益气聪明汤加味联合针刺及推拿治疗气血亏虚型颈性眩晕临床研究
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Clinical Study on Modified Yiqi Congming Tang Combined with Acupuncture and Tuina for Cervical Vertigo of Qi-Blood Depletion Type
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    摘要:

    目的:观察益气聪明汤加味联合针刺及推拿治疗气血亏虚型颈性眩晕的临床疗效。方法:选取76 例气血亏虚型颈性眩晕患者,根据不同治疗方式分为治疗组与对照组,每组38 例。对照组给予益气聪明汤加味治疗,治疗组在对照组基础上给予针刺及推拿治疗,2 组均治疗1 个月。比较2 组临床疗效;比较2 组治疗前后椎-基底动脉收缩期血流速度,纤维蛋白原(FIB)、总胆固醇(TC) 水平及眩晕评分。结果:治疗组总有效率为97.37%,高于对照组的81.58% (P<0.05)。治疗后,2 组左椎动脉、右椎动脉、基底动脉收缩期血流速度均较治疗前增大(P<0.05),治疗组左椎动脉、右椎动脉、基底动脉收缩期血流速度均大于对照组(P<0.05)。治疗后,2 组FIB、TC 水平均较治疗前降低(P<0.05),眩晕评分均较治疗前升高(P<0.05);治疗组FIB、TC 水平均低于对照组(P<0.05),眩晕评分高于对照组(P<0.05)。结论:益气聪明汤加味联合针刺及推拿治疗气血亏虚型颈性眩晕疗效较好,可有效改善大脑血液循环,缓解患者的眩晕症状,降低FIB、TC 水平。

    Abstract:

    Abstract:Objective: To observe the clinical effect of modified Yiqi Congming tang combined with acupuncture and tuina for cervical vertigo of qi- blood depletion type. Methods: A total of 76 cases of patients with cervical vertigo of qi- blood depletion type were selected and divided into the treatment group and the control group according to different treatment methods, with 38 cases in each group. The control group was treated with modified Yiqi Congming tang, and the treatment group was additionally treated with acupuncture and tuina based on the treatment of the control group. Both groups were treated for one month. The systolic blood flow velocity of vertebrobasilar arteries, levels of fibrinogen(FIB) and total cholesterol(TC) and scores of vertigo before and after treatment as well as clinical effect were compared between the two groups. Results:The total effective rate was 97.37% in the treatment group, higher than that of 81.58% in the control group (P<0.05). After treatment, the systolic blood flow velocity of left vertebral artery, right vertebral artery and basilar artery in the two groups was increased when compared with that before treatment(P<0.05), and the systolic blood flow velocity of the above arteries in the treatment group was larger than that in the control group(P<0.05). After treatment, levels of FIB and TC in the two groups were decreased when compared with those before treatment(P<0.05), and vertigo scores were increased(P<0.05);levels of FIB and TC in the treatment group were lower than those in the control group(P<0.05), and vertigo score was higher(P<0.05). Conclusion:The therapy of modified Yiqi Congming tang combined with acupuncture and tuina has a significant curative effect in the treatment of cervical vertigo of qi- blood depletion type, which can improve cerebral blood circulation,effectively relieve vertigo symptoms,and reduce levels of FIB and TC.

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林乾炤,蔡阁,高山.益气聪明汤加味联合针刺及推拿治疗气血亏虚型颈性眩晕临床研究[J].新中医,2021,53(24):46-49

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  • 在线发布日期: 2021-12-27
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