| 莫佳琪.疏肝调神针刺法联合前庭康复训练治疗持续性姿势—感知性头晕（肝阳上亢型）的临床疗效观察[J].浙江中西医结合杂志,2025,35(4): |
| 疏肝调神针刺法联合前庭康复训练治疗持续性姿势—感知性头晕（肝阳上亢型）的临床疗效观察 |
| Clinical Observation on the Therapeutic Effect of Soothing Liver and Regulating the Spirit Acupuncture Combined with Vestibular Rehabilitation Training on Persistent Postural-per-ceptual Dizziness (Liver Yang Hyperactivity Type) |
| 投稿时间：2024-06-22 修订日期：2025-02-11 |
| DOI： |
| 中文关键词: 持续性姿势-感知性头晕 疏肝调神针刺法 前庭康复训练 焦虑 |
| 英文关键词:Persistent postural-per-ceptual dizziness Soothing liver and regulating the spirit acupuncture Vestibular rehabilitation training Anxious |
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| 中文摘要: |
| 目的 观察疏肝调神针刺法联合前庭康复训练(VRT)治疗持续性-感知性头晕(PPPD)的临床疗效。方法 采用随机数字表法将80例PPPD患者分为观察组、对照组,每组40例。2组患者均予倍他司汀(敏使朗)口服,对照组在此基础上予VRT训练,观察组在对照组基础上予疏肝调神针刺法治疗,并分别于治疗前、治疗1周、2周、4周时采用眩晕残障量表(DHI)、前庭症状指数量表(VSI)、Berg平衡量表(BBS)评估患者前庭及平衡功能改善情况,另予汉密尔顿焦虑量表(HAMA)对患者焦虑情绪评定,中医证候积分评定中医证候改善情况。结果 治疗1周、2周、4周时2组患者的DHI、VSI、中医证候积分均进行性降低(P＜0.05),BBS评分进行性升高(P＜0.05),2组患的HAMA评分者治疗2周、4周有所降低(P＜0.05)。治疗2周、4周时观察组的DHI评分[分别为(48.23±2.12)分、(34.28±2.42)分],VSI评分[分别为(5.68±1.35)分、(4.22±0.97)分],HAMA评分[分别为(17.35±2.46)分、(12.30±2.23)分],中医证候积分[分别为(11.00±2.50)分、(7.08±2.42)分]均显著低于同期对照组评分(P＜0.05),治疗1周、2周、4周BBS评分[分别为(25.63±2.26)分、(44.75±2.56)分、(49.93±2.40)分]显著高于同期对照组评分(P＜0.05)。结论? 疏肝调神针刺法联合VRT训练工人们还会更好的改善患者头晕、不稳等前庭症状,增强患者的平衡功能,缓解患者的焦虑情绪,可进一步临床应用推广。 |
| 英文摘要: |
| Objective To observe the clinical efficacy of the combination of liver soothing and mind regulating acupuncture method and vestibular rehabilitation training (VRT) in the treatment of persistent perceptual dizziness (PPPD). Methods 80 patients with PPPD were divided into an observation group and a control group using a random number table method, with 40 cases in each group. Both groups of patients were treated with oral betamethasone (Minshenglang), while the control group received VRT training on this basis. The observation group was treated with liver soothing and mind regulating acupuncture on the basis of the control group. Results? Before treatment, at 1 week, 2 weeks, and 4 weeks of treatment, the Dizziness Disability Inventory (DHI), Vestibular Symptom Index (VSI), and Berg Balance Scale (BBS) were used to evaluate the improvement of vestibular and balance functions in patients. In addition, the Hamilton Anxiety Scale (HAMA) was used to assess the anxiety of patients, and the Traditional Chinese Medicine Syndrome Score was used to evaluate the improvement of Traditional Chinese Medicine syndromes in patients. The results showed that the DHI, VSI, and traditional Chinese medicine syndrome scores of the two groups of patients after 1 week, 2 weeks, and 4 weeks of treatment all showed a progressive decrease (P<0.05), while the BBS score showed a progressive increase (P<0.05). The HAMA score of the two groups of patients decreased after 2 weeks and 4 weeks of treatment (P<0.05). At 2 and 4 weeks of treatment, the DHI scores, VSI scores, HAMA scores, and Traditional Chinese Medicine syndrome scores of the observation group were significantly lower than those of the control group ( The scores of 44.75 ± 2.56 and 49.93 ± 2.40 were significantly higher than those of the control group during the same period (P<0.05). Conclusion The combination of liver soothing and mind regulating acupuncture method and VRT training can improve vestibular symptoms such as dizziness and instability in patients, enhance their balance function, and alleviate their anxiety. It can be further applied and promoted in clinical practice. |
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