小针刀和针灸结合电针治疗颈性眩晕的疗效

目的:观察小针刀和针灸结合电针治疗颈性眩晕的近远期疗效及实验室指标。方法:选取92例颈性眩晕患者,按随机数表法分为观察组与对照组,各46例。观察组采取小针刀和针灸结合电针治疗,对照组应用小针刀联合针灸治疗。比较2组治疗前后的眩晕评分、血清溶血磷脂酸(LPA)、基底动脉和椎动脉的收缩期峰流速(Vs)、总有效率与随访1年的复发率。结果:观察组治疗后的眩晕评分与血清LPA水平均低于本组治疗前及对照组(P0.05)。观察组治疗后的2组椎动脉及基底动脉的收缩期峰流速均高于本组治疗前及对照组(P0.05)。观察组总有效率为93.48%,高于对照组78.26%(P0.05)。随访期间观察组复发率4.34%,低于对照组17.39%(P0.05)。结论:小针刀和针灸结合电针治疗颈性眩晕可有效改善患者眩晕评分、降低血清LPA水平,改善椎-基底动脉血流动力学,且可减少复发,近远期疗效均更佳。

Efficacy of Small Needle-knife and Acupuncture and Moxibustion Combined with Electro-acupuncture in the Treatment of Cervical Vertigo

To observe the short-term and long-term efficacy and laboratory indicators of small needle knife, acupuncture combined with electro-acupuncture in the treatment of cervical vertigo. Methods:A total of 92 patients with cervical vertigo were selected and divided into observation group and control group according to the random number table, with 46 cases in each group. The observation group received small needle knife, acupuncture combined with electro-acupuncture treatment, and the control group was treated combined with small needle knife and acupuncture. The vertigo score, serum lysophosphatidic acid (LPA), the systolic peak velocity (Vs) of basal artery and vertebral artery before and after treatment, the total effective rate and follow-up of 1 year recurrence rate were compared between 2 groups. Results:The levels of vertigo and serum LPA in the observation group were lower than those before treatment and those in control group (P<0.05). The peak systolic velocity of the left vertebral artery, the right vertebral artery and the basilar artery in the observation group were higher than those before treatment and those in control group (P<0.05). The total effective rate was 93.48% in the observation group, which was higher than 78.26% in the control group (P<0.05). The recurrence rate was 4.34% in the observation group, which was lower than 17.39% in control group (P<0.05). Conclusion:Small needle knife, acupuncture combined with electro-acupuncture treatment of cervical vertigo can effectively improve the patient''s vertigo score, reduce serum LPA levels, improve vertebral-basilar artery hemodynamics, and can reduce recurrence with good middle-term and long-term efficacy.