【作者】 胡新颖；

【导师】 赵军；

【作者基本信息】 黑龙江中医药大学 ， 针灸推拿学， 2011， 硕士

【摘要】 目的：观察针药结合治疗眩晕—气血亏虚型的临床疗效。方法：本研究将60例符合入选标准的患者随机分为治疗组30例和对照组30例。治疗组：男13例,女17例,平均年龄42.70±13.52(岁),平均病程13.30±6.51(月),使用针药结合方法,针刺取穴：百会、风池(双)、肝俞(双)、肾俞(双)、足三里(双)、气海、脾俞(双)、胃俞(双)。得气后,风池用平补平泻法,余穴用补法,留针30分钟,间隔15分钟行针1次,每日针刺1次,共针刺2周。中药治疗：归脾汤。水煎服,每日一剂,250ml早晚分服,共服用两周。对照组：男12例,女18例,平均年龄42.17±12.98(岁),平均病程12.47±6.64(月),口服西比灵(盐酸氟桂利嗪)10mg,每晚1次,共用药2周。治疗前后观察两组患者中医证候积分、临床疗效以及TCD双侧大脑中动脉(MCA)、基底动脉(BA)平均血流速度(Vm)的变化。结果：1.在改善中医证候积分方面,治疗后,治疗组与对照组比较,差异有统计学意义(P<0.05)。2.治疗后,治疗组与对照组总有效率分别为93.33%和73.33%,差异有统计学意义(P<0.05)。3.在改善TCD双侧MCA、BA的Vm值方面,治疗组疗前疗后比较,差异有统计学意义(▲P<0.01)；对照组疗前疗后比较,差异有统计学意义(■P<0.05)；治疗后,治疗组与对照组比较,差异有统计学意义(□P<0.05)。结论：1.针药结合治疗眩晕—气血亏虚型有效。2.针药结合治疗眩晕—气血亏虚型在改善眩晕中医证候积分方面效果优于对照组。3.针药结合治疗眩晕—气血亏虚型在总有效率方面优于对照组。4.针药结合治疗眩晕—气血亏虚型可改善患者TCD MCA(双侧)、BA的Vm值,且优于对照组。更多还原

【Abstract】 Objectice:to observe the clinical efficacy of acupunture combined with traditional Chinese medicine in the treatment of blood deficiency type of vertigo.Methods:60 patients met the inclusion criteria were randomly divided into treatment group 30 cases and control group 30 cases. Treatment group:13 males and 17 females, mean age 42.70±13.52(years),mean disease duration 13.30±6.51 (months), the method is acupuncture combined with herbal drugs, acupoints:Baihui, the wind pool (double), liver Yu (double), Shen Shu (double),zusanli(two),air sea.spleen yu (double), stomach Yu (double). After get gas, the wind pool with a reinforcing-reducing method, other place use reinforcing method, needle for 30 minutes, to analogue for once 15 minutes, once a day, treatment for 2 weeks. Chinese medicine treatment:the spleen soup. Decoct with water once a day,250ml serving morning and evening hours, taking a total of two weeks. Control group:12 males and 18 females, mean age 42.17±12.98 (years), mean disease duration 12.47±6.64 (months), oral flunarizine 10mg, once a day, eat before going to bed, taking a total of two weeks. Before and after treatment to observed the TCM syndromes, clinical efficacy and the changes of mean velocity (Vm) of the TCD of middle cerebral artery (MCA), basilar artery (BA).Results:1. The improvement of TCM sundromes,after treatment the treatment group compared with the control group,the difference was statistically significant (P<0.05).2. After treatment, the treatment group and control group, the total effective rate was 93.33% and 73.33%, the difference was statistically significant (P<0.05).3. In improving the bilateral MCA, BA in-Vm value, the treatment group before and after treatment, the difference was statistically significant (▲P<0.01); the control group before and after treatment, the difference was statistically significant (■P<0.05); after treatment, the treatment group and control group, the difference was statistically significant (□P<0.05).Conclusion:1.Acupuncture combined with herbal drugs in treat blood deficiency type of vertigo is effective.2.Acupuncture combined with herbal drugs in treat blood deficiency type of vertigo in improving the integration aspects is better than the control group.3.Acupuncture combined with herbal drugs in treat blood deficiency type of vertigo in the total efficiency is better than the control group.4.Acupuncture combined with herbal drugs in treat blood deficiency type of vertigo can improve the bilateral MCA, BA in Vm values, and better than the control group.更多还原