耳穴埋豆联合穴位按摩在眩晕病中的应用效果

梁兜选

[摘要]目的 探讨耳穴埋豆联合穴位按摩在眩晕病中的应用效果。方法 选取2015年1月～ 2016年12月我院眩晕病（阴虚阳亢证）患者174例，采用随机数字表法将其分为对照组、观察组，每组87 例。对照组使用常规治疗及情志护理，观察组在对照组治疗基础上加用耳穴埋豆联合穴位按摩，2周为1个疗程。结果 观察组患者的总有效率明显高于对照组，差异有统计学意义（P<0.05），两组患者干预前的收缩压、舒张压比较，差异无统计学意义（P>0.05），干预后观察组的收缩压和舒张压显著低于对照组，差异有统计学意义（P<0.05）。結论 耳穴埋豆联合穴位按摩治疗眩晕病阴虚阳亢证的效果较好，操作简单、易接受、毒性小，值得临床应用推广。

[关键词]眩晕病；耳穴埋豆；穴位按摩

[中图分类号] R248 [文献标识码] A [文章编号] 1674-4721（2018）5（b）-0173-04

The effect of auricular point buried bean combined with acupoint massage in vertigo

LIANG Dou-xuan

The First Department of Internal Medicine，Hospital of Traditional Chinese Medicine of Yangjiang City in Guangdong Province，Yangjiang 529500，China

[Abstract]Objective To investigate the effect of auricular point buried bean combined with acupoint massage in vertigo.Methods A total of 174 patients with vertigo（yin deficiency and yang hyperactivity syndrome） in our hospital from January 2015 to December 2016 were randomly divided into control group and observation group，with 87 cases in each group.The control group was treated with routine therapy and emotional nursing，while the observation group was treated with auricular point embedding combined with acupoint massage on the basis of the control group，and 2 weeks were a course of treatment.Results The total effective rate of the observation group was significantly higher than that of the control group，the difference was statistically significant（P<0.05）.There was no significant difference between the two groups before the intervention （P>0.05）.After the intervention，the systolic and diastolic pressure of the observation group were significantly lower than that of the control group，the differences were statistically significant（P<0.05）.Conclusion Buried beans with auricular points combined with acupoint massage in the treatment of vertigo patients with yin-deficiency and yang-hyperactivity syndrome has better effects，easier operation，easier acceptance and less toxic，and is worth using in clinical practice.

[Key words]Vertigo；Buried beans with auricular points；Acupoint massag

眩晕病（阴虚阳亢证）是由肝肾阴虚，肝阳偏亢，阳亢化风，风阳上扰，所致，主要临床症状表现为[1]：头目眩晕、目胀耳鸣、脑部热痛、面红如醉。多见于高血压，属于慢性疾病，在临床中比较常见，患病率较高。血压患者的病程较长，若未及时采取措施干预治疗，诱发严重并发症，例如心脑肾疾病，甚至对生命构成严重威胁[2]，有研究表明[3]，采用合理的治疗与中医护理干预措施，能够促使血压指标改善，控制并发症的发生，改善患者生活质量。

中医证侯分型标准，中医诊断及阴虚阳亢证标准参照2002年《中医新药临床研究指导原则》[4]，症候要点为头晕目眩，耳鸣，心悸不寐，健忘，腰酸梦遗，五心烦热，口干津少，舌红少苔、脉细数。中医认为，“耳者，宗脉之所聚也”“耳通十二经脉”，人体的器官及其病变可在耳廓，通过经络的对应点体现。耳廓背面有一“耳背沟”，可稳定血压，故名为“降压沟”[5]。……