“老十针”加减方针刺治疗后循环缺血性眩晕气血亏虚证临床研究

梁立新; 刘超; 肖阳春; 陈夷; 石玉君

doi:10.3969/j.issn.2095-6606.2022.02.002

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“老十针”加减方针刺治疗后循环缺血性眩晕气血亏虚证临床研究

临床研究 | 更新时间：2022-04-02

- “老十针”加减方针刺治疗后循环缺血性眩晕气血亏虚证临床研究
- Modified "Old Ten Needles" therapy for the post circulation ischemic vertigo of Qi and blood-deficiency pattern
- 现代中医临床 2022年29卷第2期页码：7-12
- 作者机构：
  
  1.北京中医医院顺义医院　北京　101300
  2.北京中医药大学第三附属医院
- 作者简介：
  
  梁立新，女，硕士，主治医师
  # 石玉君，女，硕士，主治医师，E-mail：66359349@qq.com
- 基金信息：
  
  国家科技重大专项项目(2017ZX10305501);北京中医医院顺义医院院级课题项目(SYYJ-201713)
- DOI：10.3969/j.issn.2095-6606.2022.02.002
  中图分类号： R246.1
- 纸质出版日期：2022-03-30，
  
  收稿日期：2021-03-28，
- 稿件说明：
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梁立新, 刘超, 肖阳春, 等. “老十针”加减方针刺治疗后循环缺血性眩晕气血亏虚证临床研究[J]. 现代中医临床, 2022,29(2):7-12.

Lixin LIANG, Chao LIU, Yangchun XIAO, et al. Modified "Old Ten Needles" therapy for the post circulation ischemic vertigo of Qi and blood-deficiency pattern[J]. Modern Chinese Clinical Medicine, 2022,29(2):7-12.
梁立新, 刘超, 肖阳春, 等. “老十针”加减方针刺治疗后循环缺血性眩晕气血亏虚证临床研究[J]. 现代中医临床, 2022,29(2):7-12. DOI： 10.3969/j.issn.2095-6606.2022.02.002.

Lixin LIANG, Chao LIU, Yangchun XIAO, et al. Modified "Old Ten Needles" therapy for the post circulation ischemic vertigo of Qi and blood-deficiency pattern[J]. Modern Chinese Clinical Medicine, 2022,29(2):7-12. DOI： 10.3969/j.issn.2095-6606.2022.02.002.

摘要

目的

观察“老十针”加减方针刺治疗后循环缺血性眩晕气血亏虚证的临床疗效。

方法

将70例后循环缺血性眩晕气血亏虚证患者随机分为治疗组35例、对照组35例。对照组根据患者一般情况，予控制血压、抗血小板聚集、降血脂稳定斑块、调整血糖、改善脑循环、溶栓等基础治疗。治疗组在对照组基础治疗的基础上配合“老十针”加减方针刺治疗。观察临床疗效，中医证候积分，眩晕障碍量表(DHI)评分，左、右椎动脉和基底动脉的平均血流速度，并进行安全性评价。

结果

治疗组35例中临床控制18例，显效8例，有效7例，无效2例，总有效率为94.3%；对照组35例中临床控制7例，显效8例，有效9例，无效11例，总有效率为68.6%。经秩和检验，

＝－3.25，

＝0.001，

0.05，说明治疗组临床疗效优于对照组。中医证候积分2组治疗后较本组治疗前均降低(

0.05)，治疗前2组比较差异无统计学意义(

0.05)，治疗后治疗组较对照组降低明显，2组治疗前后差值比较，差异有统计学意义(

0.05)，治疗组优于对照组。DHI评分2组治疗后较本组治疗前均降低(

0.05)，治疗前2组比较差异无统计学意义(

0.05)，治疗后治疗组较对照组降低明显，2组治疗前后差值比较，差异有统计学意义(

0.05)，治疗组优于对照组。治疗后治疗组左、右椎动脉和基底动脉平均血流速度较本组治疗前均升高(

0.05)，对照组左、右椎动脉和基底动脉平均血流速度与本组治疗前比较差异均无统计学意义(

0.05)，治疗组左、右椎动脉和基底动脉平均血流速度较对照组均升高明显，治疗前后差值比较，差异均有统计学意义 (

0.05)，治疗组均优于对照组。

结论

在西医常规治疗基础上，“老十针”加减方针刺治疗后循环缺血性眩晕气血亏虚证具有较好的临床疗效。

Abstract

Objective

To observe the clinical efficacy of modified "Old Ten Needles" therapy in patients with post circulation ischemic vertigo of the Qi and blood-deficiency pattern.

Methods

Seventy patients with posterior circulation ischemic vertigo of the Qi and blood-deficiency pattern were randomly assigned to the treatment group (

=35) and the control group (

=35). The control group received basic treatment based on patients’ general conditions

for instance

blood pressure control

anti-platelet aggregation

lowering blood lipids

stabilizing plaques

adjusting blood sugar

improving cerebral circulation

thrombolysis and other conventional treatments. Apart from the basic treatment that the control group received

the treatment group received modified "Old Ten Needles" therapy. The clinical efficacy

traditional Chinese medicine (TCM) syndrome score

dizziness disorder inventory (DHI) score

average blood flow velocity of the left and right vertebral arteries and basilar artery were observed

and its safety was evaluated.

Results

As for the clinical efficacy

18 cases were clinically controlled

8 cases were markedly effective

7 cases were effective

and 2 cases were ineffective

with a total effective rate of 94.3% in the treatment group. In the control group

7 cases were clinically controlled

8 cases were markedly effective

9 cases were effective

and 11 cases were ineffective

with a total effective rate of 68.6%. Nonparametric test showed that as compared with the control group

the modified "Old Ten Needles" therapy had advantages in clinical effects (

=-3.25

=0.001

0.05)

indicating that the clinical efficacy was better in the treatment group than in the control group. The scores of TCM syndromes were significantly decreased after treatment as compared with before treatment in both groups (

0.05). There was no significant difference between the two groups before treatment (

0.05). After treatment

the score of TCM syndromes was significantly lower in the treatment group than in the control group (

0.05)

with a lower score of TCM syndromes in the treatment group than in the control group. The DHI scores were significantly decreased after treatment in the two groups (

0.05). There was no significant difference between the two groups before treatment (

0.05)

but there was a significant difference between the two groups after treatment (

0.05)

more in the treatment group than in the control group. The average blood flow velocity of the left and right vertebral arteries and basilar artery was significantly increased in the treatment group after treatment (

0.05)

but not in the control group after treatment(

0.05). The average blood flow velocity of the left and right vertebral arteries and basilar artery was significantly higher in the treatment group than in the control group

and the difference before and after treatment was statistically significant (

0.05)

better in the treatment group than in the control group.

Conclusions

In combination with the regular treatment in Western medicine

the modified "Old Ten Needles" therapy demonstrates remarkable therapeutic efficacy in post circulation ischemic vertigo of Qi and blood-deficiency pattern.

关键词

针刺疗法眩晕后循环缺血气血亏虚老十针

Keywords

acupuncture therapydizzinessposterior circulation ischemiaQi and blood-deficiency patternOld Ten Needles

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