Acupuncture at Niwanneibazhen points combined with vestibular rehabilitation for unilateral peripheral vestibular dysfunction: a randomized controlled trial

LIAO Yiru; XU Xianpeng; XIA Tingwei; DAI Qingqing; GUO Jun; ZHAO Jun; JIANG Nan; XIE Hui

doi:10.13703/j.0255-2930.20231201-k0001

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Acupuncture at Niwanneibazhen points combined with vestibular rehabilitation for unilateral peripheral vestibular dysfunction: a randomized controlled trial

Clinical Research | 更新时间：2024-09-25

- Acupuncture at Niwanneibazhen points combined with vestibular rehabilitation for unilateral peripheral vestibular dysfunction: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 44, Issue 9, Pages: 1029-1033(2024)
- 作者机构：
  
  1.成都中医药大学临床医学院，四川　成都　611137
  2.成都中医药大学附属眉山医院耳鼻喉科，四川　眉山　620010
  3.成都中医药大学基础医学院
  4.四川大学华西医院耳鼻喉科
  5.四川省中医药科学院菌类药材研究所
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20231201-k0001
  CLC：
- Received：01 December 2023，
  
  Online First：02 July 2024，
  
  Published：12 September 2024
- 稿件说明：
移动端阅览
LIAO Yiru, XU Xianpeng, XIA Tingwei, et al. Acupuncture at Niwanneibazhen points combined with vestibular rehabilitation for unilateral peripheral vestibular dysfunction: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(9): 1029-1033.
DOI：

LIAO Yiru, XU Xianpeng, XIA Tingwei, et al. Acupuncture at Niwanneibazhen points combined with vestibular rehabilitation for unilateral peripheral vestibular dysfunction: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(9): 1029-1033. DOI： 10.13703/j.0255-2930.20231201-k0001.

摘要

目的：

观察针刺泥丸内八阵穴结合前庭康复治疗单侧外周前庭功能障碍的临床疗效。

方法：

将84例单侧外周前庭功能障碍患者随机分为试验组（42例，脱落2例）和对照组（42例，脱落1例）。对照组予前庭康复训练，试验组在对照组基础上予针刺泥丸内八阵穴治疗，以百会穴为中心，百会到印堂连线3等分，以内1/3等分点到百会为半径画圆，将圆分为八等份，以百会穴及8个等分点为针刺点，留针30 min，隔2日1次，每周2次，连续治疗4周。于治疗前后采用Berg平衡量表（BBS）、眩晕障碍量表（DHI）、医院焦虑抑郁量表（HADS）、匹兹堡睡眠质量指数（PSQI）评定两组患者平衡功能、眩晕程度、情绪情况和睡眠质量，并评定临床疗效。

结果：

治疗后，两组患者BBS评分较治疗前升高（

0.01），DHI、HADS和PSQI评分较治疗前降低（

0.01）；试验组HADS、PSQI评分降低幅度大于对照组（

0.01）。试验组总有效率为90.0%（36/40），高于对照组的78.0%（32/41，

0.05）。

结论：

针刺泥丸内八阵穴结合前庭康复可改善单侧外周前庭功能障碍患者的平衡功能和眩晕程度，缓解焦虑、抑郁情绪，提高睡眠质量。

Abstract

Objective

To observe the clinical effect on unilateral peripheral vestibular dysfunction treated with acupuncture at Niwanneibazhen points combined with vestibular rehabilitation.

Methods

A total of 84 patients with unilateral peripheral vestibular dysfunction were randomly divided into a trial group (42 cases

2 cases dropped out) and a control group (42 cases

1 case dropped out). In the control group

vestibular rehabilitation was given. In the trial group

based on the treatment in the control group

Niwanneibazhen

points were located. Taking Baihui (GV 20) as the center

three equal section was divided on the line from Baihui (GV 20) to Yintang (GV 24

). A circle was drawn with the radius from the inner 1/3 equal-section point to Baihui (GV 20)

and divided into eight equal parts. Acupuncture was delivered at Baihui (GV 20) and the eight equal-part points

with needles retained for 30 min. The intervention with acupuncture was operated once every three days

twice a week

consecutively for 4 weeks. Before and after treatment completion

using the Berg balance scale (BBS)

dizziness handicap inventory (DHI)

hospital anxiety and depression scale (HADS)

and Pittsburgh quality index (PSQI)

the balance function

the degree of vertigo

emotional conditions

and sleep quality were evaluated in the patients of the two groups

and the clinical effect was assessed.

Results

After 4 weeks of treatment

the BBS scores were higher than those before treatment (

0.01)

and the scores of DHI

HADS

and PSQI were lower than those before treatment (

0.01) in the two groups. The reduction of HADS and PSQI scores in the trial group was larger than that of the control group (

0.01). The total effective rate was 90% (36/40) in the trial group

higher than that of the control group (78.1%

32/41

0.05).

Conclusion

Acupuncture at Niwanneibazhen points combined with vestibular rehabilitation can effectively ameliorate balance function and vertigo degree

relieve the emotions of anxiety and depression

and improve the quality of sleep in the patients with unilateral peripheral vestibular dysfunction.

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