醒脑开窍针法配合雷火灸治疗椎基底动脉供血不足疗效观察
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摘要
目的观察醒脑开窍针法配合雷火灸治疗椎基底动脉供血不足的临床效果。方法将55例椎基底动脉供血不足患者随机分为治疗组26例和对照组29例。治疗组采用醒脑开窍针法配合雷火灸治疗,对照组采用口服养血清脑颗粒治疗。两组分别采用多普勒脑血流超声检测仪观察治疗前后椎基底动脉的血流变化,并比较两组临床疗效。结果治疗组愈显率和总有效率分别为61.5%和96.2%,对照组分别为34.5%和89.7%,两组比较差异均具有统计学意义(P<0.01,P<0.05)。治疗组治疗后椎动脉VS、VD及基底动脉VS与同组治疗前比较,差异均具有统计学意义(P<0.05)。对照组治疗后基底动脉VS与同组治疗前比较,差异具有统计学意义(P<0.05)。治疗组治疗后椎动脉和基底动脉VS与对照组比较,差异均具有统计学意义(P<0.05)。结论醒脑开窍针法配合雷火灸是一种治疗椎基底动脉供血不足的有效方法。
Objective To observe the clinical efficacy of Xing Nao Kai Qiao(brain-awakening and orifice-opening) needling plus thunder-fire moxibustion in treating vertebrobasilar ischemia. Method Fifty-five patients with vertebrobasilar ischemia were randomized into a treatment group of 26 cases and a control group of 29 cases. The treatment group was intervened by Xing Nao Kai Qiao needling plus thunder-fire moxibustion, while the control group was by oral administration of Yangxue Qingnao granules. The blood flow of vertebrobasilar arteries were observed by using ultrasonic Doppler blood-flow detector before and after intervention, and the clinical efficacies were compared between the two groups. Result The recovery and markedly-effective rate and total effective rate were respectively 61.5% and 96.2% in the treatment group, versus 34.5% and 89.7% in the control group, and the differences were statistically significant(P<0.01,P<0.05). The VS and VD of vertebral arteries and VS of basilar arteries were significantly changed after intervention in the treatment group(P<0.05). The VS of basilar arteries was significantly changed after intervention in the control group(P<0.05). After treatment, The VS of vertebral and basilar arteries in the treatment group was significantly different from that in the control group(P < 0.05). Conclusion Xing Nao Kai Qiao needling plus thunder-fire moxibustion is an effective approach in treating vertebrobasilar ischemia.
Objective To observe the clinical efficacy of Xing Nao Kai Qiao(brain-awakening and orifice-opening) needling plus thunder-fire moxibustion in treating vertebrobasilar ischemia. Method Fifty-five patients with vertebrobasilar ischemia were randomized into a treatment group of 26 cases and a control group of 29 cases. The treatment group was intervened by Xing Nao Kai Qiao needling plus thunder-fire moxibustion, while the control group was by oral administration of Yangxue Qingnao granules. The blood flow of vertebrobasilar arteries were observed by using ultrasonic Doppler blood-flow detector before and after intervention, and the clinical efficacies were compared between the two groups. Result The recovery and markedly-effective rate and total effective rate were respectively 61.5% and 96.2% in the treatment group, versus 34.5% and 89.7% in the control group, and the differences were statistically significant(P<0.01,P<0.05). The VS and VD of vertebral arteries and VS of basilar arteries were significantly changed after intervention in the treatment group(P<0.05). The VS of basilar arteries was significantly changed after intervention in the control group(P<0.05). After treatment, The VS of vertebral and basilar arteries in the treatment group was significantly different from that in the control group(P < 0.05). Conclusion Xing Nao Kai Qiao needling plus thunder-fire moxibustion is an effective approach in treating vertebrobasilar ischemia.
引文
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[14]潘锐焕,杨志敬,郭友华,等.醒脑开窍针法结合康复训练对脑卒中后偏瘫患者运动功能和日常生活活动能力的影响[J].广州中医药大学学报,2015,32(4):618-622.
[15]张剑锋,黄瑞聪,唐梁英.醒脑开窍针刺法干预脑卒中后轻度认知障碍的临床观察[J].中医临床研究,2015,7(24):128-129.
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[18]廖秋菊,张芸.赵氏雷火灸临床应用概述[J].实用中医药杂志,2014,30(6):575-577.
[19]杨丽艳,李志峰,何佳,等.针刺配合赵氏雷火灸治疗腰椎间盘突出症的疗效观察[J].成都中医药大学学报,2015,38(2):59-61.
[20]蔡石勇.乌灵胶囊配合赵氏雷火灸治疗心肾不交型失眠的疗效观察[J].上海医药,2014,35(24):26-27.
[21]刘树正,王阳,陈鹏.雷火灸临床应用概况[J].实用中医药杂志,2015,31(4):362-365.
[22]袁庆东,郭欣,韩亚岑,等.雷火-热敏灸治疗膝骨关节炎疗效观察[J].上海针灸杂志,2015,34(7):665-668.
[23]赵明华.背部点穴配合雷火灸治疗过敏性鼻炎疗效观察[J].按摩与康复医学,2015,6(10):33-34.
[24]徐立光,张敏,白伟,等.针刺配合赵氏雷火灸“猛刺法”治疗膝骨性关节炎的疗效观察[J].中国医药指南,2013,11(32):185-186.
[25]唐晓敏,丁锐.电针百会、风府治疗脑梗塞后神经功能障碍的临床研究[J].针灸临床杂志,2015,31(6):17-20.
[26]唐晓敏,秦正玉,何宗宝,等.电针百会、风府穴对脑I/R损伤大鼠海马区CPG15表达影响的实验研究[J].中西医结合心脑血管病杂志,2011,9(12):1482-1484.
[2]Yamanaka T,Murai T,Sawai Y,et al.The effect of prostaglandin E1on brainstem blood flow disturbance in an animal model of vertebrobasilar insufficiency[J].Eur Arch Otorhinolaryngol,2014,271(5):947-951.
[3]Denis DJ,Shedid D,Shehadeh M,et al.Cervical spondylosis:a rare and curable cause of vertebrobasilar insufficiency[J].Eur Spine J,2014,23(3):206-213.
[4]Sarkar J,Wolfe SQ,Ching BH,et al.Bow hunter's syndrome causing vertebrobasilar insufficiency in a young man with neck muscle hypertrophy[J].Ann Vasc Surg,2014,28(4):1032.
[5]吴茂文,张柏林,李静,等.定位定向顶提正椎手法对椎-基底动脉血液动力学影响的研究[J].齐齐哈尔医学院学报,2015,36(15):2239-2242.
[6]李淑芸,仲云.活血补气祛痰汤治疗椎基底动脉供血不足性眩晕的疗效观察[J].国际中医中药杂志,2015,37(7):605-608.
[7]林军华,李潇潇,刘德全,等.国产氯吡格雷联合桂哌齐特、丹红注射液治疗椎基底动脉供血不足所致眩晕的回顾性研究[J].临床合理用药杂志,2015,8(11):8-9.
[8]崔海.丹参川芎嗪注射液治疗脑血栓椎基底动脉系统供血不足临床疗效探讨[J].中国卫生标准管理,2015,6(13):154-155.
[9]史玉泉.实用神经病学[M].第2版,上海:上海科学技术出版社,1994:1031.
[10]王维治.神经病学[M].北京:人民卫生出版社,2006:81-82.
[11]王新德.现代神经病学[M].北京:人民军医出版社,2008:256.
[12]张曦,王世娟,王恩龙.运用石学敏“醒脑开窍”针法治疗中风的研究[J].实用中医内科杂志,2012,27(4):22-23.
[13]刘涛,施畅人."醒脑开窍"针法治疗缺血性脑卒中的实验研究进展[J].天津中医药,2005,22(2):172-173.
[14]潘锐焕,杨志敬,郭友华,等.醒脑开窍针法结合康复训练对脑卒中后偏瘫患者运动功能和日常生活活动能力的影响[J].广州中医药大学学报,2015,32(4):618-622.
[15]张剑锋,黄瑞聪,唐梁英.醒脑开窍针刺法干预脑卒中后轻度认知障碍的临床观察[J].中医临床研究,2015,7(24):128-129.
[16]连建平,乔绕英.醒脑开窍针法联合康复训练治疗脑中风后遗症临床研究[J].亚太传统医药,2015,11(4):82-83.
[17]刘海生.补阳还五汤合醒脑开窍针刺法治疗中风偏瘫的临床观察[J].内蒙古中医药,2015,34(7):34-35.
[18]廖秋菊,张芸.赵氏雷火灸临床应用概述[J].实用中医药杂志,2014,30(6):575-577.
[19]杨丽艳,李志峰,何佳,等.针刺配合赵氏雷火灸治疗腰椎间盘突出症的疗效观察[J].成都中医药大学学报,2015,38(2):59-61.
[20]蔡石勇.乌灵胶囊配合赵氏雷火灸治疗心肾不交型失眠的疗效观察[J].上海医药,2014,35(24):26-27.
[21]刘树正,王阳,陈鹏.雷火灸临床应用概况[J].实用中医药杂志,2015,31(4):362-365.
[22]袁庆东,郭欣,韩亚岑,等.雷火-热敏灸治疗膝骨关节炎疗效观察[J].上海针灸杂志,2015,34(7):665-668.
[23]赵明华.背部点穴配合雷火灸治疗过敏性鼻炎疗效观察[J].按摩与康复医学,2015,6(10):33-34.
[24]徐立光,张敏,白伟,等.针刺配合赵氏雷火灸“猛刺法”治疗膝骨性关节炎的疗效观察[J].中国医药指南,2013,11(32):185-186.
[25]唐晓敏,丁锐.电针百会、风府治疗脑梗塞后神经功能障碍的临床研究[J].针灸临床杂志,2015,31(6):17-20.
[26]唐晓敏,秦正玉,何宗宝,等.电针百会、风府穴对脑I/R损伤大鼠海马区CPG15表达影响的实验研究[J].中西医结合心脑血管病杂志,2011,9(12):1482-1484.