中医辨证论治“眩晕”理论对耳石症的疗效探讨  

Discussion on the therapeutic effect of TCM syndrome differentiation and treatment of“vertigo”theory on otolithiasis

作　　者：姜金鹏 汪园园[1] 梁颖茵[1] 牛媛媛[1] 陈松林[1] JIANG Jinpeng;WANG Yuanyuan;LIANG Yingyin;NIU Yuanyuan;CHEN Songlin

机构地区：[1]中山大学附属第一医院,广东广州510700

出　　处：《中医临床研究》2023年第12期1-4,共4页Clinical Journal Of Chinese Medicine

摘　　要：目的:探索中医辨证论治“眩晕”理论应用于耳石症的疗效。方法:将66例耳石症患者随机分为对照组和干预组,每组33例。对照组予机器复位,干预组给予中医治疗“眩晕”理论辨证论治。分别于治疗前1天及治疗后1天、1周、2周,用眩晕残障量表(Dizziness Handicap Inventory,DHI)评测两组患者躯体(Physical,P)、功能(Functional,F)、情绪(Emotional,E)状态。跟踪6个月,记录、比较两组耳石症复发情况、两组出现残余头晕患者的比率。结果:治疗1周后与治疗前比较,两组DHI评分均有显著性下降(P<0.05),干预组较对照组下降更加明显(P<0.05)。2周后,两组患者DHI评分均有显著性下降(P<0.01)。与对照组同期比较,治疗后1周、2周,干预组E项评分降低明显(P<0.05)。对照组在两周治疗期间,有3例患者由于残余症状明显重复复位治疗两次。干预组所有患者症状呈逐步减轻。干预组复发率在治疗后第2个月(χ^(2)=6.304,P=0.027)、第4个月(χ^(2)=6.99,P=0.008)、6个月(χ^(2)=7.64,P=0.012)明显低于对照组;对照组残余头晕发生率在第2周(χ^(2)=5.99,P=0.028)和第1个月(χ^(2)=9.07,P=0.005)明显高于干预组。结论:中医辨证论治眩晕理论应用于治疗耳石症,与复位治疗比较,可提高治疗耳石症眩晕效果,改善耳石症给患者带来的不良情绪,明显降低残余头晕患者比例,减少患者复发率。Objective:To explore the efficacy of TCM syndrome differentiation and treatment of vertigo theory on otolithiasis.Methods:A total of 66 patients of otolithiasis were randomly divided into the control group and the intervention group,with 33 cases in each group.The control group was given machine reset therapy of Western medicine,and the intervention group was given TCM syndrome differentiation and treatment of vertigo.Before treatment,and 1 day,1 week,and 2 weeks after treatment,the physical(P),functional(F),and emotional(E)states in the two groups were evaluated by the Vertigo Disability Inventory(DHI).After 6 months of followed-up,the recurrence of otolithiasis and the rate of residual dizziness in the two groups was recorded and compared.Results:Compared with that before treatment,the DHI score of patients in the two groups were decreased significantly after 1 week of treatment(P<0.05),and the decrease in the intervention group was more obvious than that in the control group(P<0.05).The DHI scores in the two groups were significantly decreased after 2 weeks(P<0.01).Compared with the control group at the same period,the score of item E in the intervention group was decreased significantly 1 week and 2 weeks after treatment(P<0.05).In the control group,3 patients were treated twice with repeated reduction due to obvious residual symptoms during the two-week treatment period.All patients in the intervention group showed gradual remission of symptoms.The recurrence rate in the intervention group was significantly lower 2 months after treatment(χ^(2)=6.304,P=0.027),4 months after treatment(χ^(2)=6.99,P=0.008),and 6 months after treatment(χ^(2)=7.64,P=0.012).The incidence of residual vertigo in the control group was significantly higher in the second week(χ^(2)=5.99,P=0.028)and the first month(χ^(2)=9.07,P=0.005).Conclusion:The theory of treating vertigo based on TCM syndrome differentiation applied in the treatment of otolithiasis can improve the effect,relieve the adverse mood of patients brought by otolithia

关 键 词：眩晕 辨证治疗 耳石症 残余头晕 

分 类 号：R255.3[医药卫生—中医内科学]