中药联合针刺对良性阵发性位置性眩晕残余症状的影响  

The Effect of Traditional Chinese Medicine Combined With Acupuncture on Residual Symptoms of Benign Paroxysmal Positional Vertigo

作　　者：苏冬梅 练梅香 骆明璨 SU Dongmei;LIAN Meixiang;LUO Mingcan(Department of Rehabilitation Medicine,Longyan Boai Hospital,Longyan Fujian 364000,China;Department of Acupuncture and Massage,Longyan Boai Hospital,Longyan Fujian 364000,China)

机构地区：[1]龙岩博爱医院康复医学科,福建龙岩364000 [2]龙岩博爱医院针灸推拿科,福建龙岩364000

出　　处：《中国卫生标准管理》2024年第1期164-167,共4页China Health Standard Management

摘　　要：目的分析自拟中药方剂联合针刺对老年良性阵发性位置性眩晕患者复位后残余症状的效果。方法选取龙岩博爱医院康复医学科2021年6月—2023年6月老年良性阵发性位置性眩晕患者160例,随机分为观察组(n=80)与对照组(n=80)。对照组实行针刺进行干预,观察组则在其基础上联合自拟中药方剂进行治疗。对比2组治疗有效率、负面情绪、眩晕感以及眩晕症状积分等。结果观察组治疗有效率(95%)高于对照组(85%)(P<0.05)。观察组汉密斯顿焦虑自评量表(Hamilton depression scale,HAMD)为(32.72±4.48)分,汉密斯顿焦虑自测量表(Hamilton anxiety scale,HAMA)为(36.41±4.28)分,低于对照组的(36.41±4.28)分、(41.57±4.34)分(P<0.05)。观察组眩晕残障程度评定量表(4.85±2.06)分、(7.12±2.07)分、(6.12±1.42)分,低于对照组的(7.69±1.29)分、(10.69±3.01)分、(9.86±2.08)分(P<0.05)。观察组眩晕症状积分为(9.56±0.51)分,低于对照组的(12.41±0.51)分(P<0.05)。结论对于老年良性阵发性位置性眩晕患者复位后残余症状采用自拟中药方剂联合针刺进行治疗,能够改善患者的临床症状,为患者提供良好的预后条件,有效提升患者的平衡功能。Objective To analyze the effect of self-proposed herbal formula combined with acupuncture on the residual symptoms of elderly patients with benign paroxysmal positional vertigo after repositioning.Methods A total of 160 cases of elderly patients with benign paroxysmal positional vertigo in the department of Rehabilitation Medicine,Longyan Boai Hospital from June 2021 to June 2023 were selected and randomly divided into the observation group(n=80)and the control group(n=80).In the control group,acupuncture was practiced to intervene,while the observation group was treated with a combination of self-prepared traditional Chinese medicine prescriptions on its basis.The two groups were compared in terms of treatment efficiency,negative emotion,vertigo,and vertigo symptom score.Results The effective rate of treatment in the observation group(95%)was higher than that in the control group(85%)(P<0.05).The Hamilton depression scale(HAMD)of the observation group was(32.72±4.48)points,and the Hamilton anxiety scale(HAMA)was(36.41±4.28)points,which were lower than the control group's(36.41±4.28)points and(41.57±4.34)points(P<0.05).The DHI score of the observation group(4.85±2.06)points,(7.12±2.07)points,and(6.12±1.42)points,and were lower than those of the control group(7.69±1.29)points,(10.69±3.01)points,and(9.86±2.08)points(P<0.05).The observation group's dizziness symptom score was(9.56±0.51)points,which was lower than the control group's(12.41±0.51)points(P<0.05).Conclusion The use of self-proposed traditional Chinese medicine prescription combined with acupuncture for the treatment of residual symptoms after reset in elderly patients with benign paroxysmal positional vertigo can improve the clinical symptoms of the patients,provide good prognostic conditions for the patients,and effectively improve the balance function of the patients.

关 键 词：自拟中药方剂 针刺 老年良性阵发性位置性 眩晕 复位后残余症状 效果 

分 类 号：R246[医药卫生—针灸推拿学]