| 谭璐璐,何乾超,陈兴华,梁 妮,陈 炜,宋 曦,林秋红,张志伟.小醒脑针刺法联合度洛西汀对持续性姿势-知觉性头晕患者心理状态、平衡功能及睡眠质量的影响[J].,2021,(12):2314-2317 |
| 小醒脑针刺法联合度洛西汀对持续性姿势-知觉性头晕患者心理状态、平衡功能及睡眠质量的影响 |
| Effect of Xiaoxingnao Acupuncture Combined with Duloxetine on Mental State, Balance Function and Sleep Quality of Patients with Persistent Postural Perceptual Dizziness |
| 投稿时间：2020-11-29 修订日期：2020-12-23 |
| DOI：10.13241/j.cnki.pmb.2021.12.025 |
| 中文关键词: 小醒脑针刺法 度洛西汀 持续性姿势-知觉性头晕 心理状态 睡眠质量 平衡功能 |
| 英文关键词: Xiaoxingnao acupuncture Duloxetine Persistent postural perceptual dizziness Mental state Sleep quality Balance function |
| 基金项目:广西壮族自治区2020年中医药适宜技术开发与推广项目（GZSY20-29） |
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| 中文摘要: |
| 摘要 目的：探讨小醒脑针刺法联合度洛西汀对持续性姿势-知觉性头晕（PPPD）患者心理状态、睡眠质量及平衡功能的影响。方法：收集2017年1月~2019年6月期间我院收治的70例PPPD患者为研究对象。按门诊号单双数将研究对象分为对照组（n=35，度洛西汀治疗）和研究组（n=35，小醒脑针刺法联合度洛西汀治疗），对比两组头晕发作频次、头晕发作持续时间以及眩晕残障程度评定量表（DHI）评分、汉密尔顿抑郁量表（HAMD）评分、汉密尔顿焦虑量表（HAMA）评分、Berg平衡量表（BBS）评分、活动平衡信心量表（ABC）评分、微觉醒指数、入睡后清醒时间、睡眠分期转换次数、醒转次数、匹兹堡睡眠质量指数（PSQI）评分。结果：两组治疗后头晕发作频次、头晕发作持续时间、微觉醒指数、入睡后清醒时间、睡眠分期转换次数、醒转次数以及DHI、PSQI、HAMA、HAMD评分均较治疗前降低，且研究组较对照组低（P<0.05）。治疗后两组BBS、ABC评分均较治疗前升高，且研究组较对照组高（P<0.05）。结论：小醒脑针刺法联合度洛西汀治疗PPPD患者，可有效改善患者眩晕症状、心理状态、睡眠质量及平衡功能。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of Xiaoxingnao acupuncture combined with duloxetine on mental state, sleep quality and balance function of patients with persistent postural perceptual dizziness (PPPD). Methods: 70 cases of patients with PPPD in our hospital from January 2017 to June 2019 were collected as the research objects. The subjects were randomly divided into control group (n=35, duloxetine treatment) and study group (n=35, Xiaoxingnao acupuncture combined with duloxetine treatment) according to outpatient number. The frequency of dizziness attack, duration of dizziness attack, vertigo disability rating scale (DHI) score, Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), Berg balance scale score (BBS), activity balance confidence scale (ABC), micro arousal index, wake-up time after sleep, sleep stage conversion times, wake-up times, Pittsburgh sleep quality index (PSQI) were compared between the two groups. Results: After treatment, the frequency of dizziness attack, duration of dizziness attack, micro awakening index, awake time after falling asleep, sleep stage conversion times, wake-up times and DHI, PSQI, HAMA, HAMD scores of the two groups were lower than those before treatment, and the study group was lower than the control group (P<0.05). After treatment, BBS and ABC of the two groups were higher than those before treatment, and study group was higher than control group(P<0.05). Conclusion: Xiaoxingnao acupuncture combined with duloxetine can effectively improve vertigo symptoms, mental state, sleep quality and balance function in patients with PPPD. |
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