通玄针法联合前庭康复训练治疗前庭性偏头痛的临床效果

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摘要目的探讨通玄针法联合前庭康复训练治疗前庭性偏头痛的临床效果。方法选取2018年6月～2019年6月我院收治的80例前庭性偏头痛患者作为研究对象，采用随机数字表法将其分成对照组和治疗组，每组各40例。对照组患者给予前庭康复训练，治疗组患者给予通玄针法联合前庭康复训练。观察两组患者治疗前后的Berg 平衡量表（BBS）、前庭症状指数（VSI）、眩晕病症状与功能及生活质量评估（DHI）评分，比较两组的治疗效果及复发率。结果治疗组患者的治疗总有效率为86.8%，高于对照组的64.8%，差异有统计学意义（P<0.05）。两组患者治疗后的BBS 评分均高于治疗前，VSI评分均低于治疗前，DHI评分均低于治疗前，差异有统计学意义（P<0.01）；治疗组患者治疗后的BBS 评分高于对照组，VSI评分低于对照组，DHI评分低于对照组，差异有统计学意义（P<0.05）。1个月后随访，治疗组患者的复发率为2.6%，对照组患者的复发率为5.4%；两组患者的复发率比较，差异无统计学意义（P>0.05）。结论通玄针法联合前庭康复训练治疗前庭性偏头痛效果理想，能有效改善生活质量，改善眩晕症状，利于前庭功能康复。

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	刘亚芬
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关键词 ：通玄针法, 针刺, 前庭康复训练, 前庭性偏头痛, 眩晕

Abstract：Objective To explore the clinical effect of tongxuan acupuncture combined with vestibular rehabilitation training in the treatment of vestibular migraine.Methods A total of 80 patients with vestibular migraine who were admitted to our hospital from June 2018 to June 2019 were selected as the research objects,and they were divided into the control group and the treatment group according to the random number table method,40 cases in each group.Patients in the control group were given vestibular rehabilitation training,and patients in the treatment group were given tongxuan acupuncture combined with vestibular rehabilitation training.The Berg balance scale (BBS),vestibular symptom index (VSI),vertigo symptom,function and quality of life (DHI) scores before and after treatment in the two groups of patients were observed,and the treatment effect and recurrence rate of the two groups were compared.Results The total effective rate of treatment in the treatment group was 86.8%,which was higher than that in the control group accounting for 64.8%,and the difference was statistically significant (P<0.05).The BBS scores of the two groups of patients after treatment were higher than those before treatment,the VSI scores were lower than those before treatment,the DHI scores were lower than those before treatment,and the differences were statistically significant (P<0.01).The BBS score of the treatment group after treatment was higher than that of the control group,the VSI score was lower than that of the control group,the DHI score was lower than that of the control group,and the differences were statistically significant (P<0.05).After 1 month of follow-up,the recurrence rate of the patients in the treatment group was 2.6%,and the recurrence rate of the patients in the control group was 5.4%.There was no statistically significant difference in the recurrence rate between the two groups (P>0.05).Conclusion Tongxuan acupuncture combined with vestibular rehabilitation training is ideal for the treatment of vestibular migraine,which can effectively improve the quality of life,improve the symptoms of vertigo,and facilitate the rehabilitation of vestibular function.

Key words： Tongxuan acupuncture Needle Vestibular rehabilitation training Vestibular migraine Vertigo

基金资助:吉林省中医药科技项目（2018187）

作者简介: 刘亚芬（1986-），女，吉林东丰人，硕士，主治医师，从事眩晕病的中西医基础与临床研究，擅长眩晕病的中西医诊治

引用本文:

刘亚芬; 赵振; 张水生; 孙莉. 通玄针法联合前庭康复训练治疗前庭性偏头痛的临床效果[J]. 中国当代医药, 2020, 27(14): 161-164.
LIU Ya-fen; ZHAO Zhen; ZHANG Shui-sheng ; SUN Li. Clinical effect of tongxuan acupuncture combined with vestibular rehabilitation training in the treatment of vestibular migraine. 中国当代医药, 2020, 27(14): 161-164.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I14/161

[3]	袁庆，刘得龙，余力生，等．氟桂利嗪预防性治疗前庭性偏头痛眩晕发作的前瞻性随机对照研究[J].临床耳鼻咽喉头颈外科杂志，2016，30（10）：805-810.
[4]	蒲圣雄，欧阳青蓉，罗家明.针刺预防治疗对偏头痛患者生活质量的影响研究进展[J]现代医药卫生，2019，35（14）2140-2142.
[5]	Lempert T，Olesen J，Furman J，et al.Vestibular migraine：diagnostic criteria[J].J Vestib Res，2012，22（4）：167-172.
[6]	Alghadir AH，Iqbal ZA，Whitney SL.An update on vestibular physical therapy[J].J Chin Med Assoc，2013，76（1）：1-8.
[8]	郑筱萸.中药新药临床研究指导原则（试行）[S].北京：中国医药科技出版社，2002：256.
[9]	祝鹏宇，武丹，李岩.晕听区针刺结合手法复位治疗水平半规管良性阵发性位置性眩晕的临床观察等[J].针灸临床杂志，2018，34（7），42-45.
[10]	刘业清，陈风华，张荣臻.中医急诊辨证论治眩晕120例临床观察[J].内蒙古中医药，2014，33（5）：19-20.
[1]	袁弘，李海艳，梁建平.前庭性偏头痛的研究进展[J].中国临床新医学，2018，11（5）：518-521.
[2]	张军莉，刘馨怡，潘永惠.前庭性偏头痛的研究进展[J].中国临床神经科学，2018，26（1），100-103.
[7]	Jacobson GP，Newman CW.The development of the dizziness handicap inventory[J].Arch Otolaryngol Head Neck Surg，1990，116（4）：424-427.
[13]	Hall CD，Cox LC.The role of vestibular rehabilitation in the balance disorder patient[J].Otolaryngol Clin North Am，2009，42（1）：161-169.
[14]	刘西玲，刘玥，杨丹，等.前庭康复训练在前庭性偏头痛治疗中的应用[J].陕西医学杂志，2017，46（10）：1417-1418.
[15]	Alghadir AH，Anwer S.Effects of vestibular rehabilitation in the management of a vestibular migraine：a review[J].Front Neurol，2018，9：440.
[11]	王军.孙申田教授百会穴临床应用经验[J].上海针灸杂志，2009，28（2）：67-68.
[12]	巩丽娜，于栋祯，殷善开.前庭性偏头痛研究进展[J].临床耳鼻咽喉头颈外科杂志，2018，32（15）：1143-1147.