针刺晕听区为主结合改良Epley法治疗后半规管良性阵发性位置性眩晕临床观察  

Clinical observation of post semicircular canal benign paroxysmal positional vertigo treated with acupuncture at dizzy auditory region plus modified Epley

作　　者：王玉琳[1] 秦旭旭[2] 刘佳[2] 张凯宇[2] 

机构地区：[1]黑龙江中医药大学附属第二医院针灸四诊室,哈尔滨150001 [2]黑龙江中医药大学

出　　处：《中国针灸》2016年第9期911-914,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较针刺晕听区为主结合改良Epley法手法复位与单纯应用改良Epley法手法复位治疗后半规管良性阵发性位置性眩晕(PC-BPPV)的临床疗效差异。方法:将67例患者随机分为观察组(37例)和对照组(30例)。两组均采用改良Epley法手法复位治疗,观察组在此基础上针刺晕听区、百会、情感区、太阳为主,每天1次,6d为一疗程,治疗2个疗程。观察两组患者治疗前后中医证候评分,并比较两组疗效。结果:观察组总有效率为91.9%(34/37),高于对照组的83.3%(25/30),但组间差异无统计学意义(P>0.05);两组治疗后中医证候评分均较治疗前有显著改善(均P<0.001);观察组在1个疗程后、2个疗程后中医证候评分均较对照组明显改善(均P<0.01)。结论:针刺晕听区为主结合改良Epley法治疗后半规管良性阵发性位置性眩晕疗效优于单纯改良Epley法手法复位。Objective To compare the effects between acupuncture mainly at dizzy auditory region combined with modified Epley and simple modified Epley for post semicircular canal benign paroxysmal positional vertigo（PC-BPPV）.Methods Sixty-seven patients were randomly assigned into an observation group（37cases）and a control group（30cases）.Modified Epley was used in the two groups,and acupuncture was mainly applied at dizzy auditory region,Baihui（GV 20）,emotion region and Taiyang（EX-HN 5）for 2courses（6days as a course）,once a day.Syndrome scores before and after treatment as well as the effects of the two groups were observed.Results The total effective rate of the observation group was 91.9%（34/37）,which was higher than 83.3%（25/30）of the control group,but there was no statistical significance between the two groups（P〈0.05）.The syndrome scores were improved apparently after treatment in the two groups（both P〈0.001）,with the better results after 1-course and 2-course treatments in the observation group compared with the corresponding ones in the control group（both P〈0.01）.Conclusion Acupuncture mainly at dizzy auditory region combined with modified Epley for PC-BPPV are better than simple modified Epley.

关 键 词：后半规管良性阵发性位置性眩晕(PC-BPPV) 针刺疗法 晕听区 改良Epley手法复位 

分 类 号：R246.6[医药卫生—针灸推拿学]