按摩灸及手指点穴联合针刺辅助治疗痰瘀阻络型后循环缺血性眩晕的临床效果观察
Observation on the Clinical Effect of Massage Moxibustion and Finger Point Combined with Acupuncture in the Treatment of Posterior Circulation Ischemic Vertigo with Phlegm-Stasis Obstruction
DOI: 10.12677/tcm.2024.1312515, PDF,    科研立项经费支持
作者: 刘晓娜, 高 新, 荆亚茹:安徽中医药大学第二临床医学院,安徽 合肥;贺成功*:安徽中医药大学第二附属医院老年病三科,安徽 合肥
关键词: 按摩灸手指点穴痰瘀阻络型后循环缺血眩晕Massage Moxibustion Finger Acupuncture Phlegm Stasis Obstruction Type Posterior Circulation Ischemia Vertigo
摘要: 目的:探讨按摩灸及手指点穴联合针刺辅助治疗痰瘀阻络型后循环缺血性眩晕的临床疗效。方法:抽取52例痰瘀阻络型后循环缺血性眩晕患者,随机分为两组,各组26例。对照组予以常规基础治疗及针刺治疗,干预组在对照组基础上予以按摩灸联合手指点穴。2组均治疗2周。比较两组干预前后DARS评分、DHI评分、中医症候积分、椎基底动脉血流速度,统计临床疗效和安全情况。结果:干预组疗效优于对照组(92.31% vs 76.92%) (p < 0.05)。干预后干预组DARS评分、DHI评分、中医症候积分的变化显著高于对照组(p < 0.05),椎基底动脉血流速度增快,且干预组优于对照组(p < 0.05)。结论:按摩灸及手指点穴联合针刺辅助治疗痰瘀阻络型后循环缺血性眩晕能够提高临床疗效,加快患者康复,安全可靠,值得推广应用。
Abstract: Objective: To investigate the clinical effect of massage moxibustion and finger acupuncture combined with acupuncture in the treatment of post-circulation ischemic vertigo with phlegm-stasis obstruction. Methods: 52 patients with posterior circulatory ischemic vertigo were randomly divided into two groups, 26 patients in each group. The control group was given routine basic treatment and acupuncture treatment, and the intervention group was given massage and moxibustion combined with finger point on the basis of the control group. Both groups were treated for 2 weeks. DARS score, DHI score, TCM symptom score, and vertebrobasilar blood flow velocity before and after intervention were compared between the two groups, and clinical efficacy and safety were analyzed. Results: The therapeutic effect of the intervention group was better than that of the control group (92.31% vs 76.92%) (p < 0.05). After intervention, the changes in DARS score, DHI score, and TCM syndrome score in the intervention group were significantly higher than those in the control group (p < 0.05), and the vertebrobasilar artery blood flow velocity was increased, and the intervention group was better than the control group (p < 0.05). Conclusion: Massage moxibustion and finger point combined with acupuncture in the treatment of phlegm-stasis obstruction type of post-circulation ischemic vertigo can improve clinical efficacy, accelerate the recovery of patients, and is safe and reliable, worthy of popularization and application.
文章引用:刘晓娜, 贺成功, 高新, 荆亚茹. 按摩灸及手指点穴联合针刺辅助治疗痰瘀阻络型后循环缺血性眩晕的临床效果观察[J]. 中医学, 2024, 13(12): 3447-3453. https://doi.org/10.12677/tcm.2024.1312515

参考文献

[1] 何菊, 张怀亮. 后循环缺血性眩晕的中西医研究进展[J]. 中国中医基础医学杂志, 2018, 24(6): 871-874.
[2] 朱文旭, 王震, 赵薇薇, 等. 王震针刺治疗后循环缺血性眩晕经验总结[J]. 中医药临床杂志, 2023, 35(7): 1309-1312.
[3] 李达. 基于中医传承辅助平台的现代文献后循环缺血性眩晕的辨治规律研究[D]: [硕士学位论文]. 沈阳: 辽宁中医药大学, 2022.
[4] 杨妮. 天麻钩藤饮联合针刺治疗后循环缺血性眩晕肝阳上亢证的临床研究[D]: [硕士学位论文]. 济南: 山东中医药大学, 2023.
[5] 武旭娇, 何凯峰, 孟姿, 等. 针刺治疗后循环缺血性眩晕的临床及机制研究进展[J]. 辽宁中医药大学学报, 2024, 26(1): 193-198.
[6] Keszler, A., Lindemer, B., Hogg, N., Weihrauch, D. and Lohr, N.L. (2018) Wavelength-Dependence of Vasodilation and NO Release from S-Nitrosothiols and Dinitrosyl Iron Complexes by Far Red/Near Infrared Light. Archives of Biochemistry and Biophysics, 649, 47-52. [Google Scholar] [CrossRef] [PubMed]
[7] 麦威, 卜献忠, 苗芙蕊, 等. 艾灸百会联合针刺治疗颈性眩晕的Meta分析与试验序贯分析[J]. 针刺研究, 2023, 48(1): 95-101.
[8] 原佩玉, 郝重耀, 张天生. 艾灸效应的原理及功能的临床研究现状[J]. 中国医药导报, 2019, 16(12): 31-34.
[9] 王佳, 贺成功, 王先志, 等. 浅谈按摩与艾灸结合疗法——按摩灸[J]. 江西中医药, 2023, 54(6): 55-58, 61.
[10] 中国后循环缺血专家共识组. 中国后循环缺血的专家共识[J]. 中华内科杂志, 2006, 45(9): 786-787.
[11] 张伯礼, 吴勉华. 中医内科学[M]. 北京: 中国中医药出版社, 2017: 121-122.
[12] 郑筱萸. 中药新药临床研究指导原则[M]. 北京: 中国医药科技出版社, 2002: 73.
[13] 贺成功, 龙红慧, 徐斌, 等. 贺氏针灸器械源流考[J]. 河南中医, 2019, 39(7): 993-996.
[14] 胡小花, 黄纡寰, 段小林. 钩草平肝汤联合针刺治疗肝阳上亢型后循环缺血性眩晕临床观察[J]. 中国中医药现代远程教育, 2024, 22(6): 133-135, 154.
[15] 刘海洋. 加用自拟祛痰散瘀方治疗痰瘀阻窍型后循环缺血性眩晕疗效观察[J]. 广西中医药, 2023, 46(3): 1-4.
[16] 刘青松, 慈玉莹, 迟文成, 等. 腹针结合常规针刺法对后循环缺血性眩晕患者眩晕症状及脑血流动力学指标的影响[J]. 河北中医, 2024, 46(5): 804-808, 814.
[17] 张国庆, 张玲, 朱玲玲, 等. 通督调神针刺结合化瘀通络灸治疗痰瘀阻络型后循环缺血性眩晕临床观察[J]. 安徽中医药大学学报, 2023, 42(4): 40-44.
[18] 陆玉兰, 谭秀玲, 朱洁霞, 等. 手法雷火灸配合头颈肩背部穴位按摩对后循环缺血性眩晕的疗效[J]. 名医, 2024(9): 30-32.
[19] 黄琴峰, 谢晨, 吴焕淦, 等. 基于文献计量的针灸病谱与适宜病症研究[J]. 中国针灸, 2021, 41(9): 1055-1059.
[20] 孙继飞. 麦粒灸“中风七穴”治疗后循环缺血性眩晕的临床研究[D]: [硕士学位论文]. 北京: 中国中医科学院, 2020.
[21] 欧喜智, 洪苹, 邓钦文, 等. 循经灸联合祛瘀通络开窍汤治疗缺血性脑卒中疗效观察[J]. 西部中医药, 2022, 35(8): 124-128.
[22] 梁彦启. 循环灸治疗后循环缺血性眩晕的临床研究[D]: [硕士学位论文]. 南宁: 广西中医药大学, 2019.
[23] 蒋洁, 赵百孝, 陈立彬, 等. 灸法预处理脑缺血再灌注模型大鼠自噬及NLRP3炎症小体的表达[J]. 中国组织工程研究, 2022, 26(23): 3615-3619.
[24] 贺成功, 龙红慧, 蔡圣朝. 浅谈按摩灸[J]. 上海针灸杂志, 2012, 31(7): 533-534.
[25] 吕亚南, 傅敏, 高新, 等. 点穴经筋疗法治疗颈性眩晕临床效果[J]. 中国医药导报, 2017, 14(34): 86-88, 93.
[26] 李云. 穴位贴敷联合手指点穴护理干预在眩晕病患者中的应用效果分析[J]. 黑龙江医学, 2022, 46(4): 493-495.
[27] 王佳. 按摩灸联合针刺治疗后循环缺血性眩晕的临床疗效观察[D]: [硕士学位论文]. 合肥: 安徽中医药大学, 2023.