益清定眩针刺法结合管石复位手法治疗良性阵发性位置性眩晕  

Clinical Observation of Yiqing Dingxuan Needle Combined with Guanshi Repositioning Method in Treatment of Benign Paroxysmal Positional Vertigo

作　　者：田中华[1] 董永书[1] 范军铭[1] TIAN Zhonghua;DONG Yongshu;FAN Junming(The Affiliated Hospital to Henan Academy of Traditional Chinese Medicine,Zhengzhou Henan China45000)

机构地区：[1]河南省中医药研究院附属医院,河南郑州450000

出　　处：《中医学报》2018年第8期1593-1596,共4页Acta Chinese Medicine

基　　金：国家自然科学基金项目(81774453)

摘　　要：目的:探讨益清定眩针刺法结合管石复位手法治疗良性阵发性位置性眩晕的临床疗效。方法:将60例确诊为良性阵发性位置性眩晕患者随机分为治疗组和对照组,各30例。两组患者均根据不同半规管类型给予相应的管石手法复位。治疗组在复位前先给予益清定眩针刺法治疗,连续治疗7 d。观察两组患者临床疗效、复发率、眩晕残障量表(dizziness handicap inventory,DHI)评分、复位后残余症状的发生率。结果:治疗组有效率为96.7%,对照组有效率为86.7%,两组比较,差异有统计学意义(P<0.01);治疗组治疗后14 d复发率明显低于对照组(P<0.01);两组患者DHI评分均较治疗前明显降低(P<0.01),且治疗组DHI评分显著低于对照组(P<0.01);治疗组复位后残余症状的发生率明显低于对照组(P<0.01)。结论:益清定眩针刺法结合管石复位手法治疗良性阵发性位置性眩晕疗效显著,能显著降低复发率和DHI评分,减少复位后残余症状的发生率。Objective： To investigate the therapeutic effect of Yiqing Dingxuan needling combined with Guanshi repositioning method in treatment of benign paroxysmal positional vertigo. Methods： Sixty patients with benign paroxysmal positional vertigo were randomly divided into treatment group and control group,with 30 cases in each group. Both groups of patients were given corresponding tube manipulation reset according to different semicircular canal types. The treatment group was treated with Yiqing Dingxuan needling before the reduction,and the treatment was continued for 7 days. The clinical efficacy,recurrence rate,dizziness handicap inventory（ DHI） score,and the incidence of residual symptoms after reduction were observed. Results： The effective rate in the treatment group was 96. 7% and that was 86. 7% in the control group. The difference was statistically significant（ P〈0. 01）. The recurrence rate of the treatment group was significantly lower than that of the control group at 14 days after treatment（ P〈0. 01）.The DHI scores of the two groups were significantly lower than those before treatment（ P〈0. 01）. The incidence of residual symptoms after treatment was significantly lower than that of the control group（ P〈0. 01）. Conclusion： Yiqing Dingxuan needling combined with Fuanshi repositioning method is effective in treatment of benign paroxysmal positional vertigo,which can significantly reduce the recurrence rate and DHI score,and reduce the incidence of residual symptoms after reduction.

关 键 词：良性阵发性位置性眩晕 益清定眩针刺法 管石复位手法 针灸疗法 

分 类 号：R255.3[医药卫生—中医内科学]