| Objective: To explore the therapeutic effect of the combination of scalp-acupoint cluster needling and long needle retaining method and vestibular rehabilitation training on persistent postural-perceptual dizziness (PPPD). Methods: A total of 126 patients with PPPD treated in our hospital were selected and randomly divided into the control group and the study group, with 63 patients in each group. The patients in both groups were treated with vestibular rehabilitation training method. The study group was subjected to cephalic acupoint clustering and long-staying acupuncture method additionally. After 1 month of treatment, the two groups were compared before and after treatment in terms of scores on the dizziness handicap inventory (DHI) and the self-assessment scale for anxiety (SAS) and depression self-assessment scale (SDS) for mental status, the brief health scale (SF-36) for quality of life, the Pittsburgh sleep quality index (PSQI) for sleep, and the Berg balance scale (BBS) for balance, and the serum neurotransmitters were tested. The serum neurotransmitter levels of gamma-aminobutyric acid (GABA), 5-hydroxytryptamine (5-HT), acetylcholine (ACh), and dopamine (DA) were also measured to analyze the therapeutic effects and adverse reactions. Results: After treatment, the DHI, SAS, SDS, PSQI scores and ACh levels in the 2 groups were lower than those before treatment (P<0.05), and the SF-36, BBS scores and GABA, 5-HT, DA levels in the 2 groups were higher than those before treatment (P<0.05). The DHI, SAS, SDS, PSQI scores and ACh levels in the study group were lower than those in the control group (P<0.05). The SF-36, BBS scores and GABA, 5-HT, DA levels and total effective rate of treatment in the study group were higher than those in the control group (P<0.05). SF-36, BBS scores and GABA, 5-HT, DA levels and total effective rate of treatment in the study group were higher than those in the control group (P<0.05). There was no significant difference in adverse reactions between the 2 groups. Conclusion: The combination of scalp-acupoint cluster needling and long needle retaining method and vestibular rehabilitation training can obviously improve the symptoms of dizziness in PPPD patients, enhance brain activity, improve emotional status, and improve quality of life. |
