨床療效和不良反應(yīng)。結(jié)果 對(duì)照組、針刺組、復(fù)方丹參滴丸組、復(fù)方丹參滴丸+針刺組的總有效率分別為68.42%、80.95%、80.00%、90.91%,后3組均明顯優(yōu)于對(duì)照組(P<0.05),其中復(fù)方丹參滴丸+針刺組優(yōu)于針刺組和復(fù)方丹參滴丸組(P<0.05)。結(jié)論 復(fù)方丹參滴丸聯(lián)合針刺治療頸性眩暈療效確切,可顯著增加頸總動(dòng)脈血流量,安全可靠。
[Key word]
[Abstract]
Objective To observe the clinical effect of Compound Danshen Dripping Pills (CDDP) combined with acupuncture in the treatment for cervical vertigo (CV). Methods Patients with CV (82 cases) were randomly divided into control, acupuncture, CDDP, and CDDP combined with acupuncture groups. The patients in the control group were treated with Sibelium (5—10 mg) every night before going to bed. The other three groups were based on the usage of other treatment plans. The patients in the acupuncture group were treated with Sibelium and acupuncture (the main acupoints: bilateral Fengchi, Wanggu, and Tianzhu; the associated acupoints: Cervical Jiaji, Baihui, Tianzhu, Jianyu, Quchi, Hegu, and Waiguan), for 30 min, once daily. The patients in the CDDP group were treated with Sibelium and CDDP, 10 pills each time, three times a day. The patients in the CDDP combined with acupuncture group were treated with Sibelium, CDDP, and acupuncture, and the methods of acupuncture and medication were the same as the former. Four groups were treated for two weeks. After treatment, the therapeutic effects and adverse reactions were observed. Results The efficiency of the control, acupuncture, CDDP, and CDDP combined with acupuncture groups was 68.42%, 80.95%, 80.00%, and 90.91%, respectively. The efficiency of all the three treatment groups was evidently superior to the control group (P < 0.05), and the CDDP combined with acupuncture group was better than the acupuncture and CDDP groups (P < 0.05). Conclusion The method of using CDDP combined with the acupuncture in the treatment of CV is effective, safe, and reliable. It could significantly increase the carotid artery blood flow.
[中圖分類號(hào)]
[基金項(xiàng)目]