Mesh : Male Humans Aged Benign Paroxysmal Positional Vertigo / therapy Moxibustion Dizziness Patient Positioning / methods Acupuncture Therapy Semicircular Canals

来  源:   DOI:10.1097/MD.0000000000036032   PDF(Pubmed)

Abstract:
BACKGROUND: Horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV) is a second common canal of Benign Paroxysmal Positional Vertigo (BPPV); its actual incidence may have been underestimated because of its complex pathogenesis. Although the canalith repositioning maneuver is the treatment of choice, it has a high recurrence rate, affecting some patients\' lives and psychology. We submit a case report describing acupuncture and wheat grain moxibustion treatment for HSC-BPPV.
METHODS: A 70-year-old patient with HSC-BPPV had low acceptability of the otolith repositioning treatment strategy and reported intolerance during the procedure. He turned to acupuncture as a result of recurrent attacks of vertigo.
METHODS: Horizontal semicircular canal benign paroxysmal positional vertigo.
METHODS: The intervention project was acupuncture followed by wheat grain moxibustion treatment, administered once every 2 days, 3 times a week. The whole treatment period lasted for 2 months.
RESULTS: The patient\'s clinical symptoms of vertigo improved significantly after 8 weeks of acupuncture and wheat grain moxibustion treatment. The Dizziness Handicap Inventory (DHI) and Visual Vertigo Analogue Scale (VVAS) scores decreased, thus verifying that the severity of vertigo was reduced.
CONCLUSIONS: This brief clinical report suggests that acupuncture therapy may be a complementary option for treating HSC-BPPV.
摘要:
背景:水平半规管良性阵发性位置性眩晕(HSC-BPPV)是良性阵发性位置性眩晕(BPPV)的第二常见管;由于其复杂的发病机制,其实际发生率可能被低估。尽管耳石重新定位操作是选择的治疗方法,复发率高,影响一些患者的生活和心理。我们提交了一份病例报告,描述了针灸和麦粒灸治疗HSC-BPPV。
方法:一名70岁的HSC-BPPV患者对耳石重新定位治疗策略的接受度较低,并且在手术过程中报告不耐受。由于反复发作的眩晕,他转向针灸。
方法:水平半规管良性阵发性位置性眩晕。
方法:干预项目为针刺后麦粒灸治疗,每两天给药一次,一周三次。整个治疗期为2个月。
结果:经针刺和麦粒灸治疗8周后,患者眩晕的临床症状明显改善。头晕障碍量表(DHI)和视觉眩晕模拟量表(VVAS)评分下降,从而验证眩晕的严重程度有所减轻。
结论:这份简短的临床报告表明,针灸疗法可能是治疗HSC-BPPV的补充选择。
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