世界中医药

作者	单位
朱海军，华海燕	1 江阴市第五人民医院针灸骨伤科，江阴，214415； 2 江阴市第五人民医院针灸科，江阴，214415

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中文摘要:

目的：探讨针刺风池、颈夹脊及百会穴在治疗颈源性眩晕方面的疗效较及可能机制。方法：选取2015年1月至2015年12月150例江阴市第五人民医院门诊颈源性眩晕的患者，随机分为风池组、颈夹脊组和百会穴组，各50例。各组分别针刺风池穴、颈夹脊穴及百会穴，1次/d，10次/1个疗程，疗程间隔期休息3 d，治疗2个疗程后观察疗效。结果：1）风池组有效率82.0％，颈夹脊组有效率94.00％，百会穴组有效率78.00％，针刺颈夹脊的疗效明显优于针刺风池及百会穴（P<0.05），且风池及百会穴疗差异无统计学意义（P>0.05）；2）针刺3个穴位治疗前后颈性眩晕症状与功能评估量表评分、左椎动脉及右椎动脉的Vs、Vm均较治疗前显著升高（P均<0.05）；3）治疗后针刺颈夹脊在ESCV评分、左右侧椎动脉VS、Vm改善方面均优于另外2组（P<0.05）。结论：针刺颈夹脊的疗效明显优于针刺风池及百会穴，且针刺颈夹穴不良反应少，值得推广。

English Summary:

To study the therapeutic effect and possible mechanism when acupuncturing GB 20, cervical paravertebral and GV 20 on the patients with cervical vertigo. Methods:A total of 150 outpatients with cervical vertigo who were admitted to our department during January 2015 to December 2015, were randomly divided into GB 20 group, cervical paravertebral group and GV 20 group, with 50 cases in each group. Three groups received acupuncture treatment on GB 20, cervical paravertebral and GV 20 point respectively, once a day,10 days as 1 course, for 2 courses, and there were 3 days off during the treatment intervals. The clinical efficacy of three groups were compared after 2 courses. Results:1）There was a significant difference (P<0.05) in the effective rate among cervical paravertebral group (94.00％) and GB 20 group (82.00％), GV 20 group(78.00%), while there was no significant difference between GB 20 group and GV 20 group(P>0.05).2） After the treatment, in each group, there were significant improvements in the ESCV scores, the Vm and Vs of LVA and RVA (P<0.05). 3） After treatment，the Vm and Vs of LVA and RVA, as well as the ESCV scores in cervical paravertebral group were significantly better than the other two groups (P<0.05).Conclusion:The clinical efficacy of the cervical paravertebral group is significantly higher than that of the GB 20 group and GV 20 group, with less adverse reactions, which is worthy of clinical promotion.

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