Sun Yong-Xin, Wang Yuan, Ji Xunming, Wu Xiaoguang, Zhao Yong, Ding Yuchuan, Hussain Mohammed, Yu Fei, Zhao Wenbo, Jia Jianping
Department of Neurology, Xuan Wu Hospital of Capital Medical University, Beijing 100053, China.
Department of Neurosurgery, Xuan Wu Hospital of Capital Medical University, Beijing 100053, China.
Evid Based Complement Alternat Med. 2014;2014:521475. doi: 10.1155/2014/521475. Epub 2014 May 18.
Background. Meniere's disease is characterized by refractory dizziness and hearing disturbance. We aimed to investigate the efficacy and tolerance of Diaoshi Jifa, a Chinese hand skill for treating dizziness in Meniere's disease. Methods. An open-labeled, randomized, controlled intervention trial was conducted. Twenty-seven patients diagnosed with Meniere's disease were randomly allocated to control group or experimental group. Both groups were assessed by DHI (dizziness handicap inventory (DHI)) questionnaire score before and within 24 hours of receiving treatment, respectively. Results. Twenty-six participants completed the study, and no adverse event was reported due to Diaoshi Jifa treatment. The difference in the DHI scores between baseline and posttreatment reached significant difference in both groups (63.88 ± 19.94 versus 10.25 ± 9.77 and 54.36 ± 17.97 versus 49.6 ± 20.50). Significant difference in DHI scores was observed between the two groups after treatment (10.25 ± 9.77 versus 49.6 ± 20.50). Further investigation of DHI subscales in the experimental group revealed significant improvement posttreatment in the physical domain, functional domain, and emotional domain. Although higher rate of improvement in the emotional domain compared to physical or functional domains was found, the difference was not statistically significant. Conclusions. Diaoshi Jifa might be a fast, effective, and well-tolerated method for alleviating dizziness in Meniere's disease.
背景。梅尼埃病的特征是顽固性头晕和听力障碍。我们旨在研究调氏技法（一种治疗梅尼埃病头晕的中医手法）的疗效和耐受性。方法。进行了一项开放标签、随机、对照干预试验。27例被诊断为梅尼埃病的患者被随机分配到对照组或试验组。两组分别在接受治疗前和治疗后24小时内通过DHI（头晕残障量表（DHI））问卷评分进行评估。结果。26名参与者完成了研究，未报告因调氏技法治疗导致的不良事件。两组治疗前后DHI评分的差异均达到显著差异（63.88±19.94对10.25±9.77以及54.36±17.97对49.6±20.50）。治疗后两组DHI评分存在显著差异（10.25±9.77对49.6±20.50）。对试验组DHI子量表的进一步研究显示，治疗后身体领域、功能领域和情感领域均有显著改善。尽管发现情感领域的改善率高于身体或功能领域，但差异无统计学意义。结论。调氏技法可能是一种快速、有效且耐受性良好的缓解梅尼埃病头晕的方法。
