针刺泥丸内八阵穴结合前庭康复治疗单侧外周前庭功能障碍:随机对照试验  

Acupuncture at Niwanneibazhen points combined with vestibular rehabilitation for unilateral peripheral vestibular dysfunction:a randomized controlled trial

作　　者：廖逸茹 徐先鹏 夏庭伟 戴晴晴[4] 郭军 赵军 江南[5] 谢慧[1] LIAO Yiru;XU Xianpeng;XIA Tingwei;DAI Qingqing;GUO Jun;ZHAO Jun;JIANG Nan;XIE Hui(School of Clinical Medicine,Chengdu University of TCM,Chengdu 611137,Sichuan Province,China;Department of Otorhinolaryngology,Meishan Affiliated Hospital of Chengdu University of TCM,Meishan 620010,Sichuan Province;School of Basic Medical Sciences,Chengdu University of TCM;Department of Otorhinolaryngology,West China Hospital,Sichuan University;Institute of Fungi and Medicinal Materials,Sichuan Academy of TCM)

机构地区：[1]成都中医药大学临床医学院,四川成都611137 [2]成都中医药大学附属眉山医院耳鼻喉科,四川眉山620010 [3]成都中医药大学基础医学院 [4]四川大学华西医院耳鼻喉科 [5]四川省中医药科学院菌类药材研究所

出　　处：《中国针灸》2024年第9期1029-1033,共5页Chinese Acupuncture & Moxibustion

基　　金：2020年四川省科技计划苗子工程项目:2020JDRC0117。

摘　　要：目的:观察针刺泥丸内八阵穴结合前庭康复治疗单侧外周前庭功能障碍的临床疗效。方法:将84例单侧外周前庭功能障碍患者随机分为试验组(42例,脱落2例)和对照组(42例,脱落1例)。对照组予前庭康复训练,试验组在对照组基础上予针刺泥丸内八阵穴治疗,以百会穴为中心,百会到印堂连线3等分,以内1/3等分点到百会为半径画圆,将圆分为八等份,以百会穴及8个等分点为针刺点,留针30min,隔2日1次,每周2次,连续治疗4周。于治疗前后采用Berg平衡量表(BBS)、眩晕障碍量表(DHI)、医院焦虑抑郁量表(HADS)、匹兹堡睡眠质量指数(PSQI)评定两组患者平衡功能、眩晕程度、情绪情况和睡眠质量,并评定临床疗效。结果:治疗后,两组患者BBS评分较治疗前升高(P<0.01),DHI、HADS和PSQI评分较治疗前降低(P<0.01);试验组HADS、PSQI评分降低幅度大于对照组(P<0.01)。试验组总有效率为90.0%(36/40),高于对照组的78.0%(32/41,P<0.05)。结论:针刺泥丸内八阵穴结合前庭康复可改善单侧外周前庭功能障碍患者的平衡功能和眩晕程度,缓解焦虑、抑郁情绪,提高睡眠质量。Objective To observe the clinical effect on unilateral peripheral vestibular dysfunction treated with acupuncture at Niwanneibazhen points combined with vestibular rehabilitation.Methods A total of 84 patients with unilateral peripheral vestibular dysfunction were randomly divided into a trial group(42 cases,2 cases dropped out)and a control group(42 cases,1 case dropped out).In the control group,vestibular rehabilitation was given.In the trial group,based on the treatment in the control group,Niwanneibazhen points were located.Taking Baihui(GV 20)as the center,three equal section was divided on the line from Baihui(GV 20)to Yintang(GV 24+).A circle was drawn with the radius from the inner 1/3 equal-section point to Baihui(GV 20),and divided into eight equal parts.Acupuncture was delivered at Baihui(GV 20)and the eight equal-part points,with needles retained for 30 min.The intervention with acupuncture was operated once every three days,twice a week,consecutively for 4 weeks.Before and after treatment completion,using the Berg balance scale(BBS),dizziness handicap inventory(DHI),hospital anxiety and depression scale(HADS),and Pittsburgh quality index(PSQI),the balance function,the degree of vertigo,emotional conditions,and sleep quality were evaluated in the patients of the two groups,and the clinical effect was assessed.Results After 4 weeks of treatment,the BBS scores were higher than those before treatment(P<0.01),and the scores of DHI,HADS,and PSQI were lower than those before treatment(P<0.01)in the two groups.The reduction of HADS and PSQI scores in the trial group was larger than that of the control group(P<0.01).The total effective rate was 90%(36/40)in the trial group,higher than that of the control group(78.1%,32/41,P<0.05).Conclusion Acupuncture at Niwanneibazhen points combined with vestibular rehabilitation can effectively ameliorate balance function and vertigo degree,relieve the emotions of anxiety and depression,and improve the quality of sleep in the patients with unilateral peripheral vestibular

关 键 词：单侧外周前庭功能障碍 针刺 泥丸内八阵穴 前庭康复 随机对照试验 

分 类 号：R246.81[医药卫生—针灸推拿学]