电项针配合药物治疗后循环缺血性眩晕的疗效评价

Efficacy Evaluation of Electroacupuncture Combined with Drug Therapy for Posterior Circulation Ischemic Vertigo

摘要: 目的：观察电项针联合西药治疗后循环缺血性眩晕的临床疗效，为临床治疗提供循证依据。方法：选取2022年1月~2023年6月我院收治的后循环性眩晕患者60例，经医院医学伦理委员会批准且患者签署知情同意书后，采用随机数字表法分为治疗组和对照组各30例。对照组予基础疾病对症治疗联合阿司匹林肠溶片、苯磺酸倍他司汀片口服，治疗组在对照组基础上加用电项针治疗，疗程为4周。比较两组治疗前后中医眩晕症状积分、椎–基底动脉TCD血流参数、Berg平衡量表评分，临床疗效，并观察两组的不良反应。结果：治疗组总有效率93.33%，显著高于对照组的73.33%(P < 0.05)；治疗前两组中医眩晕症状积分比较差异无统计学意义(P > 0.05)，治疗后两组积分均较治疗前显著降低(P < 0.05)，且治疗组积分显著低于对照组(P < 0.05)。椎动脉/基底动脉血流速度均显著改善，治疗组优于对照组(P < 0.05)；治疗组Berg平衡功能评分提升更显著(P < 0.05)；两组不良反应均以轻微不适为主，治疗组偶见晕针、局部皮下出血，对照组以胃肠道不适、轻微头痛为主，所有不适经对症处理后均缓解。结论：电项针联合药物治疗后循环性眩晕，电项针联合药物治疗后循环性眩晕，改善椎–基底动脉供血、提升平衡功能，疗效优于单纯西药，安全可靠，患者耐受性良好的优势，值得推广。

Abstract: Objective: This paper aims to observe the clinical efficacy of electroacupuncture combined with Western medicine in the treatment of posterior vertigo, and to provide evidence-based support for clinical treatment. Methods: Sixty patients with posterior vertigo admitted to our hospital from January 2022 to June 2023 were selected. After approval by the hospital’s medical ethics committee and with informed consent from the patients, they were randomly divided into a treatment group and a control group, with 30 patients in each group. The control group received symptomatic treatment for underlying diseases combined with oral aspirin enteric-coated tablets and betahistine besylate tablets. The treatment group received electroacupuncture in addition to the treatment given to the control group. The treatment course was 4 weeks. The TCM vertigo symptom scores, vertebrobasilar artery TCD blood flow parameters, Berg balance scale scores, and clinical efficacy were compared between the two groups before and after treatment. Adverse reactions were also observed in both groups. Results: The total effective rate in the treatment group was 93.33%, significantly higher than that in the control group (73.33%) (P < 0.05). Before treatment, there was no statistically significant difference in TCM dizziness symptom scores between the two groups (P > 0.05). After treatment, the scores in both groups were significantly lower than before treatment (P < 0.05), and the score in the treatment group was significantly lower than that in the control group (P < 0.05). Vertebral artery/basilar artery blood flow velocity was significantly improved, with the treatment group showing better improvement than the control group (P < 0.05). The Berg balance function score was significantly improved in the treatment group (P < 0.05). Adverse reactions in both groups were mainly mild discomfort. Occasionally, fainting and local subcutaneous bleeding occurred in the treatment group, while gastrointestinal discomfort and mild headache were the main adverse reactions in the control group. All discomforts were relieved after symptomatic treatment. Conclusion: Electroacupuncture combined with medication is effective in treating post-vertigo, improving vertebrobasilar artery blood supply and balance function. It is more effective than Western medicine alone, safe, reliable, and well-tolerated by patients, making it worthy of promotion.