[1]颜明辉 戚欣生宋清扬 夏玉清 王爽李敏贾萌张梅燕 刘鑫鑫 胡广芹.鍉圆针系统痧疗术治疗肝火上炎型后循环缺血性眩晕临床研究[J].现代中医药,2023,(06):049-53.[doi:10.13424/j.cnki.mtcm.2023.06.011]
　YAN Minghui QI Xinsheng SONG Qingyang XIA YuqingWANG Shuang LI Min JIA MengZHANG Meiyan LIU Xinxin HU Guangqin.Clinical Study on the Treatment of Ischemic Vertigo in the Posterior Circulation of Hepatic Fire Inflammation Type with Round Needle Quantitative System Sha Therapy[J].Modern Traditional Chinese Medicine,2023,(06):049-53.[doi:10.13424/j.cnki.mtcm.2023.06.011]
点击复制

鍉圆针系统痧疗术治疗肝火上炎型后循环缺血性眩晕临床研究()
分享到：

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2023年06期
页码:
049-53
栏目:
出版日期:
2023-12-08

文章信息/Info

Title:
Clinical Study on the Treatment of Ischemic Vertigo in the Posterior Circulation of Hepatic Fire Inflammation Type with Round Needle Quantitative System Sha Therapy
文章编号:
1672-0571(2023)06-0049-05
作者:
颜明辉1 戚欣生1宋清扬1 夏玉清2 王爽1李敏1贾萌1张梅燕1 刘鑫鑫1 胡广芹3
1.北京市隆福医院，北京 100010；
2.潍坊市中医院，山东 潍坊 261041;
3.国家中医药博物馆，北京 100027
Author(s):
YAN Minghui1 QI Xinsheng1 SONG Qingyang1 XIA Yuqing2WANG Shuang1 LI Min1 JIA Meng1ZHANG Meiyan1 LIU Xinxin1 HU Guangqin3
1.Beijing Longfu Hospital Dongcheng District ，Beijing 100010，China；
2.Weifang City Hospital of Traditional Chinese Medicine， Shandong Weifang 261041，China;
3.National Museum of Traditional Chinese Medicine, Beijing 100027，China
关键词:
关键词：眩晕; 后循环缺血; 鍉圆针定量痧疗术
Keywords:
Key words:Vertigo; Posterior circulation ischemia; Round needle quantitative system Sha therapy
分类号:
R244.4
DOI:
10.13424/j.cnki.mtcm.2023.06.011
文献标志码:
A
摘要:
摘 要：目的 观察鍉圆针系统痧疗术对肝火上炎证后循环缺血引起眩晕的临床疗效。方法 选取2020年5月—2021年5月北京市隆福医院收治的45例后循环缺血性眩晕患者中属肝火上炎证者，设计临床随机对照试验，其中治疗组25例，予鍉圆针系统痧疗术及口服强力定眩胶囊；对照组20例，予口服强力定眩胶囊。观察时间为14 d，结束后对比两组眩晕症状评分及治疗后的临床疗效。结果 两组分别与治疗前比较，头晕、乏力等临床症状均有改善，治疗组改善率大于对照组（P＜0.05）。两组相比，治疗组总有效率明显优于对照组（P＜001）。结论 鍉圆针系统痧疗术通过刺激穴位，有效促进皮肤及深层组织血液循环，进而改善大脑血循环，缓解局部肌肉紧张，能够改善后循环缺血性眩晕症状，具有良好的临床疗效。
Abstract:
Abstract：Objective To observe the clinical efficacy of the round needle quantitative system Sha therapy on dizziness caused by circulatory ischemia with liver fire inflammation syndrome.Methods A clinical randomized controlled trial was designed to select 45 patients with posterior circulation ischemic dizziness admitted to our hospital from May 2020 to May 2021, who belonged to the liver fire inflammation syndrome. Among them, 25 patients in the treatment group were treated with round needle quantitative system Sha therapy and oral administration of Qiangli Dingxuan capsules; 20 cases in the control group were orally administered with Qiangli Dingxuan Capsules. The observation time was 14 days, and after the end, the dizziness symptom scores and clinical efficacy after treatment were compared between the two groups.Results Compared with before treatment, clinical symptoms such as dizziness and fatigue improved in both groups, and the improvement rate in the treatment group was higher than that in the control group (P<005). Compared with the control group, the total effective rate of the treatment group was significantly better (P<0.01).Conclusion The round needle quantitative system acupuncture therapy effectively promotes blood circulation in the skin and deep tissues by stimulating acupoints, thereby improving cerebral blood circulation, alleviating local muscle tension, and improving symptoms of ischemic dizziness in the posterior circulation. It has good clinical efficacy.

参考文献/References:

［1］Zhang Y,Chen X,Wang XT,et al.A clinical epidemiological study in 187 patients with Vertigo［J］.Cell Biochemistry and Biophysics,2011,59(2):109-112.
［2］薛慧,崇奕,蒋子栋,等.神经内科眩晕/头晕患者的病因分析［J］.中华医学杂志,2018,98(16):1227-1230.
［3］侯月婷,周彬.良性阵发性位置性眩晕诊断及治疗的研究进展［J］.疑难病杂志,2017,16(4):423-428.
［4］戚晓昆.重视头晕与眩晕的正确诊断［J］.中华内科杂志,2014,53(10):761-763.
［5］赵性泉.识别急诊室里表现为头晕/眩晕的脑血管疾病［J］.北京医学,2017,39(8):758-759.
［6］Chu YT,Cheng L.Vertigo and dizziness［J］.Acta Neurologica Taiwanica,2007,16(1):50-60.
［7］胡广芹.鍉圆九针无创理疗工具:CN108478418A［P］.2018-09-04.
［8］胡广芹,高之光.痧疗器具（一）:CN304090675S［P］.2017-03-29.
［9］李焰生.中国后循环缺血的专家共识［J］.中华内科杂志,2006,45(9):786-787,5.
［10］国家中医药管理局.中医病证诊断疗效标准［S］.北京:中国中医药出版社,2020:22.
［11］郑筱萸.中药新药临床研究指导原则:试行［M］.北京:中国医药科技出版社,2002:112-113.
［12］中华中医药学会.中医内科常见病诊疗指南:中医病证部分［M］.北京:中国中医药出版社,2008:43-45.
［13］孙传兴.临床疾病诊断依据治愈好转标准-2版［M］.北京:人民军医出版社,1998.
［14］刘兰,刘筠,许亮.后循环缺血性眩晕患者椎-基底动脉形态学改变［J］.中国脑血管病杂志,2016,13(2):62-66,99.
［15］曾敏,刘洋,龚细礼.后循环缺血性孤立性眩晕的发生机制及其危险因素的研究进展［J］.中国现代医生,2021,59(20):184-187.
［16］杨庆宇,刘占兵,肖飞.针灸治疗椎动脉型颈椎病临床疗效及对患者脑血流的影响［J］.陕西中医,2019,40(8):1131-1133,1137.
［17］程小平,马志芳,李翠萍.针刺配合刺络拔罐治疗颈性眩晕58例［J］.现代中医药,2002,22(3):24.
［18］张盛强,张继平,张劲丰,等.穴位手法推拿治疗对颈性眩晕患者TCD和血液D-二聚体含量的影响［J］.按摩与导引,2008(10):2-5.
［19］唐也笑,万荷天一,罗小光.通络刮痧法对气滞血瘀证雌性大鼠的血液流变学的影响［J］.贵州医科大学学报,2019,44(4):431-434.
［20］杨昆吾,杨金生,徐东升,等.不同刮痧力度对大鼠皮肤形态及5-羟色胺、肥大细胞表达变化的比较研究［J］.中国中医基础医学杂志,2021,27(4):587-591.
［21］杨亚,陈华.中医刮痧疗法的作用机制及临床应用研究进展［J］.全科护理,2011,9(24):2237-2238.
［22］胡书凤,冯金星.特定穴位刮痧疗法治疗外感头痛疗效观察［J］.中国中医急症,2016,25(7):1423-1425.
［23］张君.刮痧疗法改善糖尿病患者睡眠质量的观察［J］.天津护理,2006,14(3):159.
［24］崔向清,蒋燕,杨向竹,等.刮痧疗法对胆红素、SOD、IL-1、IL-6、白细胞、单胺类神经递质的影响初探［J］.中医药学报,2013,41(1):33-37.
［25］罗霄,唐潇,刘婷婷.针刺联合刮痧疗法治疗围绝经期失眠症的疗效观察［J］.上海针灸杂志,2022,41(7):661-666.
［26］廖人燕,何跃,唐定书.刮痧疗法治疗神经性皮炎的机理探讨［J］.光明中医,2010,25(6):1124-1125.
［27］李宇峰,郭新荣,韩洛川.刮痧疗法作用机制研究［J］.现代中医药,2018,38(3):102-105,108.

相似文献/References:

[1]邓 华,张选国,王　凌,等.针刺联合阿司匹林、长春西汀治疗气虚型后循环缺血性眩晕３０例[J].现代中医药,2019,(06):027.[doi:10.13424/j.cnki.mtcm.2019.06.009]
　Deng Hua,Zhang Xuanguo,Wang Ling,et al.Acupuncture Combined with Aspirin and Vinpocetine in the Treatment of 30 Cases of Posterior Circulation Ischemic Vertigo of Qi Deficiency Type[J].Modern Traditional Chinese Medicine,2019,(06):027.[doi:10.13424/j.cnki.mtcm.2019.06.009]

备注/Memo

备注/Memo:
基金项目：北京市中医药科技发展资金项目（QYSF-2020-06）
更新日期/Last Update: 2023-11-23