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[目的]观察针刺联合西药治疗椎基底动脉供血不足眩晕疗效。[方法]使用随机平行对照方法,将72例(门诊)患者按抽签方法随机分为两组,对照组29例西药常规治疗(急性期长春西汀20mL静滴;缓解期西比灵10mg口服)31d为1疗程。治疗组43例针刺治疗,取双侧C1-C6夹脊穴、晕听区、百会、风池、太阳、合谷,西药治疗同对照组;注意日常生活起居调养;7d为1疗程,间隔1d,进行下1疗程。观测临床症状、体征。连续治疗31d,判定疗效。[结果]治疗组痊愈26例,好转14例,无效3例,总有效率93.02%。对照组痊愈13例,好转8例,无效8例,总有效率72.41%。治疗组疗效优于对照组(P<0.05)。[结论]针刺联合西药治疗眩晕具有较好的临床实用价值。
[Objective] To observe the curative effect of acupuncture and western medicine in treating vertigo of vertebrobasilar insufficiency. [Methods] 72 patients (outpatient) were randomly divided into two groups by randomized parallel control method. The control group was treated routinely with 29 western medicine (20 mL intravenous Vinpocetine in acute phase; 31d for a course of treatment. The treatment group of 43 cases of acupuncture treatment, bilateral C1-C6 Jiaji points, halo zone, Baihui, Fengchi, sun, Hegu, western medicine treatment with the control group; attention to daily living and nursed back to health; 7d for a course of treatment, interval 1d, for the next course of treatment. Observation of clinical symptoms and signs. Continuous treatment of 31d, to determine the efficacy. [Results] The treatment group cured 26 cases, 14 cases improved, 3 cases ineffective, the total effective rate was 93.02%. The control group recovered in 13 cases, improved in 8 cases, 8 cases, the total effective rate was 72.41%. The treatment group was better than the control group (P <0.05). [Conclusion] Acupuncture plus western medicine has good clinical value in treating vertigo.