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

摘要： 目的　分析不同中医疗法对颈源性眩晕的疗效。方法　选取2019年3月至2021年7月广州医科大学附属第二医院收治的颈源性眩晕患者320例为研究对象，依据随机数字表法将其中160例归为对照组（开展小针刀治疗），余下160例归为观察组（开展棍针治疗）。对照组男89例、女71例，年龄（53.25±6.78）岁；观察组男92例、女68例，年龄（53.40±6.20）岁。比较两组治疗后眩晕改善有效率与治疗前后颈肩部及头部疼痛评分和上肢麻木评分情况。计数资料行χ²检验，计量资料组间行独立样本t检验，组内行配对t检验。结果　对照组的眩晕改善有效率为98.13%（157/160），高于观察组80.63%（129/160），差异有统计学意义（P<0.05）。治疗后，观察组的颈肩部及头部疼痛评分分别为（1.48±0.38）分、（0.82±0.20）分，均低于对照组的（2.98±0.40）分、（1.58±0.22）分，差异均有统计学意义（均P<0.05）。两组颈源性眩晕患者治疗前后上肢麻木评分组间比较，差异均无统计学意义（均P>0.05）；两组颈源性眩晕患者治疗后上肢麻木评分分别为（1.90±0.58）分、（1.94±0.52）分，均低于治疗前（5.40±1.35）分、（5.32±1.48）分，差异均有统计学意义（均P<0.05）。结论　颈源性眩晕患者采取棍针治疗对颈肩部疼痛和头痛症状有良好疗效，小针刀治疗对于眩晕症状有良好疗效，2种疗法均能改善上肢麻木症状，临床可结合患者实际情况合理选择相应的治疗方式。

关键词: 颈源性眩晕, 棍针, 小针刀, 疼痛