穴位注射联合针灸治疗椎动脉型颈椎病性眩晕随机平行对照研究

[目的]观察穴位注射联合针灸治疗椎动脉型颈椎病性眩晕疗效。[方法]使用随机平行对照方法,将48例门诊患者按抽签法简单随机分为两组。针灸:取双侧风池、完骨、风府、头维、率谷,端坐位时脊旁有压痛的夹脊穴。辨证取穴,肝肾阴虚配双侧肾俞、太溪;肝阳上亢配肝俞、太冲;气血亏损配脾俞、足三里;寒湿凝滞配脾俞、肺俞;常规无痛进针,风池刺向对侧眼角,深刺1.5寸,以酸胀感向后头部放射为佳;夹脊穴深刺直达脊椎横突骨面,行合谷刺,以针感上下放射为佳;其余穴位常规针刺,留针30min。对照组24例氟桂利嗪,5mg/次,1次/d。治疗组24例穴位注射,舒血宁4m L,双侧风池、天柱穴,常规刺入,上下提插得气后,注入1m L左右药液;若局部酸胀,热敷数分钟减轻不适感,1次/d,疗程间隔2d。连续治疗5d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈18例,显效5例,无效9例,总有效率95.80%。对照组痊愈10例,显效8例,无效6例,总有效率75.00%。治疗组疗效优于对照组(P0.05)。[结论]穴位注射联合针灸治疗椎动脉型颈椎病性眩晕效果显著,值得推广。

Vertebral Artery Type of Cervical Vertigo Parallel Randomized Controlled Study Combined with Acupuncture Point Injection Therapy

[ Objective ] Joint observation acupuncture point injection treatment of vertebral artery type of cervical vertigo. [ Methods ] Using random parallel control method, 48 cases of outpatients by lottery method is simple randomized into two groups. Acupuncture： The bilateral air pool, complete bone, wind House, the first dimension, the rate of the valley, next to the spinal tenderness of Jiaji sitting bit. Acupoints syndrome, liver and kidney with bilateral Shenshu, too River; hyperactivity with liver Yu, Tai Chong; blood loss with the spleen, the full three years; alpine stagnation with spleen, Feishu; routine without the pain of the needle, the wind pool stabbing contralateral eyes, 1.5 inch deep stab to head back soreness radiation better; Jiaji deep puncture direct vertebral transverse process bone surface, OK gu thorn to pin down the sense of radiation better; rest of the routine acupuncture points, needle 30min. The control group 24 cases flunarizine, 5mg / second, 1 / d. Treatment group 24 cases of injection, the needle after taking 4mL Shuxuening, bilateral wind pool, Tianzhu point, conventional piercing, plug was put down after gas injection about lmL liquid; if local soreness, heat a few minutes to reduce the discomfort, 1 times / d, treatment interval 2d. 5d continuous treatment for a course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment 2 course of treatment interval 2d, to determine efficacy. [ Results ] The cure 18 cases were cured, 5 cases, 9 cases, the total efficiency of 95.80%. Cured 10 cases in the control group, 8 cases, 6 cases, the total efficiency of 75.00%. Treatment group than the control group （ P〈0.05 ） . [ Conclusion ] Combined with acupuncture point injection treatment of vertebral artery type of cervical vertigo effect is significant, it is worth promoting.