排针平刺法联合前庭康复训练治疗良性阵发性位置性眩晕复位后残余症状的临床研究  

Clinical Study of Row Needle Flat Acupuncture Combined with Vestibular Rehabilitation Training in the Treatment of Residual Symptoms after Reduction of Benign Paroxysmal Positional Vertigo

作　　者：陈娟[1] 卡迪丽娅·木拉提 黄小荣[1] 古丽波斯坦·买买提艾力[1] 张瑾[1] CHEN Juan;Cardiia·Muati;HUANG Xiao-rong;Guipostan·Maimaiti·Aili;ZHANG Jin(Otolaryngology Diagnosis and Treatment Center,Xinjiang Uygur Autonomous Region People's Hospital,Urumqi,Xinjiang,830000,China)

机构地区：[1]新疆维吾尔自治区人民医院耳鼻喉诊疗中心,新疆乌鲁木齐830000

出　　处：《现代生物医学进展》2024年第16期3148-3151,共4页Progress in Modern Biomedicine

基　　金：新疆少数民族科技人才特殊培养计划项目(2020D03010);新疆维吾尔自治区人民医院院内项目(20190205)。

摘　　要：目的:探讨排针平刺法联合前庭康复训练治疗良性阵发性位置性眩晕(BPPV)复位后残余症状的治疗效果。方法:选取2020年5月~2022年12月期间我院收治的150例BPPV复位后残余症状患者。采用随机数字表法将患者分为对照组(前庭康复训练治疗,75例)和研究组(排针平刺法联合前庭康复训练治疗,75例)。对比两组临床症状恢复情况、汉密尔顿抑郁量表17项(HAMD-17)、眩晕残障程度评定量表(DHI)、疼痛视觉模拟评分(VAS)、汉密尔顿焦虑量表(HAMA)和血清维生素D结合蛋白(VDBP)、25-羟维生素D[25(OH)D]水平。结果:研究组的头晕缓解时间、平衡障碍缓解时间短于对照组(P<0.05)。研究组治疗后VDBP、25(OH)D高于对照组(P<0.05)。研究组治疗后HAMD-17、HAMA评分、DHI(躯体、情绪、功能)评分、VAS评分低于对照组(P<0.05)。结论:排针平刺法联合前庭康复训练治疗BPPV复位后残余症状患者,可改善临床症状,调节VDBP、25(OH)D水平。Objective:To explore the therapeutic effect of row needle flat acupuncture combined with vestibular rehabilitation training on residual symptoms after reduction of benign paroxysmal positional vertigo(BPPV).Methods:150 patients with residual symptoms after BPPV reduction who were admitted to our hospital from May 2020 to December 2022 were selected.Patients were divided into control group(vestibular rehabilitation training,75 cases)and study group(row needle flat acupuncture combined with vestibular rehabilitation training,75 cases)by random number table method.The recovery of clinical symptoms,Hamilton Depression Scale-17(HAMD-17),Dizziness Handicap Inventory(DHI),Visual Analogue Scale(VAS),Hamilton Anxiety Scale(HAMA),serum vitamin D binding protein(VDBP)and 25-hydroxyvitamin D[25(OH)D]levels were compared between two groups.Results:The dizziness relief time and balance disorder relief time in study group were shorter than those in control group(P<0.05).VDBP and 25(OH)D in study group were higher than those in control group after treatment(P<0.05).HAMD-17,HAMA score,DHI(body,emotion,function)score and VAS score in study group were lower than those in control group after treatment(P<0.05).Conclusion:Row needle flat acupuncture combined with vestibular rehabilitation training,which can improve clinical symptoms,and regulate VDBP and 25(OH)D levels in patients with residual symptoms after BPPV reduction.

关 键 词：排针平刺法 前庭康复训练 良性阵发性位置性眩晕 残余症状 

分 类 号：R741.05[医药卫生—神经病学与精神病学] R441.2[医药卫生—临床医学]