摘要
目的探究方便揿针留针候气治疗颈性眩晕疗效及对患者血浆神经肽Y(NPY)、尾加压素Ⅱ(UⅡ)水平的影响。方法选取100例颈性眩晕患者,通过随机数字表法分为对照组和观察组,各50例。所有患者均予倍他司汀片治疗,观察组在此基础上采用方便揿针留针候气治疗。20 d为一个疗程,2组患者每完成1个疗程的治疗后观察疗效,治愈的患者停止治疗,未治愈的患者继续接受治疗,直到完成3个疗程治疗,停止治疗后进行各项指标评价。观察并比较2组的NPY、UⅡ、中医症候积分、经颅多普勒(TCD)相关指标以及疗效。结果治疗后2组患者的NPY、UⅡ水平均降低(P <0.05),观察组患者的NPY、UⅡ水平显著低于对照组。2组患者的中医证候积分、左椎动脉(LVA)、右椎动脉(RVA)、基底动脉(BA)均升高(P <0.05),观察组患者的中医证候积分、LVA、RVA、BA高于对照组。治疗后,观察组的治愈率为82.00%,显著高于对照组的50.00%(P <0.05)。结论在倍他司汀片的基础上,方便揿针留针候气治疗颈性眩晕效果较好,可显著改善患者的椎基底动脉血流及临床症状,值得临床推广。
Objective To explore the influence on effect and the levels of neuropeptide Y(NPY), Urotensin Ⅱ(UⅡ) in patients with cervical vertigo. Methods 100 patients with cervical vertigo were divided into the control group(50 cases) and the observation group(50 cases) by random numeric method. All patients were treated with betahistine hydrochloride tablets. On this basis, the observation group was treated with convenient press-needle’s retention and waiting for needle sensation. 20 days as a course of treatment, the curative effect was observed after each course of treatment in the two groups, the cured patients stopped treatment, and the uncured patients continued to receive treatment until three courses of treatment were completed, and the indexes were evaluated after the treatment was stopped. The levels of NPY, UⅡ, score of TCM syndrome, transcranial doppler(TCD) related indexes and curative effect were observed and compared between the two groups. Results After treatment, the levels of NPY, UⅡ in both groups decreased, and the levels of NPY, UⅡ in the observation group were significantly lower than those in the control group. The scores of TCM syndromes, levels of basilar artery(BA), left vertebral artery(LVA) and right vertebral artery(RVA) in both groups increased, and those in the observation group were higher than those in control group(P<0.05). After treatment, the cure rate in the observation group was significantly higher than that in the control group(82.00% vs. 50.00%, P<0.05). Conclusion On the basis of betahistine hydrochloride tablets, convenient pressneedle’s retention and waiting for needle sensation is effective in the treatment of cervical vertigo. It can significantly improve the blood flow and clinical symptoms of vertebrobasilar artery, which is worthy for clinical promotion.
作者
王磊
习世琴
WANG Lei;XI Shiqin(Department of Traditional Chinese Medicine,Wuhan Puren Hospital,Wuhan 430012,China;Department of Pain Rehabilitation,Puren River Bank Hospital,Wuhan 430012,China)
出处
《吉林中医药》
2020年第10期1376-1379,共4页
Jilin Journal of Chinese Medicine
关键词
方便揿针
留针候气
颈性眩晕
经颅多普勒
神经肽Y
尾加压素Ⅱ
Convenient press-needle’s retention
Waiting for needle sensation
Cervical vertigo
Transcranial doppler
Neuropeptide Y
UrotensinⅡ
