针刺“枕后七穴”治疗持续性姿势–知觉性头晕的疗效研究

Study on the Efficacy of Acupuncture at the “Seven Points behind the Occiput” for the Treatment of Persistent Postural-Perceptual Dizziness

摘要: 目的：探讨针刺“枕后七穴”治疗持续性姿势–知觉性头晕(PPPD)的疗效。方法：选取96例乌鲁木齐市第四人民医院的PPPD患者，随机分为治疗组和对照组，各48例。治疗组接受针刺“枕后七穴”治疗，对照组口服草酸艾司西酞普兰片。治疗28天后，通过中医眩晕症状观察量表、Berg平衡量表(BBS)、眩晕评价量表(DARS)及眩晕残障程度评定量表(DHI)评估疗效，并以DHI评分的改善程度为疗效评价标准。结果：1) 两组在治疗第14天和第28天的中医眩晕症状观察量表积分均显著降低(P < 0.01)，且治疗组优于对照组(P < 0.01)。2) BBS评分显示，两组治疗后均有显著改善(P < 0.05)，其中治疗组改善更明显(P < 0.01)。3) DHI子项评分中，躯体(DHI-P)、情绪(DHI-E)和功能(DHI-F)维度均有显著改善(P < 0.05)，治疗组在多个时间点表现更优(P < 0.01)。4) DARS评分方面，治疗组在第14天和第28天均显著优于对照组(P < 0.01)。5) 总有效率方面，治疗组达到100%，高于对照组的93.75% (P < 0.05)。结论：针刺“枕后七穴”对PPPD患者的临床症状具有显著改善作用，能够调节静态平衡能力，增强治疗信心与依从性，从而降低跌倒风险，是一种安全有效的治疗方法。

Abstract: Objective: To investigate the efficacy of acupuncture at the “Seven Points behind the Occiput” in treating patients with Persistent Postural-Perceptual Dizziness (PPPD). Methods: 96 PPPD patients from The Fourth People’s Hospital of Urumqi were randomly assigned to a treatment group and a control group, with 48 patients in each group. The treatment group received acupuncture at the “Seven Points behind the Occiput”, while the control group was treated with oral escitalopram oxalate tablets. After 28 days of treatment, efficacy was evaluated using the Traditional Chinese Medicine (TCM) Dizziness Symptom Observation Scale, Berg Balance Scale (BBS), Dizziness Assessment Rating Scale (DARS), and Dizziness Handicap Inventory (DHI). The improvement in DHI scores was used as the standard to evaluate efficacy. Results: 1) Both groups showed significantly reduced TCM Dizziness Symptom Observation Scale scores on the 14th and 28th days after treatment (P < 0.01), with significantly better outcomes in the treatment group compared to the control group (P < 0.01). 2) BBS scores improved significantly in both groups on the 14th and 28th days after treatment (P < 0.05), with the treatment group showing more pronounced improvement (P < 0.01). 3) In the DHI subscale scores, significant improvements were observed in the physical (DHI-P), emotional (DHI-E), and functional (DHI-F) dimensions (P < 0.05), with the treatment group performing better at multiple time points (P < 0.01). 4) In terms of DARS scores, the treatment group was significantly superior to the control group on both the 14th and 28th days (P < 0.01). 5) In terms of total efficacy rate, the treatment group achieved 100%, which was higher than 93.75% in the control group (P < 0.05). Conclusion: Acupuncture at the “Seven Points behind the Occiput” has a remarkable effect in improving clinical symptoms in PPPD patients. It effectively enhances patients’ static balance, boosts their confidence in treatment, and improves treatment compliance, thereby reducing the risk of falls. It is a safe and effective therapeutic approach.