排针平刺治疗良性阵发性位置性眩晕手法复位后残余头晕疗效观察  

Therapeutic observation on horizontal penetration needling for residual dizziness after repositioning maneuver in patients with benign paroxysmal positional vertigo

作　　者：周文珠 王悦[1] 罗妮莎 杨春滟 林祺[1] 陈宇航 蒋亚楠 李晶 范刚启[2] ZHOU Wen-zhu;WANG Yue;LUO Ni-sha;YANG Chun-yan;LIN Qi;CHEN Yu-hang;JIANG Ya-nan;LI Jing;FAN Gang-qi(School of Acupuncture-Moxibustion,Tuina,Health Preservation and Rehabilitation,Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu Province,China;Department of Encephalopathy,Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210001,Jiangsu Province)

机构地区：[1]南京中医药大学针灸推拿养生康复学院,江苏南京210023 [2]南京中医药大学附属南京中医院脑病科,江苏南京210001

出　　处：《中国针灸》2021年第12期1317-1320,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察排针平刺晕听区、平衡区对良性阵发性位置性眩晕(BPPV)手法复位成功后残余头晕的影响。方法:将66例BPPV手法复位成功后残余头晕患者随机分为观察组(34例,脱落1例)和对照组(32例,脱落2例)。观察组采用排针平刺法针刺晕听区、平衡区,隔天针刺1次,3次为一疗程,治疗2个疗程。对照组不予任何针刺及药物治疗。观察两组治疗前及治疗1、2个疗程后眩晕障碍量表(DHI)和视觉模拟量表(VAS)评分。结果:除对照组治疗1个疗程DHI情感评分外,两组治疗后DHI各分项评分及总分、VAS评分均较治疗前降低(P<0.01,P<0.05);治疗1、2个疗程后,观察组DHI功能、情感评分及总分、VAS评分均低于对照组(P<0.01)。结论:无论针刺干预与否,BPPV手法复位后残余头晕均能在2周内缓解;排针平刺晕听区、平衡区可以改善头晕症状、缩短病程。Objective To observe the effect of horizontal penetration needling at vertigo auditory area and balance area on residual dizziness after successful repositioning maneuver in patients with benign paroxysmal positional vertigo(BPPV).Methods Sixty-six patients with residual dizziness after successful repositioning maneuver for BPPV were randomly divided into an observation group(34 cases,1 case dropped off)and a control group(32 cases,2 cases dropped off).The patients in the observation group were treated with horizontal penetration needling at vertigo auditory area and balance area,once every other day;three times were taken as a course of treatment,and two courses of treatment were given.The patients in the control group received no acupuncture and medication.The dizziness handicap inventory(DHI)and visual analogue scale(VAS)scores were observed before treatment and after 1 and 2 courses of treatment.Results Except for the emotional score of DHI in the control group after 1 course of treatment,the sub item scores and total scores of DHI and VAS scores in the two groups after treatment were lower than those before treatment(P<0.01,P<0.05).After 1 and 2 courses of treatment,the function scores,emotion scores,total scores of DHI and VAS scores in the observation group were lower than those in the control group(P<0.01).Conclusion Whether acupuncture or not,residual dizziness after repositioning maneuver for BPPV can be relieved within 2 weeks;horizontal penetration needling at vertigo auditory area and balance area could improve dizziness symptoms and shorten the course of disease.

关 键 词：良性阵发性位置性眩晕 残余头晕 排针平刺 平衡区 晕听区 

分 类 号：R246.6[医药卫生—针灸推拿学]