Li Fei, Jiang Tianxin
Department of Rehabilitation, Anhui Acupuncture and Moxibustion Hospital, Hefei 230061, China.
Zhongguo Zhen Jiu. 2018 Sep 12;38(9):936-9. doi: 10.13703/j.0255-2930.2018.09.008.
To compare the effect difference between needle-knife therapy combined with moxa stick pressure moxibustion and western medicine for cervical vertigo.
A total of 60 cervical vertigo patients were randomized into an observation group and a control group, 30 cases in each group. The patients in the observation group were treated with needle-knife therapy combined with moxa stick pressure moxibustion at Baihui (GV 20), Shenting (GV 24), Tianzhu (BL 10), Yuzhen (BL 9), Touwei (ST 8), etc. The needle-knife therapy was given once a week, 1-3 times. The pressure moxibustion was given once a day, 6 times a week. The patients in the control group were received 12 mg of betahistine mesylate, twice a day, and 75 mg of diclofenac sodium double release capsule, once daily for oral treatment. The treatment was given for 3 weeks in both groups. The symptom and functional evaluation scale of cervical vertigo were observed before and after treatment and 3 months after treatment. The long-term effect was observed 3 months after treatment.
The total effective rate in the observation group was 93.3% (28/30), which was significantly higher than 63.3% (19/30) in the control group (<0.05). Compared with those before treatment, the scores of vertigo symptom and functional evaluation scale, dizziness, neck and shoulder pain, headache, daily life, psychological and social adaptability were increased in the two groups (<0.05, <0.01). Except for a slight decrease in headache and total score at the follow-up period in the observation group, the remaining 4 individual scores were higher than those after treatment (all <0.05). At follow-up, the total score and five individual scores were lower than those after treatment in the control group (<0.05, <0.01). Compared with those in the control group, the vertigo scale scores and the five individual scores in the observation group were increased significantly after treatment and at follow-up (<0.05, <0.01).
Needle-knife therapy combined with moxa stick pressure moxibustion can significantly relieve dizziness, headache, neck and shoulder pain in patients with CV, and can improve the quality of life . The combination therapy are better than western medicine, and have a better long-term effect.
比较针刀疗法结合艾灸棒压灸与西药治疗颈性眩晕的疗效差异。
将60例颈性眩晕患者随机分为观察组和对照组，每组30例。观察组患者采用针刀疗法结合艾灸棒在百会（GV20）、神庭（GV24）、天柱（BL10）、玉枕（BL9）、头维（ST8）等穴位进行压灸。针刀疗法每周1次，1 - 3次。压灸每天1次，每周6次。对照组患者口服甲磺酸倍他司汀12mg，每日2次，双氯芬酸钠缓释胶囊75mg，每日1次。两组均治疗3周。观察治疗前、治疗后及治疗后3个月颈性眩晕的症状和功能评价量表。治疗后3个月观察远期疗效。
观察组总有效率为93.3%（28/30），显著高于对照组的63.3%（19/30）（P<0.05）。与治疗前相比，两组眩晕症状和功能评价量表、头晕、颈肩痛、头痛、日常生活、心理和社会适应能力评分均升高（P<0.05，P<0.01）。观察组随访期除头痛和总分略有下降外，其余4项单项评分均高于治疗后（均P<0.05）。随访时，对照组总分及5项单项评分均低于治疗后（P<0.05，P<0.01）。与对照组相比，观察组治疗后及随访时眩晕量表评分及5项单项评分均显著升高（P<0.05，P<0.01）。
针刀疗法结合艾灸棒压灸能显著缓解颈性眩晕患者的头晕、头痛、颈肩痛，提高生活质量。联合治疗优于西药，远期疗效更好。
