| Objective:To observe the clinical effect of needle knife combined with warming needle moxibustion in the treatment of cervical vertigo,and to provide an effective scientific treatment for the treatment of cervical vertigo.Methods:60 patients with cervical vertigo in the acupuncture department of Danyang hospital of traditional Chinese medicine were selected as research objects from April 2018 to December 2018.According to the visiting order,all patients were random ly divided into treatment group and control group,30 cases in each group.The control group was treated with warming needle moxibustion while the treatment group was treated with needle-knife combined with warming needle moxibustion.Warming’ needle moxibustion were applied at Baihui(DU20),bilateral Fengchi(GB20),Tianzhu(BL10)and cervical 3-5 Jiaji(EX-B2)for acupuncture treatment,respectively.Fengchi(GB20)andTianzhu(BL10)were treated with warming needle moxibustionat each point for 2 times,with needles retained for 0.5 hours,once a day,10 days as a treatment course,and continued for 2 treatment courses.Needle-knife therapy,fixed points and tender points of nodules on both sides of the cervical vertebra were selected.The cutting edge line was parallel to the longitudinal axis and perpendicular to the bone surface,once 7 days,2 tim es for 1 treatment course,and continuous treatment for 2 treatment courses.Observed indicators:1.TCD blood flow velocity of patien ts in two groups before and after treatment;2.Cervical curvature of.patients in two groups before and after treatment;3.Changes of blood viscosity indicators of patients in two groups before and after treatment;4.Symptoms and functional scores of patients in two groups before and af ter treatment;5.Evaluation of the therapeutic effect of patients in two groups.Results:1.TCD:After treatment,the average blood flow velocity of the right vertebral artery,left vertebral artery and basilar artery inc.reased in the two groups,and there was significant difference between the two groups before and after treatment.The average blood flow velocity of the right vertebral artery,left vertebral artery and basilar artery in the treatment group was higher than that in the control group,and the difference between the two groupst was P<0.05 after treatmen,indicating that The difference was statistically significant.The blood flow velocity of the left and right vertebral artery and basilar artery in the treatment group was obviously better than that in the control group,so as to better improve the cerebral blood supply.2.Cervical cur’vature:By comparing the control group before and after treatment,P>0.05,indicating that the use of control group treatment method could not significantly improve cervical curvature;by comparing the treatment group before and after treatment,P<0.05,indicating that the use of treatment group method could significantly improve cervical curvature.The difference was compared between the two groups after treatment,P<0.05,which showed that the improvement of cervical curvature in the treatment group was significantly better than that in the control group.3.Blood Viscosity:After treatment,the whole blood high shear viscosity,the whole blood low shear viscosity and plasma viscosity was decreased in both groups,and there was significant difference among them before and after treatment.After treatment,the values of the three indicators in the treatment group were lower than those in the control group(P<0.05),indicating that the blood viscosity of the cervical artery in the treatment group was significantly better than that in the control group.4.Symptoms and functional scores:After treatment,the scores of symptoms and functions were improved,and there was significant difference between the two groups before and after treatment.After treatment and follow-up for 3 months,the scores of symptoms and functions in the treatment group were higher than those in the control group.The difference was P<0.05 between the two groups,indicating that the treatment group was superior to the control group in improving the symptoms and functional scores of cervical vertigo,and had more advantages and better long-term efficacy than the control group.5.Therapeutic effect:Comparing the treatment efficiency of patients in two groups,the treatment efficiency of the treatment group was higher than that of the control group,the difference was P<0.05 between the two groups,indicating that the therapeutic effect of the treatment group was better than that of the control group.Conclusion:Needle knife combined with warming needle moxibustion can better improve the blood flow of vertebral artery and basilar artery,cervical curvature and blood viscosity than needle warming through moxibustion,and has better short-term and long-term effects in improving clinical symptoms and functions of cervical vertigo.Needle knife combined with needle warming through moxibustion is worthy of clinical promotion for cervical vertigo. |
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