Abstract:

Objective　To observe the efficacy of "Yuntong acupuncture" combined with vestibular rehabilitation training in the treatment of patients with persistent postural-perceptual dizziness and its effect on emotional disorders. Methods　Ninety patients with persistent postural-perceptual dizziness admitted to Lianyungang Hospital Affiliated to Nanjing University of Chinese Medicine from January 2022 to September 2023 were selected for the randomized controlled trial. The patients were divided into a control group and an observation group by the random number table method, with 45 cases in each group. There were 12 males and 33 females in the observation group; they were (62.64±9.40) years old. There were 17 males and 28 females in the control group; they were (62.82±9.86) years old. The control group took vestibular rehabilitation training; in addition, the observation group took "Yuntong acupuncture". Seven days was a treatment course. Both groups were treated for 4 courses. The scores of Dizziness handicap inventory (DHI), physical P, emotional E, functional F, Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), and Pittsburgh Sleep Quality Index (PSQI) before and after the treatment, the efficacies, and the incidences of adverse reactions during the treatment were compared between the two groups. t and χ² tests were used for the statistical analysis. Results　Before the treatment, there were no statistical differences in the total score and scores of body, emotion, and function of DHI between the two groups (all P>0.05). After the treatment, the total score and scores of body, emotion, and function of DHI in the observation group were lower than those in the control group [(24.22±11.08) vs. (33.02±10.54), (6.98±3.32) vs. (8.67±3.19), (8.27±4.08) vs. (11.51±3.22), and (8.71±4.07) vs. (12.40±4.42)], with statistical differences (t=3.860, 2.462, 4.182, and 4.120; all P<0.05). There was a statistical difference in the clinical efficacy between the two groups (Z=2.873; P=0.005). Before the treatment, there were no statistical differences in the scores of HAMA, HAMD, and PSQI between the two groups (all P>0.05). After the treatment, the scores of HAMA, HAMD, and PSQI in the observation group were lower than those in the control group [(10.00±5.59) vs. (15.24±4.35), (10.20±6.33) vs. (15.96±4.92), and (6.31±2.98) vs. (10.11±2.70)], with statistical differences (t=4.963, 4.820, and 6.339; all P<0.05). There was no statistical difference in the incidence of adverse reactions between the observation group and the control group [11.11% (5/45) vs. 8.89% (4/45); χ²=0.137, P=0.711]. Conclusion　"Yuntong acupuncture" combined with vestibular rehabilitation training for patients with persistent postural-perceptual dizziness can improve their clinical symptoms, emotional and sleep disorders, and life quality.

Key words:

Persistent postural-perceptual dizziness, Vestibular rehabilitation training, Yuntong acupuncture

摘要：

目的　观察晕痛针联合前庭康复训练治疗持续性姿势-感知性头晕的疗效及对情感障碍的影响。方法　选取2022年1月至2023年9月南京中医药大学连云港附属医院收治的90例持续性姿势-感知性头晕患者进行随机对照试验，依照随机数字表法将患者分为对照组和观察组，各45例。对照组男17例、女28例，年龄（62.82±9.86）岁，予以前庭康复训练治疗；观察组男12例、女33例，年龄（62.64±9.40）岁，在前庭康复训练基础上加入晕痛针治疗，7 d为1个疗程，两组均治疗4个疗程。对比两组患者治疗前及治疗28 d后的眩晕残障程度评定量表（DHI）、躯体、情绪、功能、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、匹兹堡睡眠质量指数（PSQI）评分、疗效和治疗期间不良反应发生情况。统计学方法采用t检验、χ²检验。结果　治疗前，两组患者DHI总分及躯体、情绪、功能、HAMA、HAMD、PSQI评分比较，差异均无统计学意义（均P>0.05）；治疗28 d后，观察组DHI总分及躯体、情绪、功能、HAMA、HAMD、PSQI评分均低于对照组［（24.22±11.08）分比（33.02±10.54）分、（6.98±3.32）分比（8.67±3.19）分、（8.27±4.08）分比（11.51±3.22）分、（8.71±4.07）分比（12.40±4.42）分、（10.00±5.59）分比（15.24±4.35）分、（10.20±6.33）分比（15.96±4.92）分、（6.31±2.98）分比（10.11±2.70）分］，差异均有统计学意义（t=3.860、2.462、4.182、4.120、4.963、4.820、6.339，均P<0.05）。两组患者临床疗效比较，差异有统计学意义（Z=2.873，P=0.005）。观察组不良反应发生率为11.11%（5/45），与对照组的8.89%（4/45）比较，差异无统计学意义（χ²=0.137，P=0.711）。结论　晕痛针联合前庭康复训练治疗持续性姿势-感知性头晕患者临床症状较好，能改善患者情感及睡眠障碍，从而提高患者生活质量。

关键词:

持续性姿势-感知性头晕, 前庭康复训练, 晕痛针