"Yuntong acupuncture"combined with vestibular rehabilitation training for patients with persistent postural-perceptual dizziness
Objective To observe the efficacy of"Yuntong acupuncture"combined with vestibular rehabilitation training in the treatment of patients with persistent postural-perceptual dizziness and its effect on emotional disorders.Methods Ninety patients with persistent postural-perceptual dizziness admitted to Lianyungang Hospital Affiliated to Nanjing University of Chinese Medicine from January 2022 to September 2023 were selected for the randomized controlled trial.The patients were divided into a control group and an observation group by the random number table method,with 45 cases in each group.There were 12 males and 33 females in the observation group;they were(62.64±9.40)years old.There were 17 males and 28 females in the control group;they were(62.82±9.86)years old.The control group took vestibular rehabilitation training;in addition,the observation group took"Yuntong acupuncture".Seven days was a treatment course.Both groups were treated for 4 courses.The scores of Dizziness handicap inventory(DHI),physical P,emotional E,functional F,Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),and Pittsburgh Sleep Quality Index(PSQI)before and after the treatment,the efficacies,and the incidences of adverse reactions during the treatment were compared between the two groups.t and x2 tests were used for the statistical analysis.Results Before the treatment,there were no statistical differences in the total score and scores of body,emotion,and function of DHI between the two groups(all P＞0.05).After the treatment,the total score and scores of body,emotion,and function of DHI in the observation group were lower than those in the control group[(24.22±11.08)vs.(33.02±10.54),(6.98±3.32)vs.(8.67±3.19),(8.27±4.08)vs.(11.51±3.22),and(8.71±4.07)vs.(12.40±4.42)],with statistical differences(t=3.860,2.462,4.182,and 4.120;all P＜0.05).There was a statistical difference in the clinical efficacy between the two groups(Z=2.873;P=0.005).Before the treatment,there were no statistical differences in the scores of HAMA,HAMD,and PSQI between the two groups(all P＞0.05).After the treatment,the scores of HAMA,HAMD,and PSQI in the observation group were lower than those in the control group[(10.00±5.59)vs.(15.24±4.35),(10.20±6.33)vs.(15.96±4.92),and(6.31±2.98)vs.(10.11±2.70)],with statistical differences(t=4.963,4.820,and 6.339;all P＜0.05).There was no statistical difference in the incidence of adverse reactions between the observation group and the control group[11.11％(5/45)vs.8.89％(4/45);x2=0.137,P=0.711].Conclusion"Yuntong acupuncture"combined with vestibular rehabilitation training for patients with persistent postural-perceptual dizziness can improve their clinical symptoms,emotional and sleep disorders,and life quality.
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