针刺风池穴联合超声引导下星状神经节阻滞治疗颈源性眩晕的效果

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摘要目的探讨基于倾向性评分匹配针刺风池穴联合超声引导下星状神经节阻滞（SGB）治疗颈源性眩晕的效果。方法回顾性分析中国中医科学院望京医院2020年1月至12月确诊并接受治疗的150例颈源性眩晕患者的临床资料，其中80例实施超声引导下SGB治疗，纳入对照组，70例实施针刺风池穴联合超声引导下SGB治疗，纳入观察组，经倾向性评分匹配后，最终纳入对照组及观察组各30例。治疗4周后，比较两组临床疗效、临床症状积分、基底动脉血流速度及椎动脉血流速度，观察两组安全性。结果匹配后，观察组临床疗效优于对照组（P ＜ 0.05）。匹配后，两组治疗前临床症状积分比较，差异无统计学意义（P ＞ 0.05）；两组治疗4周临床症状积分较治疗前降低，且观察组低于对照组（P ＜ 0.05）。匹配后，两组治疗前基底动脉血流速度、椎动脉血流速度比较，差异无统计学意义（P ＞ 0.05）；两组治疗4周基底动脉血流速度、椎动脉血流速度较治疗前增快，且观察组快于对照组（P ＜ 0.05）。两组治疗期间均无风险事件及不良反应发生。结论针刺风池穴联合超声引导下SGB治疗颈源性眩晕较单独实施超声引导下SGB疗效好，安全性佳。

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	郭辉1 张志军1 杨立强2

关键词 ：颈源性眩晕, 星状神经节阻滞, 针刺, 风池穴, 疗效, 症状, 血流速度

Abstract：Objective To explore the effect of acupuncture at fēngchí acupoint combined with ultrasound-guided stellate ganglion block (SGB) in the treatment of cervical vertigo based on propensity score matching. Methods Clinical data of 150 patients with cervical vertigo diagnosed and treated in Wangjing Hospital of China Academy of Chinese Medical Sciences from January to December 2020 were retrospectively analyzed, among them, 80 cases were treated with ultrasound-guided SGB and included in control group, 70 cases were treated with acupuncture at fēngchí acupoint combined with ultrasound-guided SGB and included in observation group, Finally, 30 cases were included in the control group and the observation group after propensity score matching. After treatment of four weeks, clinical efficacy, clinical symptom score, basilar artery blood flow velocity and vertebral artery blood flow velocity of two groups were compared, and the safety of two groups was observed. Results After matching, clinical effect of observation group was better than that of control group (P < 0.05). After matching, there were no significant differences in clinical symptom scores between two groups before treatment (P > 0.05); clinical symptom scores of two groups after treatment of four weeks were lower than those before treatment, and observation group was lower than control group (P < 0.05). After matching, there were no significant differences in basilar artery blood flow velocity and vertebral artery blood flow velocity of two groups before treatment (P > 0.05); the basilar artery blood flow velocity and vertebral artery blood flow velocity of two groups after treatment of four weeks were faster than those before treatment, and observation group was faster than control group (P < 0.05). There were no risk events and adverse reactions in both groups during treatment. Conclusion Acupuncture at fēngchí acupoint combined with ultrasound-guided SGB in the treatment of cervical vertigo is more effective and safe than ultrasound-guided SGB alone.

Key words： Cervical vertigo Stellate ganglion block Acupuncture Fēngchí acupoint Curative effect Symptom Blood flow velocity

基金资助:北京市科学技术委员会首都临床诊疗技术研究及示范应用专项优势学科培育项目（Z191100006619044）；
北京市医院管理中心临床医学发展专项“扬帆”计划（重点扶持专业）项目（ZYLX202134）。

通讯作者: 杨立强（1976-），男，博士，主任医师；研究方向：疼痛医学。

作者简介: 郭辉（1983-），男，硕士，主要从事疼痛治疗工作。

引用本文:

郭辉1 张志军1 杨立强2. 针刺风池穴联合超声引导下星状神经节阻滞治疗颈源性眩晕的效果[J]. 中国医药导报, 2022, 19(20): 165-168.
GUO Hui1 ZHANG Zhijun1 YANG Liqiang2. Effect of acupuncture at fēngchí acupoint combined with ultrasound-guided stellate ganglion block in the treatment of cervical vertigo. 中国医药导报, 2022, 19(20): 165-168.

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