针刺“老十针”治疗良性阵发性位置性眩晕复位后残余症状的疗效分析  

Analysis of the therapeutic effect of acupuncture"laoshizhen"on the residual symptoms after otolith reduction of benign paroxysmal positional vertigo

作　　者：冯玮[1] 丁文涛[2] 艾建伟[4] 杨淑宏[2] 靳然[2] 王超[2] 赵洪霞 郭玉峰[3] Feng Wei;Ding Wentao;Ai Jianwei;Yang Shuhong;Jin Ran;Wang Chao;Zhao Hongxia;Guo Yufeng(Department of Emergency,South Branch of Guang'anmen Hospital,Beijing 102618,China)

机构地区：[1]中国中医科学院广安门医院南区急诊科,北京102618 [2]中国中医科学院广安门医院南区针灸科,北京102618 [3]中国中医科学院广安门医院南区科研处,北京102618 [4]首都医科大学附属北京中医医院耳鼻喉科

出　　处：《北京医学》2021年第6期501-504,共4页Beijing Medical Journal

基　　金：广安门医院南区所级课题(Y2018-01)。

摘　　要：目的观察针刺“老十针”治疗良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)复位后残余症状的临床疗效。方法选取2017年7月至2019年7月中国中医科学院广安门医院南区收治的确诊为BPPV且经手法复位成功的门诊患者120例,按随机数字表法分为观察组和对照组,每组60例。观察组在手法复位成功后采用针刺“老十针”治疗,对照组在手法复位成功后予安慰针治疗,疗程均为4周。分别于治疗前、治疗1周、治疗2周、治疗4周记录两组眩晕评定量表(dizziness handicap inventory,DHI)评分和医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)评分;治疗结束后随访3个月,统计两组复发率。结果治疗前,观察组和对照组DHI评分分别为(54.17±17.53)分和(52.86±16.85)分,治疗1周为(23.47±8.76)分和(31.23±9.65)分、2周为(12.56±5.63)分和(20.95±5.96)分、4周为(6.32±3.23)分和(15.33±4.56)分,均较治疗前明显降低;治疗前,观察组和对照组HADS评分分别为(25.63±5.32)分和(24.22±5.03)分,治疗1周为(20.32±4.47)分和(22.16±3.85)分、2周为(16.51±3.23)分和(18.46±3.42)分、4周为(12.25±2.89)分和(15.32±2.32)分,均较治疗前明显降低,差异有统计学意义(P<0.05),且观察组优于对照组(P<0.05)。观察组复发率低于对照组(3.6%比18.5%,P<0.05)。结论针刺“老十针”能有效改善BPPV复位后的残余症状,改善患者的情绪状态,降低复发率,有良好的安全性。Objective To observe the clinical efficacy of acupuncture"laoshizhen"in the treatment of residual symptoms after otolith reduction of benign paroxysmal positional vertigo(BPPV).Methods A total of 120 patients with BPPV who met the diagnostic criteria and were successfully treated by manipulative reduction of otolith were randomly divided into observation group and control group according to the number table method,with 60 cases in each group.The observation group was treated with acupuncture"laoshizhen"after successful manipulative reduction,while the control group was treated with placebo needle.The course of treatment of both groups was four weeks.The score of dizziness handicap inventory(DHI)and hospital anxiety and depression scale(HADS)before treatment,one week,two weeks and four weeks after treatment were calculated.After treatment,the patients were followed up for three months.Results After one week,two weeks and four weeks of treatment,the DHI score and HADS score of the observation group and the control group were significantly lower than those before treatment(P<0.05).The observation group was better than the control group(P<0.05).The recurrence rate of the observation group was lower than that of the control group(3.6%vs.18.5%,P<0.05).Conclusions Acupuncture"laoshizhen"can effectively improve the residual symptoms of BPPV after reduction,improve the emotional state of patients,with less recurrence and good safety.

关 键 词：针刺 “老十针” 良性阵发性位置性眩晕 耳石手法复位 残余症状 

分 类 号：R246.81[医药卫生—针灸推拿学]