火针补髓益脑法配合手法复位治疗良性阵发性位置性眩晕的临床观察

Clinical Observation of Heated Needle with Nourishing Marrow and Replenishing Brain Combined with Manipulative Reduction in Treating Benign Paroxysmal Positional Vertigo

【目的】观察火针补髓益脑法配合手法复位治疗良性阵发性位置性眩晕的临床疗效。【方法】将80例良性阵发性位置性眩晕的患者随机分为观察组和对照组,每组各40例。对照组给予Epley手法复位治疗,观察组在对照组的基础上,给予火针补髓益脑法针刺治疗。每日治疗1次,5次为1个疗程,共治疗2个疗程。治疗2周后,观察2组患者治疗前后眩晕残障程度评定量表(DHI)及中医证候积分,并评价2组患者的临床疗效和安全性。【结果】(1)治疗后,2组患者的DHI积分明显改善(P<0.05),且观察组在改善DHI积分方面均明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的中医证候积分明显改善(P<0.05),且观察组在改善中医证候积分方面均明显优于对照组,差异有统计学意义(P<0.05)。(3)观察组总有效率为97.5%(39/40),对照组为85.0%(34/40)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(4)安全性方面:2组患者治疗前后血常规、肝肾功能等均无明显异常或者变化,2组患者治疗期间均未出现明显不良反应。【结论】在手法复位治疗的基础上,联合火针补髓益脑法治疗良性阵发性位置性眩晕,能有效改善复位后的残余症状,临床疗效显著。

Objective To observe the curative efficacy of heated needle with nourishing marrow and replenishing brain combined with manipulative reduction in treating benign paroxysmal positional vertigo.Methods Eighty patients with benign paroxysmal positional vertigo were randomly divided into observation group and control group,40 cases in each group.The two groups received Epley manipulative reduction,additionally,the observation group received heated needle with nourishing marrow and replenishing brain.One time per day,5 times constituted one treatment course,the treatment covered 2 courses.After 2 weeks of treatment,the scores of Dizziness Handicap Inventory(DHI)and Chinese medicine syndromes scores in the two groups before and after treatment,and the clinical efficacy and safety of the two groups were evaluated.Results(1)After treatment,the DHI scores in the two groups were improved(P<0.05),and the improvement in DHI scores of the observation group was superior to that of the control group(P<0.05).(2)After treatment,the Chinese medicine syndromes scores in the two groups were improved(P<0.05),and the improvement in Chinese medicine syndromes scores of the observation group was superior to that of the control group(P<0.05).(3)The total effective rate was 97.5%(39/40)in the observation group,and was 85.0%(34/40)in the control group.The curative efficacy of the observation group was superior to that of the control group(P<0.05).(4)There no abnormal blood routine and liver-kidney functions in the two groups before and after treatment.No obvious adverse reactions occurred during treatment period.Conclusion Combination with heated needle with nourishing marrow and replenishing brain based on manipulative reduction is effective for improving remnant symptoms in patients with benign paroxysmal positional vertigo.