针刺联合倍他司汀治疗周围性眩晕患者对临床指标、睡眠质量及复发的影响分析  

Effect of Acupuncture Combined with Betahistine on Clinical Indicators,Sleep Quality and Recurrence in Patients with Peripheral Vertigo

作　　者：陈玺龙 王宏君 智永怡 王嘉南 李倩[1] 岳秉宏[1] CHEN Xilong;WANG Hongjun;ZHI Yongyi;WANG Jianan;LI Qian;YUE Binghong(The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei,China)

机构地区：[1]河北北方学院附属第一医院,河北张家口075000

出　　处：《中华中医药学刊》2025年第3期243-246,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：河北省卫生健康委员会科研基金项目(20231441)。

摘　　要：目的探究针刺联合倍他司汀治疗周围性眩晕患者对临床症状、睡眠质量及复发的影响。方法按简单随机化分组法将2022年5月—2023年6月就诊的肝阳上亢型周围性眩晕患者分为观察组和对照组,各47例。对照组接受倍他司汀治疗;观察组接受针刺联合倍他司汀治疗,均连续治疗4周。于治疗前和治疗4周后,比较两组患者的眩晕程度[眩晕障碍量表(Dizziness Handicap Inventory,DHI)评分、中医证候积分]、前庭功能指标[重心移动总长度(total length of barycentric movement,PL)、重心移动总面积(total area of barycentric movement,CA)、半规管轻瘫值]、血流动力学指标[全血黏度(whole blood viscosity,HBV)、血细胞比容(hemocrit,Hct)、椎动脉血流速度、基底动脉血流速度]和睡眠质量[匹兹堡睡眠量表指数量表(Pittsburgh Sleep Quality Index,PSQI)]。记录两组患者治疗期间不良反应发生率及治疗后3个月内复发情况。结果治疗4周后,两组患者的DHI值、中医证候积分、PL、CA、半规管轻瘫值、HBV、Hct和睡眠质量评分较治疗前显著下降,且观察组低于同期对照组(均P<0.05);两组患者的椎动脉和基底动脉血流速度较治疗前显著提高,且观察组高于同期对照组(均P<0.05)。两组患者的不良反应发生率无显著差异(P>0.05),而观察组治疗后3个月内复发情况均显著低于对照组(P<0.05)。结论针刺联合倍他司汀治疗显著改善周围性眩晕患者的症状,有效提高患者睡眠质量,减少复发的风险。Objective To explore the effect of scalp acupuncture combined with betahistine on clinical symptoms,sleep quality and recurrence in patients with peripheral vertigo.Methods The patients with peripheral vertigo of liver-Yang hyperactivity type from May 2022 to June 2023 were divided into observation group and control group with 47 cases in each group according to sim-ple randomization method.The control group received betahistine treatment,and the observation group was treated with scalp acu-puncture combined with betahistine,and both groups were continuously treated for 4 weeks.Before treatment and after 4 weeks of treatment,the vertigo degree[Dizziness Handicap Inventory(DHI)score,TCM syndrome score],vestibular function indicators[to-tal length of barycentric movement(PL),total area of barycentric movement(CA),canal paresis value],hemodynamic indicators[whole blood viscosity(HBV),hemocrit(Hct),vertebral artery flow velocity,basilar artery flow velocity]and sleep quality[Pitts-burgh Sleep Quality Index(PSQI)]were compared between the two groups.The incidence of adverse reactions during treatment and recurrence within 3 months after treatment were recorded in both groups.Results After 4 weeks of treatment,the DHI value,TCM syndrome score,PL,CA,canal paresis value,HBV,Hct and sleep quality score in both groups were significantly decreased compared with those before treatment,and the above indicators in the observation group were lower than those in the control group(all P<0.05).The blood flow velocities of vertebral artery and basilar artery in the two groups were significantly enhanced than those before treatment,and the two velocities in the observation group were faster than those in the control group(all P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05),and the recurrence in the observation group within 3 months after treatment was significantly lower than that in the control group(P<0.05).Conclusion Scalp acupuncture combined with betahistine can s

关 键 词：周围性眩晕 针刺 倍他司汀 临床症状 睡眠质量 

分 类 号：R246.6[医药卫生—针灸推拿学]