头穴丛刺长留针法联合前庭康复训练法治疗持续性姿势-知觉性头晕的疗效研究  

Therapeutic effect of the combination of scalp-acupoint cluster needling and long needle retaining method and vestibular rehabilitation training on persistent postural-perceptual dizziness

作　　者：王希文 王利春[1] 康伟格[1] 李芹 谷晓娟[1] 王丽红 张猛[1] 张培义[1] Wang Xiwen;Wang Lichun;Kang Weige(Department of Neurology,Cangzhou Integrated Traditional Chinese and Western Medicine Hospital,Hebei Cangzhou 061001,China)

机构地区：[1]河北省沧州中西医结合医院神经内科,河北沧州061001

出　　处：《中国康复》2024年第11期669-673,共5页Chinese Journal of Rehabilitation

基　　金：河北省中医药管理局科研计划项目(2019277)。

摘　　要：目的:探究头穴丛刺长留针法联合前庭康复训练法治疗持续性姿势-知觉性头晕(PPPD)的疗效。方法:选取在本院治疗的PPPD患者126例,随机分为对照组和研究组,每组63例。2组患者均采用前庭康复训练法治疗,在此基础上,研究组联合头穴丛刺长留针法治疗。治疗1个月后,比较2组治疗前后精神状态的眩晕残障量表(DHI)、焦虑自评量表(SAS)及抑郁自评量表(SDS)、生活质量的简明健康量表(SF-36)、睡眠情况的匹兹堡睡眠质量指数量表(PSQI)及平衡能力的Berg平衡量表(BBS)的评分,并检测血清神经递质的γ-氨基丁酸(GABA)、5-羟色胺(5-HT)、乙酰胆碱(ACh)、多巴胺(DA)水平,分析治疗效果及不良反应。结果:治疗后,2组患者DHI、SAS、SDS、PSQI评分及ACh水平均低于治疗前(P<0.05),2组患者SF-36、BBS评分及GABA、5-HT、DA水平均高于治疗前(P<0.05);研究组DHI、SAS、SDS、PSQI评分及ACh水平均低于对照组(P<0.05),研究组SF-36、BBS评分和GABA、5-HT、DA水平及治疗总有效率均高于对照组(P<0.05);2组患者不良反应差异无统计学意义。结论:头穴丛刺长留针法联合前庭康复训练法可以显著改善PPPD患者的眩晕症状,增强脑部活动,提高情绪状态,改善生活质量。Objective:To explore the therapeutic effect of the combination of scalp-acupoint cluster needling and long needle retaining method and vestibular rehabilitation training on persistent postural-perceptual dizziness(PPPD).Methods:A total of 126patients with PPPD treated in our hospital were selected and randomly divided into the control group and the study group,with 63patients in each group.The patients in both groups were treated with vestibular rehabilitation training method.The study group was subjected to cephalic acupoint clustering and longstaying acupuncture method additionally.After 1month of treatment,the two groups were compared before and after treatment in terms of scores on the dizziness handicap inventory(DHI)and the self-assessment scale for anxiety(SAS)and depression self-assessment scale(SDS)for mental status,the brief health scale(SF-36)for quality of life,the Pittsburgh sleep quality index(PSQI)for sleep,and the Berg balance scale(BBS)for balance,and the serum neurotransmitters were tested.The serum neurotransmitter levels of gamma-aminobutyric acid(GABA),5-hydroxytryptamine(5-HT),acetylcholine(ACh),and dopamine(DA)were also measured to analyze the therapeutic effects and adverse reactions.Results:After treatment,the DHI,SAS,SDS,PSQI scores and ACh levels in the 2groups were lower than those before treatment(P<0.05),and the SF-36,BBS scores and GABA,5-HT,DA levels in the 2groups were higher than those before treatment(P<0.05).The DHI,SAS,SDS,PSQI scores and ACh levels in the study group were lower than those in the control group(P<0.05).The SF-36,BBS scores and GABA,5-HT,DA levels and total effective rate of treatment in the study group were higher than those in the control group(P<0.05).SF-36,BBS scores and GABA,5-HT,DA levels and total effective rate of treatment in the study group were higher than those in the control group(P<0.05).There was no significant difference in adverse reactions between the 2groups.Conclusion:The combination of scalp-acupoint cluster needling and long needle retainin

关 键 词：头穴丛刺长留针法 前庭康复训练法 持续性姿势-知觉性头晕 疗效 

分 类 号：R49[医药卫生—康复医学] R741[医药卫生—临床医学]