中国神经再生研究(英文版) ›› 2016, Vol. 11 ›› Issue (8): 1267-1273.doi: 10.4103/1673-5374.189191

• 原著:脑损伤修复保护与再生 • 上一篇    下一篇

不同针刺手法治疗大脑后循环缺血致眩晕的安全性

  

  • 出版日期:2016-08-31 发布日期:2016-08-31
  • 基金资助:
    国家重点基础研究发展计划(973计划)(2010CB530506)

Safety of different acupuncture manipulations for posterior circulation ischemia with vertigo

Yan Wen1, #, Chao Zhang1, #, Xiao-feng Zhao2, #, Shi-zhe Deng1, Si He1, Ling-hui Huang3, Guang Tian1, Zhi-hong Meng1, *   

  1. 1 Department of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China 2 Institute of Acupuncture and Moxibustion, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China 3 Northern Jiangsu People’s Hospital, Yangzhou, Jiangsu Province, China
  • Online:2016-08-31 Published:2016-08-31
  • Contact: Zhi-hong Meng, Ph.D., tjmzh86@163.com.
  • Supported by:
    This study was supported by the National Basic Research Program of China (973 Program), No. 2010CB530506.

摘要:

既往研究显示针刺风池可有效治疗眩晕,但也有人发现针刺风池等位于后项部的穴位可以引起蛛网膜下腔出血和脊髓硬膜外血肿,因此需要对针刺风池的安全性进行评估。作者以实验室检查和不良事件为评价指标评估不同针刺手法治疗后循环缺血引起的眩晕的安全性。试验将136例后循环缺血引起的眩晕患者随机分为4组:第1组为入针方向为眼角,捻转频率为60 次/min;第2组入针方向为喉结,捻转频率为60次/min;第3组为入针方向为眼角,捻转频率为120 次/min;第4组入针方向为喉结,捻转频率为120次/min。4组患者均在3-4周内接受14次治疗,针刺的主要穴位是风池,配穴为中脘、气海、足三里、丰隆等。分别在治疗前及完成14次针次治疗后对患者血常规、肝肾功能、尿便常规和心电图进行检查,同时记录每次治疗后的不良反应。在136例患者中120例完成了试验。4组患者治疗前后血常规、肝肾功能、尿便常规及心电图检查结果都没有明显变化。但有5例患者出现了暂时性的疼痛、血肿和短暂胸闷的现象,无严重不良事件。因此作者认为使用针刺风池治疗后循环缺血引起的眩晕是安全的。 

orcid: 0000-0002-8470-2696 (Zhi-hong Meng)

关键词: 神经再生, 后循环缺血, 眩晕, 针灸, 针刺角度, 针刺旋转频率, 风池, 不良事件, 安全性

Abstract: Acupuncture at Fengchi (GB20) in the posterior neck improves vertigo. However, subarachnoid hemorrhage and spinal epidural hematoma have been reported to occur after acupuncture in the posterior neck. Therefore, in the present study, we assessed the safety of acupuncture at Fengchi. Laboratory tests and adverse event reports were used to evaluate the safety of different acupuncture manipulations for the treatment of posterior circulation ischemia with vertigo. A total of 136 patients were randomly assigned to four groups. Verum acupuncture was conducted with different needle insertion directions (contralateral paropia or prominentia laryngea) and different needle twisting frequencies (60 or 120 times/minute) at Fengchi and matching acupoints (for example, Zhongwan [CV12], Qihai [CV6], Zusanli [ST36], and Fenglong [ST40]). The patients received 14 treatments over 3–4 weeks. Routine blood analysis, hepatic and renal function tests, urine and feces tests and electrocardiography were performed before the frst treatment session and after the fnal session. Adverse events were recorded after every session. Of the 136 patients, 120 completed the study. There were no signifcant differences between pretreatment and posttreatment test results in any of the groups. Only fve patients suffered from minor adverse events (needling pain, slight hematoma and transient chest tightness). No serious adverse events were found. Our results indicate that a 14-session course of needling at Fengchi is relatively safe for treating posterior circulation ischemia with vertigo.

Key words: nerve regeneration, posterior circulation ischemia, vertigo, acupuncture, direction, twisting frequency, Fengchi (GB20), adverse event; safety, neural regeneration