“醒脑开窍”针刺法治疗精神性眩晕疗效观察
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摘要
目的观察"醒脑开窍"针刺法治疗精神性眩晕的临床疗效。方法选取2016年11月至2018年4月天津中医药大学第一附属医院针灸科和心身科病房及门诊收治的精神性眩晕患者60例,按照随机数字表法分为2组,每各30例。对照组采用口服氟哌噻吨美利曲辛片治疗,治疗组采用"醒脑开窍"针刺法治疗,2周为1个疗程。治疗2周后评价2组患者眩晕障碍量表(DHI)评分、医院焦虑抑郁量表(HADS)评分及临床疗效。采用χ2检验比较2组患者临床疗效;采用t检验比较2组患者治疗后DHI评分和HADS评分。结果治疗组痊愈17例,有效10例,无效3例,总有效率90. 0%(23/30);对照组治愈12例,有效8例,无效10例,总有效率66. 7%(20/30)。2组患者总有效率比较,差异具有统计学意义(Z=2. 02,P <0. 05)。对照组治疗前后、治疗组治疗前后和2组治疗后DHI评分比较,差异均有统计学意义(t=11. 41、24. 39、8. 42,P均<0. 05)。对照组治疗前后、治疗组治疗前后和2组治疗后HADS评分比较,差异均有统计学意义(t=5. 42、9. 98、8. 42,P均<0. 05)。结论 "醒脑开窍"针刺法治疗精神性眩晕疗效确切,值得临床推广应用。
Objective To observe the effect of the consciousness-restoring resuscitation( Xingnao Kaiqiao)acupuncture therapy on psychogenic vertigo. Methods Sixty patients with psychogenic vertigo admitted to the Department of Acupuncture and Moxibustion and the outpatient department of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from November 2016 to April 2018 were selected and divided into two groups according to the random number table method. The control group was treated with western medicine Deanxit, and one tablet was taken orally in the morning. The treatment group was treated with acupuncture method of consciousness-restoring resuscitation, and 1 course was used for 2 weeks. After2 weeks of treatment, dizziness disorder scale( DHI), hospital anxiety and depression scale( HADS) and clinical efficacy in two groups of patientswere evaluated. The clinical efficacy of the two groups was compared by χ2test. The DHI and HADS scores of the two groups were compared by t test. Results In the treatment group, 17 cases were cured, 10 cases were effective, 3 cases were ineffective, and the total effective rate was90. 0%( 23/30). The control group was cured in 12 cases, effective in 8 cases, and ineffective in 10 cases.The total effective rate was 66. 7%( 20/30). The difference of the total effective rate between the two groups was statistically significant( Z = 2. 02, P < 0. 05). There were significant differences in DHI scores before and after treatment in both groups, and after treatment between the two groups( t = 11. 41, 24. 39, 8. 42, all P < 0. 05). There were significant differences in HADS scores before and after treatment in both groups, and after treatment between the two groups( t = 5. 42, 9. 98, 8. 42, all P < 0. 05). Conclusion " Consciousnessrestoring resuscitation" acupuncture therapy is effective in the treatment of psychogenic vertigo and worthy of clinical application.
Objective To observe the effect of the consciousness-restoring resuscitation( Xingnao Kaiqiao)acupuncture therapy on psychogenic vertigo. Methods Sixty patients with psychogenic vertigo admitted to the Department of Acupuncture and Moxibustion and the outpatient department of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from November 2016 to April 2018 were selected and divided into two groups according to the random number table method. The control group was treated with western medicine Deanxit, and one tablet was taken orally in the morning. The treatment group was treated with acupuncture method of consciousness-restoring resuscitation, and 1 course was used for 2 weeks. After2 weeks of treatment, dizziness disorder scale( DHI), hospital anxiety and depression scale( HADS) and clinical efficacy in two groups of patientswere evaluated. The clinical efficacy of the two groups was compared by χ2test. The DHI and HADS scores of the two groups were compared by t test. Results In the treatment group, 17 cases were cured, 10 cases were effective, 3 cases were ineffective, and the total effective rate was90. 0%( 23/30). The control group was cured in 12 cases, effective in 8 cases, and ineffective in 10 cases.The total effective rate was 66. 7%( 20/30). The difference of the total effective rate between the two groups was statistically significant( Z = 2. 02, P < 0. 05). There were significant differences in DHI scores before and after treatment in both groups, and after treatment between the two groups( t = 11. 41, 24. 39, 8. 42, all P < 0. 05). There were significant differences in HADS scores before and after treatment in both groups, and after treatment between the two groups( t = 5. 42, 9. 98, 8. 42, all P < 0. 05). Conclusion " Consciousnessrestoring resuscitation" acupuncture therapy is effective in the treatment of psychogenic vertigo and worthy of clinical application.
引文
1李福勇,郭秀凤,张英.甘露醇加地塞米松治疗精神性眩晕[J].中国实用神经疾病杂志,2010,13(24):128.
2韩英博,彭俊阳,姚建华.眩晕的病因分类与规范诊治[J].中国老年学杂志,2015,35(9):2590-2592.
3翟丰,戴春富.周围性眩晕与焦虑障碍相互作用的神经生物学基础研究进展[J].听力学及言语疾病杂志,2010,18(5):508-511.
4王程.氟哌噻吨美利曲辛片治疗脑卒中后抑郁48例临床疗效观察[J].中国临床研究,2012,25(6):550-551.
5 Staab JP,Ruckenstein MJ.Chronic dizziness and anxiety course o illness affects treatment outcome[J].Arch Otolaryngol Head Neck Surg,2005,131:675-679.
6丁雷,刘畅,王嘉玺,等.眩晕残障程度评定量表(中文版)的评价[J].中华耳科学杂志,2013,11(2):228-230.
7 Staab JP.Psychiatric origins of dizziness and vertigo[M].Zn Jacobson and Shepard(eds):Balance Function Assessment and Management[M].San Diego:Plural Publishing,2008.
8高岚,曹秋荣.眩晕与心理因素的探讨[J].白求恩医科大学学报,1996(2):202.
9王成强.黛力新的用药注意事项[J].中国医学创新,2010,7(16):180-181.
10姜河,吴冬琴,林亚琴.黛力新与多塞平治疗脑卒中后抑郁的临床疗效及其对神经介质水平的影响[J].蚌埠医学院学报,2017,42(3):355-358.
11魏立业,杜雯,冯倩,等.黛力新对老年冠心病患者合并焦虑抑郁状态的疗效观察[J].中华老年心脑血管病杂志,2011,13(5):463.
2韩英博,彭俊阳,姚建华.眩晕的病因分类与规范诊治[J].中国老年学杂志,2015,35(9):2590-2592.
3翟丰,戴春富.周围性眩晕与焦虑障碍相互作用的神经生物学基础研究进展[J].听力学及言语疾病杂志,2010,18(5):508-511.
4王程.氟哌噻吨美利曲辛片治疗脑卒中后抑郁48例临床疗效观察[J].中国临床研究,2012,25(6):550-551.
5 Staab JP,Ruckenstein MJ.Chronic dizziness and anxiety course o illness affects treatment outcome[J].Arch Otolaryngol Head Neck Surg,2005,131:675-679.
6丁雷,刘畅,王嘉玺,等.眩晕残障程度评定量表(中文版)的评价[J].中华耳科学杂志,2013,11(2):228-230.
7 Staab JP.Psychiatric origins of dizziness and vertigo[M].Zn Jacobson and Shepard(eds):Balance Function Assessment and Management[M].San Diego:Plural Publishing,2008.
8高岚,曹秋荣.眩晕与心理因素的探讨[J].白求恩医科大学学报,1996(2):202.
9王成强.黛力新的用药注意事项[J].中国医学创新,2010,7(16):180-181.
10姜河,吴冬琴,林亚琴.黛力新与多塞平治疗脑卒中后抑郁的临床疗效及其对神经介质水平的影响[J].蚌埠医学院学报,2017,42(3):355-358.
11魏立业,杜雯,冯倩,等.黛力新对老年冠心病患者合并焦虑抑郁状态的疗效观察[J].中华老年心脑血管病杂志,2011,13(5):463.