关键词: 颈源性眩晕, 棍针, 小针刀, 疼痛

Abstract: Objective　To analyze the efficacies of two different traditional Chinese medicine (TCM) therapies in cervical vertigo. Methods　A total of 320 cervical vertigo patients who were treated in The Second Affiliated Hospital of Guangzhou Medical University from March 2019 to July 2021 were selected. According to the random number table, 160 cases undergoing acupotomy therapy were included in the control group, and 160 cases undergoing stick needle therapy were included in the observation group. In the control group, there were 89 males and 71 females, aged (53.25±6.78) years; in the observation group, there were 92 males and 68 females, aged (53.40±6.20) years. The improvement rate of vertigo, the pain scores of shoulder, neck, and head, and upper limb numbness score were compared between the two groups. The count data were tested by chi-square test, and the measurement data were tested by independent sample t test between groups and paired t test within groups. Results　The effective rate of vertigo improvement in the control group was 98.13% (157/160), which was higher than that in the observation group [80.63% (129/160)], with a statistically significant difference (P<0.05). After treatment, the pain scores of neck and shoulder and head in the observation group were (1.48±0.38) points and (0.82±0.20) points, respectively, which were lower than those in the control group [(2.98±0.40) points and (1.58±0.22) points], with statistically significant differences (both P<0.05). There was no statistically significant difference in the upper limb numbness score between the two groups before or after treatment (both P>0.05); the upper limb numbness scores in the two groups after treatment were (1.90±0.58) points and (1.94±0.52) points, respectively, which were lower than (5.40±1.35) points and (5.32±1.48) points before treatment, with statistically significant differences (both P<0.05). Conclusions　Stick needle therapy has fair effects for shoulder, neck, and head pain symptoms in cervical vertigo patients; acupotomy has better effects on cervical vertigo symptom. Both therapies can improve the upper limb numbness symptom. Therefore, the proper therapy can be selected according to patients' conditions.

Key words: Cervical vertigo, Stick needle, Acupotomy, Pain