Objective

2

To observe the clinical effect of nape seven needles combined with pressing moxibustion for cervical vertigo (CV).

Methods

2

A total of 70 patients with CV were randomized into an observation group and a control group

35 cases in each group. In the observation group

nape seven needles combined with pressing moxibustion was delivered

once a day

6 times a week

for consecutive 2 weeks. In the control group

betahistine hydrochloride tablet and aceclofenac dispersible tablet were given orally

for 2 weeks and 3 days respectively. Before and after treatment

the evaluation scale for cervical vertigo (ESCV) score was observed

the plasma levels of neuropeptide Y (NPY)

endothelin-1 (ET-1) and calcitonin gene related peptide (CGRP) were detected

the hemorheologic and hemodynamic indexes were measured

and the clinical efficacy was evaluated after treatment in the two groups.

Results

2

After treatment

the scores of dizziness

daily life and work ability

psychological and social adaptability

and headache

as well as the total scores of ESCV were increased compared with those before treatment (

P

<

0.01

P

<

0.05) in the two groups

and the score and total score of neck and shoulder pain of ESCV was increased compared with that before treatment (

P

<

0.01) in the observation group; each sub-item score and total score of ESCV in the observation group were higher than those in the control group (

P

<

0.01

P

<

0.05). After treatment

the plasma levels of NPY and ET-1 were decreased compared with those before treatment (

P

<

0.01)

while the plasma levels of CGRP were increased compared with those before treatment (

P

<

0.01

P

<

0.05) in the two groups; the plasma levels of NPY and ET-1 in the observation group were lower than those in the control group (

P

<

0.01)

the plasma level of CGRP in the observation group was higher than that in the control group (

P

<

0.01). After treatment

the whole blood high shear viscosity

plasma viscosity and whole blood low shear viscosity were decreased compared with those before treatment (

P

<

0.01

P

<

0.05)

the mean velocity of basilar artery (BA)

left vertebral artery (LVA) and right vertebral artery (RVA) were increased compared with those before treatment (

P

<

0.05) in the two groups; the whole blood high shear viscosity

plasma viscosity and whole blood low shear viscosity in the observation group

were lower than those in the control group (

P

<

0.01)

and the mean velocity of BA

LVA and RVA in the observation group were higher than those in the control group (

P

<

0.05). The total effective rate in the observation group was 91.4% (32/35)

which was superior to 71.4% (25/35) in the control group (

P

<

0.05).

Conclusion

2

Nape seven needles combined with pressing moxibustion can effectively alleviate the clinical symptoms

and improve the hemorheology and hemodynamics in CV patients.