Epley手法复位序贯耳穴压豆治疗后半规管良性阵发性位置性眩晕的疗效观察  

Observation of the efficacy of sequential auricular point pressing beans combined with Epley maneuver in treating posterior semicircular canal benign paroxysmal positional vertigo

作　　者：巴越 钱小华[1] 李薇[1] BA Yue;QIAN Xiaohua;LI Wei(Department of Geriaric Neurology,Nanjing Medical Unirersity Afiliated Brain Hospital,Nanjing 210029,China)

机构地区：[1]南京医科大学附属脑科医院老年医学科,210029

出　　处：《临床神经病学杂志》2024年第6期447-450,共4页Journal of Clinical Neurology

摘　　要：目的观察耳穴压豆对后半规管良性阵发性位置性眩晕(BPPV)患者的治疗效果。方法收集我院2020年5月至2022年12月收治的66例后半规管BPPV患者,根据治疗干预方法分为对照组(n=33)和研究组(n=33)。对照组接受Epley手法复位及服用倍他司汀,研究组在对照组基础上予加用耳部穴位埋豆干预。记录复位前、复位1周及4周时患者的眩晕残障量表(DHI)、Berg平衡量表(BBS),医院焦虑抑郁量表(HADS)的数值,对耳穴压豆治疗后半规管BPPV患者的临床疗效数据进行统计学分析。结果治疗前两组患者在性别、年龄、DHI评分、HADS评分及BBS评分方面的差异均无统计学意义(均P>0.05);治疗1周及治疗4周时,研究组的DHI评分和HADS评分显著低于对照组,而BBS评分则显著高于对照组,差异存在统计学意义(均P<0.05)。结论耳穴压豆可以减轻后半规管BPPV伴随症状的严重程度,提高临床总体疗效。Objective To observe the therapeutic effect of auricular point pressing beans on patients with posterior semicircular canal benign paroxysmal positional vertigo(BPPV).Methods The clinical data of 66 patients with posterior semicircular canal BPPV treated at our hospital from May 2020 to December 2022 were collected.The patients were divided into control group(n=33)and study group(n=33)based on the intervention methods.The control group received the Epley maneuver and Sensilin,while the study group received additional auricular point pressing beans intervention.The Dizziness Handicap Inventory(DHI),Berg Balance Scale(BBS),and Hospital Anxiety and Depression Scale(HADS)scores were recorded before treatment,1 week after treatment,and 4 weeks after treatment.The clinical efficacy of auricular point pressing beans was statistically analyzed.Results There were no significant differences between the two groups in terms of gender,age,DHI score,HADS score,and BBS score before treatment(all P>0.05).One week and 4 weeks after treatment,the study group had significantly lower DHI and HADS scores and a significantly higher BBS score compared to the control group(all P<0.05).Conclusion Auricular point pressing beans can reduce the severity of symptoms and improve overall clinical efficacy in patients with posterior semicircular canal BPPV.

关 键 词：Epley手法复位 耳穴压豆 后半规管 良性阵发性位置性眩晕 

分 类 号：R741.05[医药卫生—神经病学与精神病学]