[1]金婧 张琦 姚孟良 王义涵 石磊 冷辉.八段锦联合疏肝解郁安神法治疗持续性姿势-知觉性头晕患者的临床研究[J].陕西中医药大学学报,2023,(01):094-99.[doi:10.13424/j.cnki.jsctcm.2023.01.017]
　JIN Jing ZHANG Qi YAO Mengliang WANG Yihan SHI Lei LENG Hui.Clinical Study on Treatment of Persistent Postural Perceptual Dizziness with Baduanjin Combined with Method of Soothing Liver，Relieving Depression and Tranquilizing Mind[J].Journal of Shaanxi University of Traditional Chinese Medicine,2023,(01):094-99.[doi:10.13424/j.cnki.jsctcm.2023.01.017]
点击复制

八段锦联合疏肝解郁安神法治疗持续性姿势-知觉性头晕患者的临床研究()
分享到：

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2023年01期
页码:
094-99
栏目:
出版日期:
2023-01-20

文章信息/Info

Title:
Clinical Study on Treatment of Persistent Postural Perceptual Dizziness with Baduanjin Combined with Method of Soothing Liver，Relieving Depression and Tranquilizing Mind
文章编号:
2096-1340(2023)01-0094-06
作者:
金婧1 张琦2 姚孟良1 王义涵2 石磊2 冷辉2
1.辽宁中医药大学，辽宁 沈阳 110032；
2.辽宁中医药大学附属医院，辽宁 沈阳 110032
Author(s):
JIN Jing1 ZHANG Qi2 YAO Mengliang1 WANG Yihan2 SHI Lei2 LENG Hui2
1.Liaoning University of Chinese Medicine，Shenyang 110032,China；
2.Affiliated Hospital of Liaoning University of Chinese Medicine，Shenyang 110032,China
关键词:
关键词：持续性姿势知觉性头晕; 八段锦; P300; 解郁安神汤; 焦虑
Keywords:
Key words:Persistent postural perceptual dizziness; Baduanjin; P300; Jieyu Anshen Decoction; Anxiety
分类号:
R247.4
DOI:
10.13424/j.cnki.jsctcm.2023.01.017
文献标志码:
A
摘要:
摘 要：目的 观察八段锦联合疏肝解郁安神法治疗肝火炽盛型持续性姿势知觉性头晕的临床疗效。方法 选取符合本次研究的60例患者随机分为两组各30例。对照组予解郁安神汤治疗；治疗组在对照组基础上联合八段锦治疗。比较治疗前、后患者眩晕残障量表和焦虑抑郁量表的评分、P300潜伏期和N2-P3的振幅以及治疗疗效。结果 与治疗前比较，治疗组治疗后眩晕残障量表评分、焦虑抑郁量表评分、P300潜伏期较对照组改善明显(P＜0.05)。治疗组N2-P3的振幅较治疗前提高(P＜0.05)。且治疗组临床疗效（86.67%）明显高于对照组（62.50%）(P＜0.05)。结论 八段锦联合疏肝解郁安神法治疗持续性姿势知觉性头晕有较好的疗效，能够有效的缓解头晕、焦虑、抑郁等临床症状和认知功能。
Abstract:
Abstract：Objective To observe the clinical efficacy of Baduanjin combined with Shugan Jieyu Anshen therapy in the treatment of persistent postural perceptual dizziness with liver fire.Methods 60 patients were randomly divided into two groups，30 patients in each group.The control group was treated with Jieyu Anshen Decoction；The observation group was treated with Baduanjin on the basis of the control group.The scores of Vertigo Disability Scale and Anxiety and Depression Scale，P300 latency，N2P3 amplitude and therapeutic effect were compared before and after treatment.Results Compared with before treatment，the scores of vertigo disability scale，anxiety and depression scale and P300 latency in the treatment group after treatment were significantly improved compared with those in the control group (P＜0.05).The amplitude of N2-P3 in the treatment group was higher than that before treatment (P＜0.05).The clinical efficacy of the treatment group (86.67%) was significantly higher than that of the control group (62.50%) (P＜0.05).Conclusion Baduanjin combined with soothing the liver，relieving depression and calming Shen has a good effect on persistent postural perceptual dizziness，which can effectively relieve the clinical symptoms and cognitive functions such as dizziness，anxiety and depression.

参考文献/References:

［1］姜山,肖辉,陈隐漪.持续性姿势感知性头晕研究进展［J］.临床神经病学杂志,2020,33(3):233-236.
［2］李康之,刘博,顾平,等.持续性姿势感知性头晕（PPPD）诊断标准：Bárány学会前庭疾病分类委员会共识［J］.神经损伤与功能重建,2020,15(2):63-72.
［3］明玉洁,方力群.持续性姿势知觉性头晕发病的相关因素及药物疗效［J］.北京医学,2020,42(9):839-843.
［4］Staab JP,Eckhardt-henn A,Horii A, et al. Diagnostic criteria for persistent postural-perceptual dizziness (pppd):consensus document of the committee for the classification of vestibular Disorders of the Bárány Society［J］.J Vestib Res,2017,27(4):191-208.
［5］张伯礼,吴勉华.中医内科学［M］.北京：中国中医药出版社,2017.
［6］李灿东.中医诊断学［M］.北京,中国中医药出版社,2016:170-171.
［7］刘红梅,李涛.眩晕症中医证候临床分析［J］.中国中医药信息杂志,2007,14(10):16-18.
［8］丁雷,刘畅,王嘉玺,等.眩晕残障程度评定量表(中文版)的评价［J］.中华耳科学杂志,2013,11(2):228-230.
［9］Kucukelci DT. A Study on the hospital anxiety and depression scale (hads)［J］.Yaam Becerileri Psikoloji Dergisi, 2019, 3(5):85-91.
［10］ 吴家骜,冷辉,姜宇晴,等.疏肝解郁法治疗耳源性眩晕伴焦虑患者的临床研究［J］.陕西中医药大学学报,2021,44(4):114-118.
［11］国家中医药管理局.中医耳鼻喉科病证诊断疗效标准:ZY/T001.6-1994［S/OL］.(1994-06-28)［2022-05-01］.https://kns.cnki.net/kcms/detail/detail.aspx?dbcode= SCHF&dbname=SCHF&filename=schf200906012006 &v=IsoQgkZ3s9PqPVuZKUHyfFD0kDWzUJrqOtTNTR M3WMOYtgbiPrQpwnjSoXu43LsyxJ%25mmd2Fy9zsds9s%3d.
［12］Yan ZH,Cui LP,Yu TX,et al.Analysis of the characteristics of persistent postural-perceptual dizziness:A clinical-based study in China［J］.International journal of audiology,2017,56(1):33-37.
［13］Dieterich M,Staab J P.Functional dizziness:from phobic postural vertigo and chronic subjective dizziness to persistent postural-perceptual dizziness［J］.Current opinion in neurology,2017,30(1):107-113.
［14］Diukova GM,Zamergrad MV,Golubev VL,et al Funktsional-noe(psikhogennoe）golovokruzhenie［Functional(psychogenic）vertigo］［J］.Zh Nevrol Psikhiatr Im S S Korsakova.2017,117(6):91-98.
［15］张晓天,李晋芳.持续性姿势性知觉性头晕研究现状［J］.中国临床神经科学,2018,26(5):575-580.
［16］Stoyan P,Jeffrey PS,Jon S.Persistent posturalperceptual dizziness(PPPD):a common,characteristic and treatable cause of chronic dizziness［J］.Practical Neurology,2018,18(1):5-13.
［17］李康之,刘博,顾平,等.持续性姿势感知性头晕（PPPD）诊断标准：Bárány学会前庭疾病分类委员会共识［J］.神经损伤与功能重建,2020,15(2):63-72.
［18］Nordahl HM,Vogel PA,Morken G,et al.Paroxetine,Cognitive Therapy or Their Combination in the Treatment of Social Anxiety Disorder with and without Avoidant Personality Disorder:A Randomized Clinical Trial［J］.Psychotherapy and psychosomatics,2016,85(6):346-356.
［19］王仙伟,雷虹,柯绍发,等.慢性主观性头晕中医证型与焦虑、抑郁相关研究［J］.浙江中西医结合杂志,2019,29(1):40-42.
［20］马大勇,李庆彬,黄丽贤,等.眩晕中医辨治思路探析［J］.现代中医临床,2020,27(6):57-59,63.
［21］张堃,周楠,王立娜.补泻针灸疗法联合疏肝解郁汤治疗原发性干燥综合征伴焦虑抑郁临床研究［J］.陕西中医,2022,43(4):515-518.
［22］齐莹,薛广伟,刘静,等.八段锦现代研究进展［J］.中医临床研究,2018,10(35):140-143.
［23］Thompson KJ, Goetting JC, Staab JP,et al. Retrospective review and telephone follow-up to evaluate a physical therapy protocol for treating persistent postural-perceptual dizziness:a pilot study［J］.J Vestib Res, 2015, 25(2):97-104.
［24］彭思萍,徐明明,温芳艳,等.八段锦之“调理脾胃须单举”联合足三里穴位按压对新冠肺炎患者纳差效果评价［J］.陕西中医药大学学报,2021,44(6):6-10.
［25］McCaslin DL,Shepard NT,Hollman JH,et al.Characterization of Postural Sway in Patients With Persistent PosturalPerceptual Dizziness(PPPD）Using Wearable Motion Sensors［J］.Otol Neurotol，2022，43(2):e243-e251.
［26］吴嫣,顾青,刘继红,等.中药保留灌肠联合八段锦治疗输卵管阻塞性不孕症临床研究［J］.陕西中医,2019,40(7):835-838.
［27］陆沈羿,熊婕,李海燕.1949年以来八段锦论文研究历史、现状与趋势的可视化分析［J］.中国中医基础医学杂志,2022,28(4):658-662.
［28］Indovina I,Riccelli R,Chiarella G,et al.Role of the insula and vestibular system in patients with chronic subjective dizziness:an fMRI study using soundevoked vestibular stimulation［J］.Front Behav Neurosci,2015,9:334.
［29］陈超,范存秀,毕晓莹.持续性姿势感知性眩晕的功能磁共振成像研究进展［J］.第二军医大学学报,2020,41(4):439-443.
［30］Tao J,Chen XL,Egorova Natalia,et al.Tai Chi Chuan and Baduanjin practice modulates functional connectivity of the cognitive control network in older adults［J］.Scientific reports,2017,7(1):41581.
［31］任清涛,刘情情,张勤峰,等.新一代事件相关电位认知功能评定和监测系统的实验方法建立与应用——附50名健康成人听P300分析［J］.神经病学与神经康复学杂志,2014,11(3):119-122.
［32］汤勇,闫志慧,薛慧,等.持续性姿势-感知性头晕专家共识［J］.中华耳科学杂志,2021,19(6):992-996.

相似文献/References:

[1]彭思萍 徐明明 温芳艳 刘禹翔 李茂生 李惠林 陈园园 李贞贞.八段锦之“调理脾胃须单举”联合足三里穴位按压对新冠肺炎患者纳差效果评价[J].陕西中医药大学学报,2021,(06):006.[doi:10.13424/j.cnki.jsctcm.2021.06.002]

备注/Memo

备注/Memo:
基金项目：辽宁省自然基金项目（2019ZD0952）
更新日期/Last Update: 2023-02-20