摘要
目的探讨经络激通针刺法联合川芎嗪对老年颈性眩晕患者椎-基底动脉血流动力学的影响。方法选取2020年1月至12月眉县中医医院收治的90例老年颈性眩晕患者为研究对象,采用随机数字表法将其分为试验组(n=45)与对照组(n=45)。试验组予以经络激通针刺法联合川芎嗪治疗,对照组接受川芎嗪治疗。比较两组的椎-基底动脉血流动力学指标、中医证候积分、生化指标。结果治疗后,两组的基底动脉(BA)、左侧椎动脉(VA)、右侧VA的收缩期峰流速(Vs)显著快于治疗前,且试验组显著快于对照组(P<0.05)。治疗后,两组的头痛、眩晕、颈肩痛积分均显著低于治疗前,且试验组显著低于对照组(P<0.05)。治疗后,两组的血清内皮素-1(ET-1)水平显著低于治疗前,降钙素基因相关肽(CGRP)水平显著高于治疗前,且试验组优于对照组(P<0.05)。结论经络激通针刺法联合川芎嗪可有效改善老年颈性眩晕患者的椎-基底动脉血流动力学指标,明显减轻其眩晕症状,临床疗效确切,值得推广应用。
Objective To investigate the effects of Jingluo Jitong acupuncture combined with ligustrazine on vertebral basilar artery hemodynamics in patients with senile cervical vertigo.Methods A total of 90 cases of patients with senile cervical vertigo treated in traditional Chinese medicine hospital of Mei county from January to December 2020 were selected as the research objects.According to the random number table method,the patients were divided into experimental group(n=45) and control group(n=45).The experimental group was treated with Jingluo Jitong acupuncture combined with ligustrazine,and the control group was treated with ligustrazine.The indexes of vertebral basilar artery hemodynamics,TCM syndrome score and biochemical indexes were compared between the two groups.Results After treatment,the peak systolic velocity(VS) of basilar artery(BA),left vertebral artery(VA) and right VA in the two groups were significantly faster than those before treatment,and those in the experimental group were significantly faster than the control group(P<0.05).After treatment,the scores of headache,vertigo and neck shoulder pain in the two groups were significantly lower than those before treatment,and those in the experimental group were significantly lower than the control group(P<0.05).After treatment,the level of serum endothelin-1(ET-1) in the two groups was significantly lower than that before treatment,and the level of calcitonin gene-related peptide(CGRP) was significantly higher than that before treatment,and those in the experimental group were better than the control group(P<0.05).Conclusion Jingluo Jitong acupuncture combined with ligustrazine can effectively improve the indexes of vertebral basilar artery hemodynamics,in patients with senile cervical vertigo,signficantly reduce vertigo symptoins,has definite clinical effect,and which is worthy of popularization and application.
作者
何叶
苏云涛
何荣华
HE Ye;SU Yuntao;HE Ronghua(Non Pathology Department,Traditional Chinese Medicine Hospital of Meixian,Baoji 722300;Radiotherapy Department,Baoji Central Hospital,Baoji 721008;Medical Imaging Department,Baoji Central Hospital,Baoji 721008,China)
出处
《临床医学研究与实践》
2022年第6期142-144,共3页
Clinical Research and Practice
基金
陕西省重点研发计划项目(No.S2022-YF-YBSF-0141)。
关键词
老年颈性眩晕
经络激通针刺法
川芎嗪
椎-基底动脉血流动力学
senile cervical vertigo
Jingluo Jitong acupuncture
ligustrazine
vertebral basilar artery hemodynamics
