眼针治疗良性阵发性位置性眩晕复位后残余头晕的疗效观察

Therapeutic Effect of Eye Acupuncture on Residual Dizziness After Reduction of Benign Paroxysmal Positional Vertigo

[目的]观察眼针疗法治疗良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)手法复位成功后残余头晕的疗效。[方法]收集本院门诊经手法复位成功后有残余头晕症状的后半规管型BPPV患者60例,用随机数字表法分为3组,每组20例。眼针组采用眼针治疗,西药组采用甲磺酸倍他司汀片口服治疗,12mg/次,3次/d,对照组不予任何处理,7d为1个疗程,共治疗2个疗程。通过眩晕残障评定量表(dizziness handicap inventory,DHI)、眩晕症状体征严重程度评分、中医证候评分比较3组患者治疗前与治疗后1、2、4周的疗效。[结果]治疗前3组DHI评分、眩晕症状体征严重程度评分、中医证候评分差异均无统计学意义(P>0.05),治疗后3组患者各项评分均不同程度降低。与同组治疗前比较,眼针组和西药组治疗后各项评分明显降低(P<0.05,P<0.01),其中眼针组治疗后1、2及4周的DHI评分、眩晕症状体征严重程度评分、中医证候评分均低于对照组和西药组(P<0.01),西药组低于对照组(P<0.05)。治疗1周后,眼针组治疗总有效率高于对照组和西药组(P<0.05);治疗2周后,眼针组治疗总有效率达到100%,高于西药组的20%和对照组的0%(P<0.05);治疗4周后,眼针组和西药组治疗有效率均为100%,高于对照组(P<0.05)。[结论]BPPV患者经手法复位后的残余头晕应当尽早干预,眼针疗法比口服西药治疗起效快,而且治疗周期短,值得临床推广。

[Objective]To observe the effect of eye acupuncture on residual dizziness after successful reduction of benign paroxysmal positional vertigo(BPPV). [Methods]A total of 60 patients with posterior semicircular canalized BPPV who had residual dizziness after manual reduction in our outpatient clinic were collected. All the patients were divided into 3 groups according to random number table,with 20 cases in each group. Patients in eye acupuncture group was treated with eye acupuncture,patients in western medicine group was treated with oral Betahistine mesilate tablets,12 mg/time,3 times a day,and control group was not given any treatment. Seven days were one course of treatment,and the treatment lasted for two courses.The efficacy of the three groups before treatment and 1,2 and 4 weeks after treatment were compared on dizziness handicap inventory(DHI),vertigo symptoms and signs severity scores and TCM syndrome scores. [Results]Before treatment,there were no statistically significant differences in the DHI scores,vertigo symptoms and signs severity scores and TCM syndrome scores among the three groups(P>0.05). After treatment,the DHI scores,vertigo symptoms and signs severity scores and TCM syndrome scores of the three groups decreased to varying degrees. The scores of eye acupuncture group and western medicine group were significantly lower than those of the same group before treatment(P <0.05,P <0.01). Among them,the DHI scores,vertigo symptoms and signs severity scores,TCM syndrome scores in eye acupuncture group at 1,2,and 4 weeks after treatment were significantly lower than those of western medicine group and control group(P<0.01),and the scores of western medicine group were lower than control group(P<0.05). After 1 week of treatment,the total effective rate of eye acupuncture group was higher than that of control group and western medicine group(P<0.05);after 2 weeks of treatment,the total effective rate of eye acupuncture group reached 100%,higher than that of western medicine group and control group(P<0.05);after 4 weeks of treatment,the total effective rate of eye acupuncture group and western medicine group were 100%,higher than control group(P <0.05).[Conclusion]The residual dizziness of BPPV patients after manual reduction should be intervened as soon as possible. Eye acupuncture therapy has a faster onset of effect and a shorter treatment period than oral western medicine,which is worthy of clinical promotion.