杨旭峰

【摘 要】 目的：观察加味益气聪明汤联合针灸治疗眩晕患者的临床疗效。方法：选取气血亏虚型颈性眩晕患者146例，随机分为观察组和对照组各73例。对照组使用针灸进行治疗，观察组在对照组的基础上加用加味益气聪明汤进行治疗。评价临床疗效；观察并对比两组治疗前后椎-基底动脉血流流速情况，以及不良反应情况。结果：观察组治疗总有效率比对照组高（P<0.05）；治疗后两组椎-基底动脉血流收缩期的最大流速明显增高（P<0.05），治疗后，观察组椎-基底动脉血流收缩期的最大流速明显高于对照组（P<0.05）。两组治疗过程中均无明显不良反应（P>0.05）。结论：加味益气聪明汤联合针灸治疗气血亏虚型颈性眩晕，临床疗效较好，可使患者脑血流明显改善，且无明显不良反应，具有较高的临床应用价值，值得应用推广。

【关键词】 加味益气聪明汤；针灸；气血亏虚型；颈性眩晕；临床疗效

【中图分类号】R684.2 【文献标志码】 A 【文章编号】1007-8517（2018）07-0096-03

Abstract：Objective To observe the clinical efficacy of mixed qi and yiqi decoction combined with acupuncture and moxibustion in treating vertigo patients.Methods Choose qi and blood deficiency type of 146 patients with cervical vertigo， using the random number method patients were randomly divided into observation group （73 cases） and control group （73 cases）.The patients in the control group were treated with acupuncture only， and the patients in the observation group were treated with the supplemental qi and yiqi smart decoction on the basis of the above treatment.Evaluation of clinical efficacy；To observe and compare the flow velocity of vertebrobasilar artery before and after treatment in two groups， and adverse reactions.Results The total effective rate was higher in the observation group than in the control group （P<0.05）.Before and after the two groups after treatment in patients with vertebral - basilar artery systolic maximum velocity of blood flow increased significantly （P<0.05）， after treatment， the observation group of patients with vertebral - basilar artery blood flow before and after the systolic maximum velocity is significantly higher than control group （P<0.05）.No significant adverse reactions were observed in both groups（P>0.05）.Conclusion Flavored yiqi smart soup combined acupuncture and moxibustion treatment of qi and blood deficiency type cervical vertigo， clinical curative effect is good， can make the patients with cerebral blood flow， and no obvious adverse reaction， has high clinical value， is worth popularizing application.

Keywords：Add flavor and Yiqi and Smart soup；Acupuncture；Deficiency of qi and blood；Cervical vertigo；Clinical curative effect

頸性眩晕为一种常见的临床疾病，随着社会、科技的进步，颈椎病越来越年轻化，发病大多与长期低头习惯有关，由以前的中老年人群逐渐发展以中年女性为高发人群[1-3]。笔者将146例气血亏虚型颈性眩晕患者随机分成两组，分别采用针灸单独治疗和加味益气聪明汤联合针灸治疗，研究结果报道如下。

1 资料与方法

1.1 一般资料 选取2014年8月到2017年11月间在我院进行治疗的气血亏虚型颈性眩晕患者146例，随机分为对照组和观察组各73例。对照组男16例，女57例；年龄19～55岁，平均年龄（35.37±6.51）岁；病程2～5个月，平均病程（3.37±0.81）个月。观察组男15例，女58例；年龄18～54岁，平均年龄（35.72±6.66）岁；病程1～5个月，平均病程（3.14±0.75）个月。两组年龄、性别等一般资料比较，差异无统计学意义（P>0.05），具有可比性。

1.2 诊断标准 所有患者均符合《第二届颈椎病专题座谈会纪要》中颈性眩晕的相关诊断标准[4]，均符合《中医病证诊断疗效标准》中气血亏虚型颈性眩晕的相关诊断标准[5]。……