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1、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(P<0.01)。组间比较,两组在改善BA高流速型、VA
2、低流速型、PIVA低流速型血流速度方面无显著性差异(P>0.05),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;TCDAcupunctureCuanzhuandJingmingPointontheCervicalVertigoPatientswithVertebrobasilarArteryHemodynamicsSpeciality:Acupunctu
3、reandmoxibustionAuthor:WangXiuyanTutor:Prof.WangRuiAbstractObjective:Acupuncturecuanzhupointinpatientswithcervicalvertigo,andacupuncturejingmingpointcontrast,observethetwopointsofvertebral-basilararteryhemodynamics,discussthedifferencesofthebenefit,provideobjectivebasisforthec
4、linicaluseofacupuncturepointtreatmentprescribedcervicalvertigo.Methods:Theclinicalstudyof60casesselectedwererandomlydividedintocuanzhugroupandjingminggroupwereobservedbeforeandafteracupunctureinpatientswithTCD,asshowninthetwogroupsBA,bilateralVA,PICAbloodflowvelocitychanges.Th
5、eauthoranalyzesthedatastatisticallyandobserveswhethertherearedifferencesbetweenthetwogroups.Results:Groupcomparison,thetwogroupsP<0.01,beforeandaftertreatmentatthetwogroupsweresignificantlydifferentoncuanzhuandjingmingpointsacupuncturecanbesignificantlyimprovedVA,PICAlowveloci
6、tytypeofbloodflowvelocity;groupcomparison,thoughtwogroupshavenosignificantimprovementinBA-typehigh-flow,VA,PICAtypelow-flowvelocity,acupuncturejingmingwassuperiortocuanzhuinBA-typehigh-flowvelocityoftheroleof.Conclusion:AlthoughCuanzhupointandJingmingpointareattheadjacentposit
7、ionandbelongtothesamemeridian,theirroleplayingisdifferent.OntheaspectofimprovingBA-typelow-flowvelocityinpatientswithcervicalvertigo,JingmingpointissuperiortoCuanzhupoint.Itisdifficultforthetwopointstoreplaceeachother.Keywordspoint;cuanzhu;jingming;acupuncturetherapy;cervicalv
8、ertigo;TCD.目录引言..............................................