| 当归川芎汤联合晕三针治疗椎动脉型颈椎病眩晕症效果分析 |
| Analysis of the therapeutic effect of Danggui Chuanxiong decoction combined with three acupuncture points for dizziness in cervical spondylosis of vertebral artery typeGuo Liuling1, Gao Hongjuan1, Guo Peng2 |
| DOI： |
| 中文关键词: 当归川芎汤 晕三针 椎动脉型颈椎病眩晕症 治疗效果 |
| 英文关键词: Danggui Chuanxiong Decoction Yunsanzhen vertebral artery cervical spondylosis vertigo therapeutic effect |
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| 中文摘要: |
| 目的 探究当归川芎汤联合晕三针治疗椎动脉型颈椎病(CSA)眩晕症的疗效。方法 选择2022年5月~2024年4月我院收治的CSA眩晕症患者90例,均分为两组。对照组予以颈椎牵引、血管扩张剂治疗。观察组在此基础上予以当归川芎汤联合晕三针治疗。比较两组治疗效果、中医症状积分、颈部症状及功能及椎动脉血管彩超结果。结果 观察组总有效率为93.33%高于对照组的77.78%(P＜0.05)。观察组治疗后中医症状积分中主症积分为3.82±0.69分、次症积分为3.31±0.99分、总积分为7.13±1.47分均低于对照组(P＜0.05)。观察组治疗后ESCV量表中的眩晕积分为12.69±1.89分、颈肩痛积分为3.09±0.33分、头疼积分为1.69±0.23分、日常生活及工作积分为3.11±0.63分、心理及社会适应评分积分为14.43±2.36分均高于对照组(P＜0.05)。观察组治疗后左侧的椎动脉血管径为39.58±3.29 mm、PSV为45.48±5.22 cm/s高于对照组,RI为0.62±0.07低于对照组(P＜0.05)。右侧的椎动脉血管径为36.92±3.76 mm、PSV为45.83±4.76 cm/s高于对照组,RI为0.63±0.05低于对照组(P＜0.05)。结论 当归川芎汤联合晕三针治疗椎动脉型颈椎病眩晕症的疗效更为确切,有助于减轻中医症状,改善颈部症状及功能,且对双侧椎动脉管径、阻力、血流速度均有改善。 |
| 英文摘要: |
| Objective To explore the therapeutic effect of Danggui Chuanxiong Decoction combined with Yunsanzhen on vertigo caused by cervical spondylosis of vertebral artery type (CSA). Methods 90 patients with CSA vertigo admitted to our hospital from May 2022 to April 2024 were randomly divided into two groups, with 45 cases in each group. The control group was treated with cervical traction and vasodilator therapy. The observation group was treated with Danggui Chuanxiong Decoction combined with three-needle therapy for vertigo. The therapeutic effects, TCM symptom scores, cervical symptoms and functions, and vertebral artery color Doppler ultrasound results were compared between the two groups. Results The total effective rate of the observation group was 93.33% higher than the control group (77.78%) (P<0.05). The main symptom score, secondary symptom score, and total symptom score in the observation group were 3.82±0.69 points, 3.31±0.99 points, and 7.13±1.47 points, respectively, which were lower than those in the control group (P<0.05). The vertigo score in the observation group was 12.69±1.89 points, the neck and shoulder pain score was 3.09±0.33 points, the headache score was 1.69±0.23 points, the daily life and work score was 3.11±0.63 points, and the psychological and social adaptation score was 14.43±2.36 points, all of which were higher than those in the control group (P<0.05). The left vertebral artery diameter was 39.58±3.29 mm and the PSV was 45.48±5.22 cm/s, which were higher than those in the control group, while the RI was 0.62±0.07, which was lower than that in the control group (P<0.05). The right vertebral artery diameter was 36.92±3.76 mm and the PSV was 45.83±4.76 cm/s, which were higher than those in the control group, while the RI was 0.63±0.05 lower the control group (P<0.05). Conclusion The efficacy of Danggui Chuanxiong Decoction combined with three-needle therapy for treating vertigo in cervical spondylosis is more precise, which helps to alleviate TCM symptoms and improve cervical symptoms and functions, and also improves bilateral vertebral artery diameter, resistance, and blood flow velocity. |
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