针灸临床杂志2025，Vol.41Issue(7)：21-26,6.DOI:10.19917/j.cnki.1005-0779.025128
左氏斡旋针法治疗痰湿中阻型良性阵发性位置性眩晕复位后残余症状的临床研究
Clinical Study of Zuo's Halberd-Rotation Needling in Treatment of Post-Repositioning Symptoms in BPPV of Phlegm-Dampness Obstruction Type
摘要
Abstract
Objective:To explore the effect of Zuo's halberd-rotation needling in treatment of residual symptoms after repositioning in patients with benign positional paroxysmal vertigo(BPPV).Methods:60 patients with residual discomfort after the treatment of BPPV with phlegm-dampness obstruction type were randomly divided into the medication group,the halberd-rotation needling group and the conventional acupuncture group,with 20 patients in each group.The medication group was treated with Betahistine Mesylate;in the halbered-rotation needling group,image-based thinking was applied to identifying corresponding reactive points,treatment was carried out using Zuo's'three regulations-one treatment'acupuncture method;the traditional acupuncture group was treated with needling Fengchi(GB20),Baihui(DU20),Wangu(GB12),Zhongwan(RN12),Yinlingquan(SP9),and Fenglong(ST40).All patients in the three groups were treated and observed for 1 week.The scores of DHI,VAS,SAS,and TCM symptoms,and the serum levels of IL-1α,IL-6,and IL-12 were compared before and after the intervention in the three groups.The clinical efficacy was compared among the three groups.Results:There were no statistical differences in the scores of DHI,VAS,SAS,and TCM symptoms,as well as in the serum contents of inflammatory cytokines among the three groups before the treatment(P＞0.05).The scores of DHI,VAS,SAS,and TCM symptoms were all improved after the treatment compared to those before the treatment in the three groups(P＜0.05),and the improvements were more significant in the halberd-rotation needling group than those in the medication group and the conventional acupuncture group(P＜0.05).The serum contents of inflammatory cytokines were lower in the halberd-rotation needling group than those in the medication group and the conventional acupuncture group after the treatment(P＜0.05).The total clinical effective rate was 95.00％(19/20)in the halberd-rotation needling group,which was higher than 70.00％(14/20)in the medication group and 85.00％(17/20)in the conventional acupuncture group(P＜0.05).The recurrence rate of the halberd-rotation needling group was significantly lower than that of the medication group and the conventional acupuncture group(P＜0.05).Conclusion:Halberd-rotation needling can significantly improve the residual symptoms such as dizziness following BPPV repositioning and inhibit the release of inflammatory cytokines,thereby reducing the recurrence rate in patients.It can serve as an effective treatment method for post-repositioning symptoms in BPPV of phlegm-dampness obstruction type.Survival analysis using a VAS score of 0 as the endpoint showed that,compared with the medication group,both the halberd-rotation needling group and the conventional acupuncture group alleviated residual BPPV symptoms more rapidly.关键词
良性阵发性位置性眩晕/痰湿中阻/斡旋针法Key words
Benign paroxysmal positional vertigo/Phlegm-dampness obstruction/Halberd-rotation needling technique分类
医药卫生引用本文复制引用
梁慧,李玉玲,王艳宇,叶锦艺,胡容菁..左氏斡旋针法治疗痰湿中阻型良性阵发性位置性眩晕复位后残余症状的临床研究[J].针灸临床杂志,2025,41(7):21-26,6.基金项目
广西壮族自治区中医药管理局自筹经费科研课题,编号:GXZYZ20210018 （）
广西中医药大学自然科学基金面上项目,编号:2021MS030 （）
广西中医药优秀人才研修项目,编号:2024005-01-09. （）
