[1]王海艳,代迪迪.针刺联合天麻钩藤饮加减治疗眩晕肝阳上亢证疗效研究[J].陕西中医,2024,(7):985-988.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.028]
　WANG Haiyan,DAI Didi.Curative effect study on acupuncture combined with modified Tianma Gouteng Yin in treating vertigo of Ganyang Shangkang syndrome[J].,2024,(7):985-988.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.028]
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针刺联合天麻钩藤饮加减治疗眩晕肝阳上亢证疗效研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年7期
页码:
985-988
栏目:
针灸经络
出版日期:
2024-07-05

文章信息/Info

Title:
Curative effect study on acupuncture combined with modified Tianma Gouteng Yin in treating vertigo of Ganyang Shangkang syndrome
作者:
王海艳1; 代迪迪2
(1.亳州市中医院老年医学科,安徽 亳州 236800; 2.淮北市中医医院康复科,安徽 淮北 235000)
Author(s):
WANG Haiyan; DAI Didi
(Department of Geriatric Medicine,Bozhou Hospital of Traditional Chinese Medicine,Bozhou 236800,China)
关键词:
眩晕;  肝阳上亢证;  调督息风针刺法;  天麻钩藤饮加减;  中医证候积分;  同型半胱氨酸
Keywords:
Vertigo;  Ganyang Shangkang syndrome;  Tiaodu Xifeng acupuncture;  Modified Tianma Gouteng Yin;  TCM syndromes scores;  Homocysteine
分类号:
R 255.3
DOI:
DOI:10.3969/j.issn.1000-7369.2024.07.028
文献标志码:
A
摘要:
目的:探究调督息风针刺法联合天麻钩藤饮加减治疗眩晕肝阳上亢证疗效。方法:将102例眩晕肝阳上亢证患者按照随机数字表法分为对照组、观察组,各51例。基于常规西医治疗,对照组采用天麻钩藤饮加减治疗,观察组采用调督息风针刺法联合天麻钩藤饮加减治疗,比较两组患者中医证候积分、椎基底动脉平均血流速度(MV)、血管搏动指数(PI)、血清同型半胱氨酸(Hcy)、内皮素(ET)、一氧化氮(NO)水平以及复发情况。结果:治疗后,两组中医证候积分、椎动脉与基底动脉PI、血清Hcy、ET水平与治疗前比较均降低(P<0.05),观察组降幅高于对照组(P<0.05)。两组椎动脉与基底动脉MV、血清NO水平与治疗前比较均升高(P<0.05),观察组升幅高于对照组(P<0.05)。结论:调督息风针刺法联合天麻钩藤饮加减治疗眩晕肝阳上亢证可有效调节血管内皮功能,抑制斑块生成,改善椎动脉与基底动脉血流供应,有效缓解眩晕症状。
Abstract:
Objective:To explore efficacy of Tiaodu Xifeng acupuncture combined with modified Tianma Gouteng Yin in treatment of patients with vertigo of Ganyang Shangkang syndrome.Methods:102 patients with vertigo of Ganyang Shangkang syndrome were classified into control group(51 cases)and observation group(51 cases)according to random number table method.On the basis of conventional western medicine treatment,the control group were treated with modified Tianma Gouteng Yin,while the observation group given Tiaodu Xifeng acupuncture combined with modified Tianma Gouteng Yin.The scores of TCM syndromes,vertebrobasilar artery mean blood flow velocity(MV),pulsatility index(PI),levels of serum homocysteine(Hcy),endothelin(ET)and nitric oxide(NO)and recurrence status were compared.Results:After treatment,the scores of TCM syndromes,PI values of vertebral artery basilar artery,and serum Hcy,ET levels in both groups were reduced compared with those before treatment(P<0.05),and the reductions in the observation group were higher than those in the control group(P<0.05).The MV values of vertebral artery and basilar artery and serum NO in the two groups were increased compared to before treatment(P<0.05),and the increases were greater in the observation group(P<0.05).Conclusion:Tiaodu Xifeng acupuncture combined with modified Tianma Gouteng Yin can effectively regulate vascular endothelial function,inhibit plaque formation,improve vertebral artery and basilar artery blood flow supply,and effectively relieve vertigo symptoms in the treatment of vertigo of Ganyang Shangkang syndrome.

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备注/Memo

备注/Memo:
基金项目:安徽省医学会(急诊医学分会)课题(KY2018006)
更新日期/Last Update: 2024-07-09