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[摘要]
目的 观察复方丹参滴丸联合针刺治疗颈性眩晕的临床疗效。方法 将82例颈性眩晕患者随机分为对照组、针刺组、复方丹参滴丸组、复方丹参滴丸+针刺组,对照组患者给予口服西比灵,每次5~10 mg,每晚睡前顿服,其他3组均在此基础上加用别的治疗方案。针刺组加用针刺(主穴:双侧风池、完骨、天柱;配穴:颈夹脊、百会、天柱、肩髃、曲池、外关、合谷),留针30 min,1次/d。复方丹参滴丸组加用复方丹参滴丸,10粒/次、3次/d。复方丹参滴丸+针刺组在复方丹参滴丸的基础上联合针刺治疗,取穴及用药方法同前。4组疗程均为2周。治疗结束后,比较4组的临床疗效和不良反应。结果 对照组、针刺组、复方丹参滴丸组、复方丹参滴丸+针刺组的总有效率分别为68.42%、80.95%、80.00%、90.91%,后3组均明显优于对照组(P<0.05),其中复方丹参滴丸+针刺组优于针刺组和复方丹参滴丸组(P<0.05)。结论 复方丹参滴丸联合针刺治疗颈性眩晕疗效确切,可显著增加颈总动脉血流量,安全可靠。
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[Abstract]
Objective To observe the clinical effect of Compound Danshen Dripping Pills (CDDP) combined with acupuncture in the treatment for cervical vertigo (CV). Methods Patients with CV (82 cases) were randomly divided into control, acupuncture, CDDP, and CDDP combined with acupuncture groups. The patients in the control group were treated with Sibelium (5—10 mg) every night before going to bed. The other three groups were based on the usage of other treatment plans. The patients in the acupuncture group were treated with Sibelium and acupuncture (the main acupoints: bilateral Fengchi, Wanggu, and Tianzhu; the associated acupoints: Cervical Jiaji, Baihui, Tianzhu, Jianyu, Quchi, Hegu, and Waiguan), for 30 min, once daily. The patients in the CDDP group were treated with Sibelium and CDDP, 10 pills each time, three times a day. The patients in the CDDP combined with acupuncture group were treated with Sibelium, CDDP, and acupuncture, and the methods of acupuncture and medication were the same as the former. Four groups were treated for two weeks. After treatment, the therapeutic effects and adverse reactions were observed. Results The efficiency of the control, acupuncture, CDDP, and CDDP combined with acupuncture groups was 68.42%, 80.95%, 80.00%, and 90.91%, respectively. The efficiency of all the three treatment groups was evidently superior to the control group (P < 0.05), and the CDDP combined with acupuncture group was better than the acupuncture and CDDP groups (P < 0.05). Conclusion The method of using CDDP combined with the acupuncture in the treatment of CV is effective, safe, and reliable. It could significantly increase the carotid artery blood flow.
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