针刺疗法联合手法复位与口服西药治疗良性阵发性位置性眩晕临床研究

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[关键词］良性阵发性位置性眩晕；脾虚饮停证；针刺疗法；手法复位

[中图分类号]R246.81 ［文献标志码］A [文章编号]0256-7415（2025）22-0134-05

DOl:10.13457/j.cnki.jncm.2025.22.024

Clinical Study on Acupuncture Combined with Repositioning Maneuvers and Oral Administration of Western Medicine for Benign Paroxysmal Positional Vertigo

WEN Qinsheng，YE Jihua，LIANG Liujuan，WENG Guizhou，XU Shuangjie，LIAO Wanling XinhuiHospitalofradtioalChineseMedicineAfiliatedtoGuangzouUniveityofinseMedicine，XinuiGuangdong9ohin

Abstract：Objective：To observethe clinical eficacyof acupuncture combined with repositioning maneuvers and oraladministration of Betahistine Hydrochloride Tablets in treating benign paroxysmal positional vertigo（BPPV）of spleen deficiencyand fluid retention type.Methods：A totalof110 BPPV patients ofspleen deficiency-fluidretention typetreatedat Xinhui HospitalofTraditional Chinese MedicineAfiliatedtoGuangzhou UniversityofChinese Medicine from January to October 2O24 were divided into thecontrol group and the observation group using therandom number table method，with55cases in each group.Both groups were treated with manipulative reductionandoral administration of Betahistine Hydrochloride Tablets，and the observation group was treated with acupuncture.Both groups were treated forthree days andfollowed upforthree months.The traditional Chinese medicine syndrome scores，Vestibular Symptom Index（VSI） scores and Berg Balance Scale（BBS）scores were evaluated before and after treatment，and the clinical effcacy and recurrence rates in the two groups were compared.Results:After three days of treatment，the total effectiverate in the observation group was higher than that inthe control group，the diference being significant( P0.05 ） Conclusion：Acupuncturecombined with repositioning maneuvers andoral administrationof Betahistine Hydrochloride Tabletsinthe treatmentof BPPV patientsof spleen deficiencyandfluid retention typecan efectivelyrelieve clinical symptoms，improve vestibular function and balance function，improvecurative effect，and reduce the posibilityof recurrence.

Keywords:Benign paroxysmal positional vertigo；Spleen deficiency and fluid retention syndrome；Acupuncture therapy；Repositioning maneuvers

良性阵发性位置性眩晕(BPPV)是临床常见的外周性前庭疾病，典型临床表现为相对于重力方向的头位变化（如床上翻身、低头、抬头、起床、躺下等)会诱发短暂性眩晕、特征性眼球震颤，还可伴有恶心、呕吐等自主神经症状以及头晕、头重脚轻等，具有自限性，但会反复发作]。（剩余8663字）