摘要
目的观察运动针刺法治疗中枢性急性前庭综合征(AVS)的疗效。方法196例中枢性AVS患者,随机分为治疗组与对照组各98例。对照组予运动治疗,治疗组予运动针刺法治疗。比较两组临床疗效、眩晕程度、前庭症状评分、眩晕残障程度量表(DHI)、日常活动前庭功能障碍评定表(VADL)、Berg平衡评分(BBS)、前庭功能指标(冷热试验异常、自发性眼震角度)。结果治疗组总有效率为77.55%,高于对照组的65.31%(P<0.05);两组患者眩晕程度分级均改善,治疗组眩晕程度分级优于对照组(P<0.05);两组前庭症状评分降低,治疗组前庭症状评分低于对照组;两组DHI、VADL评分降低,BBS评分增加,治疗组DHI、VADL评分低于对照组,BBS评分高于对照组(P<0.05);两组冷热试验异常率、自发性眼震角度减少,治疗组冷热试验异常率、自发性眼震角度少于对照组(P<0.05)。结论运动针刺法治疗中枢性AVS,可降低眩晕程度,改善前庭症状和前庭功能,提高平衡力,疗效好。
Objective:To observe the efficacy of exercise acupuncture in the treatment of central acute vestibu⁃lar syndrome(AVS).Methods:A total of 196 patients with central AVS were randomly divided into treatment group and control group with 98 cases each.The control group was treated with exercise therapy,while the treat⁃ment group was treated with exercise acupuncture.The clinical efficacy,vertigo degree,vestibular symptom score,dizziness handicap inventory(DHI),vestibular disorders activities of daily living(VADL)scale,Berg balance score(BBS),and vestibular function indicators(abnormal cold and heat test and spontaneous nystagmus angle)were compared between the two groups.Results:The total effective rate in the treatment group was 77.55%,which was higher than 65.31%in the control group(P<0.05);the grade of vertigo in both groups was improved,and the grade of vertigo in the treatment group was better than that in the control group(P<0.05);the vestibular symptom score decreased in both groups,and the vestibular symptom score in the treatment group was lower than that in the control group;the scores of DHI and VADL decreased,while the scores of BBS increased in the two groups,and the scores of DHI and VADL in the treatment group were lower than those in the control group,while the score of BBS was higher than that in the control group(P<0.05);the abnormal cold and heat test and spontaneous nystag⁃mus angle decreased in the two groups,while the abnormal cold and heat test and spontaneous nystagmus angle in the treatment group were lower than those in the control group(P<0.05).Conclusion:Exercise acupuncture for central AVS reduces the degree of dizziness,improves vestibular symptoms and function,improves balance,and has a good effect.
作者
吕嘉荣
王晨
仝光照
陈励竞
桑伟
LüJiarong;Wang Chen;Tong Guangzhao;Chen Lijing;Sang Wei(Shijiazhuang Traditional Chinese Medicine Hos-pital,Hebei,Shijiazhuang 050000,China)
出处
《中国中医急症》
2024年第5期877-880,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
河北省中医药管理局中医药科研计划项目(2020315)。
关键词
中枢性急性前庭综合征
运动针刺法
眩晕
Central acute vestibular syndrome
Exercise acupuncture
Vertigo
