针灸、电针联合小针刀综合治疗颈性眩晕对患者血流动力学的影响

目的:研究针灸、电针联合小针刀综合治疗颈性眩晕对患者血流动力学的影响。方法:选取2014年1月至2015年12月伊犁哈萨克自治州中医医院收治的颈性眩晕患者90例为研究对象,采用随机数表法均分为照组和观察组,各45例。对照组给予电针联合小针刀治疗,观察组在对照组的基础上另给予针灸治疗,比较2组总有效率、颈性眩晕症状与功能评分、血流动力学指标及不良反应发生率。结果:观察组有效率较对照组高,差异有统计学意义(P0.05)。2组治疗后左侧椎动脉、右侧椎动脉、基底动脉平均血流速度均较比治疗前高,且观察组显著高于对照组,差异有统计学意义(P0.05)。治疗后2组眩晕、日常生活和工作能力、心理及社会适应能力、颈肩痛、头痛评分及总评分均明显高于治疗前,且观察组比对照组高(P0.05)。2组不良反应发生率比较差异无统计学意义(P0.05)。结论:针灸、电针联合小针刀综合治疗颈性眩晕疗效显著,可提高颈性眩晕症状与功能评分,改善血流动力学指标,缓解眩晕症状,安全性高,具有较好的临床应用价值。

Effects of Acupuncture and Electroacupuncture Combined with Small Needle Knife for the Treatment of Cervical Vertigo on Hemodynamics of the Patients

To study the effects of acupuncture and electroacupuncture combined with small needle knife for the treatment of cervical vertigo on hemodynamics of the patients.Methods:A total of 90 cases of cervical vertigo patients who were admitted in our hospital from January 2014 to December 2015 were randomly divided into two groups.The control group was given acupuncture combined with acupotomy therapy, and the observation group was given acupuncture treatment on the basis of control group.The total effective rate, cervical vertigo symptoms and functional score, hemodynamic parameters and adverse reaction rate were compared between the two groups.Results:The effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05).The mean blood flow velocity of left vertebral artery, right vertebral artery and basilar artery in the two groups were higher than those before treatment, and the observation group was higher than that in the control group.The difference was statistically significant (P<0.05).After treatment, the vertigo, daily life and work ability, psychological and social adaptation ability, neck pain, headache score and total score of two groups were higher than before treatment, and the observation group was higher than the control group.The difference was statistically significant (P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusion:The efficacy of acupuncture and electroacupuncture combined with small needle knife for the treatment of cervical vertigo significantly, can improve the cervical vertigo symptoms and functional score, improve hemodynamics, alleviate the symptoms of vertigo, high safety, and has good clinical application value.