针刺益脑方加悬钟穴对颈性眩晕椎—基底动脉血流动力学的影响

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1、提要目的：通过针刺颈性眩晕患者百会、风府(益脑方)加悬钟穴，并与单纯针刺益脑方相对照，观察两组穴对椎-基底动脉血流动力学的影响，为丰富临床配穴方法提供客观依据。方法：临床研究选取50例患者，随机分为观察组和对照组各25例，观察组取百会、风府(益脑方)加悬钟穴，对照组取益脑方。观察针刺前后两组患者经颅多普勒超声(TCD)所示的基底动脉、双侧椎动脉、双侧小脑后下动脉血流速度的变化，并对两组数据进行统计学分析，观察两组结果是否有差异。结果：研究结果显示，观察组与对照组对改善椎动脉高流速型血流速度均有显著性差异(P＜0.05)，说明针刺益脑方加悬钟穴可改善椎动脉高流速型血流速度；对改

2、善小脑后下动脉低流速型血流速度均有极显著性差异(P＜0.01)，说明针刺益脑方加悬钟穴可明显改善小脑后下动脉低流速型的血流速度；在改善椎动脉高流速型血流速度与改善小脑后下动脉低流速型血流速度上，观察组与对照组组间虽无显著性差异(P＞0.05)，但观察组的改善幅度有大于对照组的趋势。结论：针刺益脑方加悬钟穴有显著改善颈性眩晕患者椎-基底动脉血流动力学的作用，且改善幅度有大于单纯针刺益脑方的趋势，为丰富临床配穴方法提供了客观依据。关键词穴，百会；穴，风府；穴，悬钟；益脑方；针刺；颈性眩晕；TCDObservationofinfluenceontheVertebrobasilarA

3、rteryHemodynamicsbyacupuncturingYiNaoFormulaAndXuanzhongacupointsontheCervicalVertigoPatientsSpeciality:AcupunctureandmoxibustionAuthor:ZhaoNaTutor:Prof.WangRuiAbstractObjective:Thisstudyistoobservetheinfluencetothevertebral-basilararteryhemodynamicsaccordingtoTCDbyacupuncturingBaihuiFengFu

4、（YiNaoFormula）andXuanzhongpointsinpatientswithcervicalvertigo,bycontrastwithacupuncturingBaihuiandFengFupointsandtoprovideobjectiveevidenceforoptimizationofclinicalacupointsselectionforcervicalvertigo.Methods:Theclinicalstudyof50casesselectedwererandomlydividedintoobservationgroupandcontrol

5、groupwhichwereobservedbeforeandafteracupuncturebyTCD,asshownthechangesofBA,bilateralVA,PICAbloodflowvelocityinthetwogroupsandthedatawerestatisticallyanalyzed(ttest)toobservethedifferencesbetweentwogroups.Results:Clinicalstudieshaveshown,forVAhighvelocitytypeoftheobservationgroup,thereissign

6、ificantdifferencebeforeandafterthetreatmentwithinthegroups（P＜0.05).ForPICAlowvelocitytypeoftheobservationgroup,thereishighlysignificantdifferencebeforeandafterthetreatmentwithinthegroups（P＜0.01).TheresultsindicatethatitcanimprovethebloodflowofthehighvelocityofVAandPICAlowvelocitytypebybotha

7、cupunctingtheYiNaoFormulaandXuanzhongacupoints.Comparingthedifferencebetweentwogroups,observationgrouphasabettertendencyonimprovingthebloodflowofVAhighvelocitytype,PICAlowvelocitytypethancontrolgroup.Conclusion:AcupuncturingYiNaoFormulaandXuanzhongacupoi