小针刀和针灸结合电针治疗颈性眩晕的疗效(1)
摘要 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(P<0.05)。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(P<0.05)。观察组总有效率为93.48%，高于对照组78.26%(P<0.05)。随访期间观察组复发率4.34%，低于对照组17.39%(P<0.05)。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。
关键词 颈性眩晕；小针刀；针灸；电针
Abstract Objective：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.
Key Words Cervical vertigo； Small needle knife； Acupuncture； Electro-acupuncture
中圖分类号：R245文献标识码：Adoi：10.3969/j.issn.1673-7202.2017.11.048
颈性眩晕指椎动脉血流障碍所引起的眩晕综合征，常见于中老年人[1]，主要表现为头颈部位置性眩晕，一般在头颈部转动时发作，持续时间不长，但反复发作。部分患者还会伴随耳鸣、头痛、视觉异常，严重者甚至猝倒。随着人口的老龄化发展及人们生活方式的改变，颈性眩晕发病率逐年升高，且呈年轻化趋势[2]。目前临床多采取小针刀、针灸进行治疗，近年有研究提出[3]，电针治疗对颈性眩晕有积极作用，可强化疗效。本研究以92例颈性眩晕患者为例，观察小针刀、针灸结合电针治疗颈性眩晕的近远期疗效及实验室指标，现报道如下。, http://www.100md.com(陈磊 杨瑞萍 马火伞 杨丹 郭玉峰)
关键词 颈性眩晕；小针刀；针灸；电针
Abstract Objective：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.
Key Words Cervical vertigo； Small needle knife； Acupuncture； Electro-acupuncture
中圖分类号：R245文献标识码：Adoi：10.3969/j.issn.1673-7202.2017.11.048
颈性眩晕指椎动脉血流障碍所引起的眩晕综合征，常见于中老年人[1]，主要表现为头颈部位置性眩晕，一般在头颈部转动时发作，持续时间不长，但反复发作。部分患者还会伴随耳鸣、头痛、视觉异常，严重者甚至猝倒。随着人口的老龄化发展及人们生活方式的改变，颈性眩晕发病率逐年升高，且呈年轻化趋势[2]。目前临床多采取小针刀、针灸进行治疗，近年有研究提出[3]，电针治疗对颈性眩晕有积极作用，可强化疗效。本研究以92例颈性眩晕患者为例，观察小针刀、针灸结合电针治疗颈性眩晕的近远期疗效及实验室指标，现报道如下。, http://www.100md.com(陈磊 杨瑞萍 马火伞 杨丹 郭玉峰)
参见：首页 > 医疗版 > 疾病专题 > 神经内科 > 其它神经系统疾病 > 眩晕(头晕)