针刺攒竹、睛明穴对颈性眩晕椎—基底动脉血流动力学的作用.pdfVIP

提 要 目的：通过针刺颈性眩晕患者的双侧攒竹、睛明穴，以经颅多普勒超声(TCD)检 测值为客观指标，分别观察两穴对椎-基动脉血流动力学的影响，探讨其效应的差异 性，为临床合理选穴提供客观依据。 方法：将临床选取的 60 例颈性眩晕患者，随机分为攒竹组和睛明组，观察针刺 前后两组患者TCD所示的BA、双侧VA、双侧PICA血流速度的变化，并对所得数据进 行统计学分析，观察两组之间是否有差异。 结果：组内比较，两组对改善BA高流速型血流速度均无显著性差异，对改善VA 低流速型及PICA低流速型的血流速度均有极显著性差异（P0.01）。组间比较，两组 在改善 BA 高流速型、VA 低流速型、PIVA 低流速型血流速度方面无显著性差异 （P0.05），但在改善BA高流速型血流速度方面，睛明组有优于攒竹组的趋势。 结论：攒竹、睛明穴虽位置相邻，同属一经，但作用效力有所不同。在改善颈性 眩晕患者BA高流速型血流速度方面，睛明穴有优于攒竹穴的优势，二者难以替代。 关键词 穴；攒竹；睛明；针刺；颈性眩晕；TCD Acupuncture Cuanzhu and Jingming Point on the Cervical Vertigo Patients with Vertebrobasilar Artery Hemodynamics Speciality: Acupuncture and moxibustion Author:Wang Xiuyan Tutor: Prof. Wang Rui Abstract Objective: Acupuncture cuanzhu point in patients with cervical vertigo, and acupuncture jingming point contrast, observe the two points of vertebral-basilar artery hemodynamics, discuss the differences of the benefit, provide objective basis for the clinical use of acupuncture point treatment prescribed cervical vertigo. Methods: The clinical study of 60 cases selected were randomly divided into cuanzhu group and jingming group were observed before and after acupuncture in patients with TCD, as shown in the two groups BA, bilateral VA, PICA blood flow velocity changes. The author analyzes the data statistically and observes whether there are differences between the two groups. Results: Group comparison, the two groups P0.01,before and after treatment at the two groups were significantly different on cuanzhu and jingming points acupuncture can be significantly improved VA,PICA low velocity type of blood flow velocity; group comparison, though two groups have no significant improvement in BA-type high-flow , VA,P