超声引导下针刺治疗慢性主观性头晕的临床疗效。

Clinical Efficacy of Ultrasound-Guided Acupuncture in the Treatment of Chronic Subjective Dizziness.

出版信息

Altern Ther Health Med. 2024 Oct;30(10):398-403.

Abstract

OBJECTIVE

To investigate the clinical impact of ultrasound-guided acupuncture on persistent subjective vertigo as well as how it affects people's moods and life quality.

METHODS

The subjects of this study were 100 patients who were being treated at Li Huili Hospital from December, 2022 to December, 2023 for persistent subjective vertigo. With 50 instances in each category, individuals with chronic subjective dizziness were randomly assigned to the shallow acupuncture control category & the regular acupuncture category. Clinical effectiveness, Pittsburgh Sleep volume (PSQI), vestibular Disability Scale (DHI) score, Hamilton Depression Scale (HAMD), fatigue Severity Scale (FSS) score & Hamilton Anxiety Scale (HAMA), changes were evaluated among the two categories before and following therapy. The frequency of negative side effects following acupuncture therapy was contrasted among the two categories.

RESULTS

Following treatment, the conventional acupuncture category's overall effectiveness rate was 94%, which was higher than that of the shallow acupuncture category (80%) and was highly significant (χ2=4.332, P < .05). Post-treatment DHI, HAMA, HAMD, FSS, and PSQI scale scores in both categories were lower than those before therapy. Individuals receiving regular acupuncture showed significantly lower scores on the DHI, HAMA, HAMD, FSS, and PSQI scales when compared to those receiving shallow acupuncture control. Following therapy, the prevalence of adverse reactions in the conventional acupuncture category was 24 (48.00%) as well as 34 (68.00%) in the shallow acupuncture control category. respectively. This difference in incidence was statistically significant (P < .05), with the conventional acupuncture category experiencing fewer adverse reactions than the shallow acupuncture control category.

CONCLUSION

Ultrasound-guided acupuncture is effective in the treatment of chronic subjective dizziness, helping to relieve dizziness symptoms, and actively improving patients' mood, sleep, and quality of life, it merits clinical advancement.

摘要

目的

探讨超声引导下针刺治疗持续性主观性头晕的临床疗效及其对患者情绪和生活质量的影响。

方法

选取 2022 年 12 月至 2023 年 12 月在利惠利医院接受持续性主观性头晕治疗的 100 例患者作为研究对象。将慢性主观性头晕患者随机分为浅刺对照组和常规针刺组，每组 50 例。评估两组患者治疗前后的临床疗效、匹兹堡睡眠质量指数（PSQI）、眩晕残障量表（DHI）评分、汉密尔顿抑郁量表（HAMD）、疲劳严重程度量表（FSS）评分、汉密尔顿焦虑量表（HAMA）评分的变化情况，比较两组患者针刺治疗后的不良反应发生率。

结果

常规针刺组总有效率为 94%，高于浅刺对照组的 80%，差异有统计学意义（χ2=4.332，P<0.05）。两组患者治疗后 DHI、HAMA、HAMD、FSS、PSQI 评分均低于治疗前，常规针刺组 DHI、HAMA、HAMD、FSS、PSQI 评分均低于浅刺对照组。常规针刺组不良反应发生率为 24 例（48.00%），浅刺对照组为 34 例（68.00%），差异有统计学意义（P<0.05），常规针刺组不良反应发生率低于浅刺对照组。