耳穴压豆治疗后循环缺血性眩晕的临床疗效观察

目的 探讨耳穴压豆治疗后循环缺血性眩晕的疗效.方法 随机选取莒县中医医院脑病科120例后循环缺血性眩晕患者,随机分为观察组和对照组,每组各60例,对照组用中西联合治疗,观察组在此基础上给予耳穴压豆治疗,比较两组临床疗效及脑动脉血流指标左大脑后动脉(LPCA)、右大脑后动脉(RPCA)、左椎动脉(LVA)、右椎动脉(RVA)、基底动脉(BA)血流速度]的变化.结果 观察组患者治疗总有效率98.33%显著高于对照组83.33%(P<0.01);治疗后两组LPCA、RP-CA、LVA、RVA、BA较治疗前均显著提高(P<0.05),且观察组LPCA、RPCA、LVA、RVA均显著高于对照组(P<0.05);两组不良反应发生率均为1.7%,差异无统计学意义(P>0.05).结论 采用耳穴压豆配合中西药治疗后循环缺血性眩晕患者,可显著提高患者治疗总有效率,其机制与进一步改善患者脑动脉血流相关.

Effects of Ear Acupoint Bean-Pressing in Treating 60 Cases of Posterior Circulation Ischemic Vertigo

Objective To investigate the effects of ear acupoint bean-pressing in treating posterior circulation ischemic vertigo. Methods 120 patients with posterior circulation ischemic vertigo who were treated in the encephalopathy department of Juxian County Hospital of Traditional Chinese Medicine were randomly divided into the observation group and the con-trol group, 60 cases in each group. The control group was treated with Chinese and Western medicine, while the observa-tion group was treated with ear acupoint bean-pressing on the basis of control group. The clinical curative effect and changes of cerebral artery blood flow indexes (LPCA, RPCA, LVA, RVA and BA) were compared between the two groups. Results The total effective rate of treatment in observation group (98.33%) was significantly higher than control group (83.33%) (P<0.05). After treatment, LPCA, RPCA, LVA, RVA and BA in both groups were significantly higher than those before treatment (P<0.05), and those in observation group were significantly higher than the control group (P<0.05). The incidence of adverse reactions in both groups were 1.7% (P>0.05). Conclusion The application of ear acupoint bean-pressing combined with Western medicine in patients with posterior circulation ischemic vertigo could significantly improve the total effective rate of treatment and its mechanism may be associated with the improvement of cerebral artery blood flow.