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针药结合治疗颈性眩晕(痰浊阻窍证)的临床观察

李辉 刘美婷 代秀 雷鸣 杨瑞勇

中国中医急症2026,Vol.35Issue(5):573-576,4.
中国中医急症2026,Vol.35Issue(5):573-576,4.DOI:10.3969/j.issn.1004-745X.2026.05.017

针药结合治疗颈性眩晕(痰浊阻窍证)的临床观察

Clinical Study on Acupuncture-Medication Combined Therapy for Cervical Vertigo of Turbid Phlegm Obstructing Orifices Type

李辉 1刘美婷 1代秀 1雷鸣 2杨瑞勇3

作者信息

  • 1. 重庆市江北区中医院,重庆 400020
  • 2. 重庆市中医院,重庆 400021
  • 3. 重庆市红十字会医院,重庆市江北区人民医院,重庆 400020
  • 折叠

摘要

Abstract

Objective:To observe the clinical efficacy of acupuncture-medication combined therapy based on the theory of ascending lucidity and descending turbidity for cervical vertigo of turbid phlegm obstructing orifices type.Methods:A total of 90 patients with cervical vertigo of turbid phlegm obstructing orifices type were random-ly divided into control group 1(conventional acupuncture-medication combined therapy),control group 2(flunari-zine hydrochloride capsule therapy)and observation group(acupuncture-medication combined therapy based on ascending lucidity and descending turbidity theory).The intervention period was 7 days.The Dizziness Handicap Inventory(DHI)score,Neck Disability Index(NDI)score before treatment and on day 1,3,7 of treatment,vertebro-basilar blood flow velocity before and after treatment,and clinical efficacy were observed in each group.Results:The DHI score and NDI score of the observation group were significantly lower than those of the control groups on day 1,3,7 of treatment(P<0.05);the vertebrobasilar blood flow velocity of the observation group was significantly higher than that of the two control groups on day 7 of treatment(P<0.05);the total effective rate of the observa-tion group was significantly higher than that of the two control groups(P<0.05).Conclusion:Acupuncture-medi-cation combined therapy based on ascending lucidity and descending turbidity theory can significantly improve the clinical symptoms of patients with cervical vertigo of turbid phlegm obstructing orifices type,with rapid onset and increased vertebrobasilar blood flow velocity.

关键词

颈性眩晕/升清降浊/针刺/痰浊阻窍

Key words

Cervical vertigo/Ascending lucidity and descending turbidity/Acupuncture/Turbid phlegm obstruct-ing orifices

分类

医药卫生

引用本文复制引用

李辉,刘美婷,代秀,雷鸣,杨瑞勇..针药结合治疗颈性眩晕(痰浊阻窍证)的临床观察[J].中国中医急症,2026,35(5):573-576,4.

基金项目

重庆市科卫联合中医药项目(2022MSXM176) (2022MSXM176)

中国中医急症

1004-745X

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