小针刀治疗前庭周围性眩晕急性发作临床疗效观察

Therapeutic Effect of Small Shaped Knife for Vestibular Peripheral Vertigo in Acute Attack

【目的】探讨运用小针刀后项部刺激治疗前庭周围性眩晕急性发作的有效性。【方法】66例前庭周围性眩晕急性发作患者在就诊的第一时间进行小针刀治疗:取项上线(正中点、旁开2寸)、第二颈椎棘突及第二颈椎棘突平面旁开2寸、第六颈椎棘突及第六颈椎棘突平面旁开2寸共9个治疗点。观察治疗前、治疗结束后5 min、30 min、1 h、6 h、24 h共6个时点前庭症状指数(vestibular symptom index,VSI)的变化情况。【结果】小针刀治疗前庭周围性眩晕急性发作的总有效率达93.9%。患者治疗结束后5 min VSI评分显著降低,与治疗前比较,差异有统计学意义(P<0.01),并且治疗效果持续24 h无波动。小针刀治疗后能迅速缓解眩晕、平衡障碍、头昏等症状(P<0.01);治疗结束后5 min视觉敏感、恶心呕吐等症状较治疗前显著改善(P<0.05);头痛症状在治疗前后无明显变化(P>0.05)。【结论】小针刀治疗可迅速、有效缓解前庭周围性眩晕患者急性发作的临床症状。

Objective To study the efficacy of small shaped knife for the treatment of vestibular peripheral vertigo in acute attack. Methods Sixty-six patients with vestibular peripheral vertigo in acute attack received small shaped knife on the center of upper nape line and bilateral points 2 cun lateral to the center, and on the spinous process and bilateral points 2 cun lateral to the process of the second and sixth cervical vertebra. The vestibular symptom index （VSI） was monitored before treatment, and 5 rain, 30 min, 1 h, 6 h and 24 h after treatment. Results The overall effective rate was 93.9% for the patients. The VSI was decreased obviously 5 min after treatment （P〈0.01 compared with that before treatment）, and remained steady within 24 h. Vertigo, balance disorders, and dizziness were quickly relieved after small shaped knife therapy （P〈0.01）, and vision sensitivity, nausea and vomiting were also improved （P〈0.05） 5 min after treatment. Headache was not relieved after treatment （P〉0.05）. Conclusion Small shaped knife therapy shows certain effect on relieving clinical symptoms of acute vestibular peripheral vertigo patients quickly and effectively.