Clinical observation on ginger-partitioned moxibustion plus manual repositioning for benign paroxysmal positional vertigo (BPPV)

隔姜灸联合手法复位治疗良性阵发性位置性眩晕临床观察

Abstract

Objective

To investigate the clinical effect of ginger-partitioned moxibustion combined with manual repositioning for benign paroxysmal positional vertigo (BPPV).

Methods

A total of 76 BPPV cases were randomly allocated into an observation group (n=38) and a control group (n=38). Patients in the observation group received ginger-partitioned moxibustion at Tinggong (SI 19) plus manual repositioning, whereas patients in the control group received the same manual repositioning alone.

Results

After 48 h of treatment, the total effective rate was 94.7% in the observation group, versus 86.8% in the control group; after 7 d of treatment, the total effective rate was 78.9% in the observation group, versus 73.7% in the control group, both showing between-group statistical differences (P<0.05). The follow-up after 3 months showed that 2 cases (6.7%) got relapse in the observation group, versus 8 cases (28.6%) in the control group, showing a statistical difference (P<0.05). The adverse reaction rate was 2.6% in the observation group, versus 21.1% in the control group, showing a statistical difference (P<0.05).

Conclusion

Ginger-partitioned moxibustion at Tinggong (SI 19) plus manual repositioning can obtain better effect for BPPV than manual repositioning alone. In addition, this therapy has stable efficacy and causes less adverse reactions.

摘要

目的

探讨隔姜灸联合手法复位治疗良性阵发性位置性眩晕(benign paroxysmal positional vertigo, BPPV) 的临床疗效。

方法

将76 例BPPV 患者按随机数字表随机分为两组, 每组38 例。观察组患者予隔姜灸听宫穴后 手法复位治疗, 对照组仅予与观察组相同的手法复位治疗。

结果

治疗48 h 后, 观察组总有效率为94.7%, 对照 组总有效率86.8%; 治疗7 d 后, 观察组总有效率为78.9%, 对照组总有效率为73.7%。两组在2 个观察点的总有 效率差异均有统计学意义(P<0.05)。治疗结束3 个月后随访, 观察组中2 例复发, 复发率6.7%; 对照组中8 例复 发, 复发率28.6%, 两组复发率差异有统计学意义(P<0.05)。观察组不良反应发生率为2.6%, 对照组为21.1%, 两 组不良反应发生率差异有统计学意义(P<0.05)。

结论

隔姜灸听宫穴联合手法复位治疗BPPV 疗效优于单纯手法 复位治疗, 且疗效稳定, 不良反应少。

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Correspondence to Li-ping Zhang 张丽萍.

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Ni, F., Zhang, L. & Hu, S. Clinical observation on ginger-partitioned moxibustion plus manual repositioning for benign paroxysmal positional vertigo (BPPV). J. Acupunct. Tuina. Sci. 14, 31–35 (2016). https://doi.org/10.1007/s11726-016-0897-3

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Keywords

  • Vertigo
  • Benign Paroxysmal Positional Vertigo
  • Moxibustion Therapy
  • Indirect Moxibustion
  • Ginger-partitioned Moxibustion

关键词

  • 眩晕
  • 良性阵发性位置性眩晕
  • 灸法
  • 间接灸
  • 隔姜灸

中图分类号

  • R246.8

文献标志码

  • A