摘要
目的 观察分析对痰瘀互结型眩晕患者实施刺络拔罐的临床效果和应用价值。方法 选择2024年1月至2024年12月南通市中医院心内科就诊的60例痰瘀互结型眩晕患者,以随机数字法分为对照、观察两个小组,分别实施常规治疗、刺络拔罐疗法。收集分析治疗效果。结果 与对照组相比,观察组眩晕障碍评分、中医症状积分(眩晕/头痛/恶心呕吐/失眠/便秘)、舌象变化总评分(舌质/舌苔/舌下络)、血脂指标(TG/TC)均显著降低,差异具有统计学意义(P<0.05)。结论 刺络拔罐可以有效促进痰瘀互结型眩晕患者症状缓解,改善血脂指标,促进恢复,有较高应用价值。
关键词: 痰瘀互结型;眩晕;经络皮部理论;刺络拔罐
Abstract
Objective To observe and analyze the clinical effect and application value of cupping in patients with vertigo. Methods 60 patients of vertigo with sputum and stasis mutual joint treated in the Department of Cardiology of Nantong Hospital of Traditional Chinese Medicine from January 2024 to December 2024 were divided into two groups: control and observation by random number method, and conventional treatment and puncture and cupping therapy were implemented respectively. Collect and analyze the treatment effects. Results Compared with the control group, the vertigo disorder score, TCM symptom score (vertigo / headache / nausea / vomiting / insomnia / constipation), total score of tongue change (tongue / tongue / tongue), and blood lipid index (TG / TC) were significantly reduced, and the difference was statistically significant (P <0.05). Conclusion The cupping can effectively promote the relief of symptoms, improve blood lipid index and promote recovery, and has high application value.
Key words: Sputum stasis; Vertigo; Meridian skin theory; Collateral cupping
参考文献 References
[1] 宋燕清,周宿迪,郑日新,等.郑日新经验方治疗痰瘀互结型耳眩晕的临床观察[J].云南中医中药杂志,2023,44(2):38-42.
[2] 黄旭,李先婷,江玉.天虫定眩丸治疗痰瘀互结型椎-基底动脉供血不足性眩晕的临床研究[J].中药材,2022,45(1):225-229.
[3] 隋晓琳,牟善茂,张孟,等.自拟化痰活血解毒汤治疗痰瘀互结兼热毒型后循环缺血性眩晕的临床研究[J].中国中医急症,2020,29(11):1993-1995.
[4] 吴聪英,吴兢,范庆菁,等.调形理论在治疗眩晕中的应用[J].光明中医,2024,39(12):2528-2531.
[5] 闫娟,拓明祥,王宏,等.巴曲酶联合金纳多注射液治疗突发性耳聋伴眩晕患者的临床疗效观察[J].中国药师,2024,27 (3): 470-476.
[6] 饶凯华,黄春华,张卫华,等.颈性眩晕的中医病机、证型特点及中医治疗进展[J].中国中医基础医学杂志,2024,30(9): 1609-1613.
[7] 朱建,王缘,桑穆惠,等.熄风化痰止眩汤联合悬灸治疗风痰上扰型后循环缺血性眩晕的临床研究[J].吉林中医药, 2024, 44(1):101-105.
[8] 王蔚琳,刘彬,张双伟,等.针刺结合引火归元穴位贴敷治疗上实下虚型颈性眩晕临床观察[J].中国中医药现代远程教育,2024,22(18):117-120.
[9] 周庆,刘雄光,吴海峰.中医治疗良性阵发性位置性眩晕研究进展[J].实用中医药杂志,2024,40(8):1678-1680.
[10] 王磊,陈幸生,沈玥,等.陈幸生芒针透刺联合项丛刺治疗后循环缺血性眩晕经验[J].中医药临床杂志,2024,36(2):260-264.
[11] 于志国,关睿骞,苗源,等.基于孙申田教授经络辨证思想采用电项针结合手指点穴治疗颈性眩晕的临床研究[J].中医药学报,2024,52(12):59-63.
[12] 卢永智,冯伟.刺络拔罐联合氟桂利嗪治疗颈性眩晕疗效及其对血清D-二聚体、hs-CRP的影响[J].湖北中医杂志,2020(6):6-8.