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目的:观察针刺合口服加味定眩汤及腺苷钴胺肌内注射治疗颈性眩晕的临床疗效。方法:将90例颈性眩晕患者随机分为两组各45例,对照组采用针刺合口服加味定眩汤治疗,治疗组在对照组基础上加腺苷钴胺治疗。疗程2周,观察两组临床疗效。结果:总有效率治疗组为88.9%,对照组为77.8%,组间比较,差异有统计学意义(P<0.05)。两组基底动脉血流速度检测结果及JOA评分比较,差异均有统计学意义(P<0.05)。结论:针刺合口服加味定眩汤联合腺苷钴胺肌注治疗颈性眩晕能明显解除椎动脉痉挛,改善交感神经异常功能,提高患者生活质量,其疗效明显优于单用针刺合口服加味定眩汤治疗。
Objective: To observe the clinical effect of acupuncture plus oral dizziness decoction and adenosylcobalamin intramuscular injection in the treatment of cervical vertigo. Methods: Ninety-nine patients with cervical vertigo were randomly divided into two groups (n = 45). The control group was treated with acupuncture combined with Jia Ding Ding Jing Decoction. The treatment group was treated with adenosylcobalamin on the basis of the control group. The course of treatment was 2 weeks and the clinical efficacy of the two groups was observed. Results: The total effective rate was 88.9% in the treatment group and 77.8% in the control group. There was significant difference between the two groups (P <0.05). The basilar artery blood flow velocity and JOA score of the two groups were significantly different (P <0.05). Conclusion: Acupuncture combined with oral Ding Dingxuan decoction combined with adenosylcobalamin intramuscular injection of cervical vertigo can relieve vertebral artery spasm, improve the abnormal function of sympathetic and improve the quality of life of patients, the curative effect is better than single acupuncture combined with oral Modified Dingxuan Soup treatment.