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| Clinical Effect of Epley's Canalith Repositioning Maneuver Combined with Traditional Chinese Medicine Filiform Needle Acupuncture in the Treatment of Patients with Benign Paroxysmal Positional Vertigo |
| LI Xiaoyun |
| Department of Otorhinolaryngology, Nanyang Central Hospital, Nanyang Henan 473000 |
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Abstract 【Objective】To explore the clinical effect of Epley canalith repositioning maneuver combined with filiform needle acupuncture in the treatment of patients with benign paroxysmal positional vertigo (BPPV). 【Methods】A total of 93 patients with BPPV admitted to our hospital from February 2021 to February 2023 were selected as the research subjects and randomly divided into the control group (n=46, treated with Epley canalith repositioning maneuver) and the observation group (n=47, treated with Epley canalith repositioning maneuver combined with filiform needle acupuncture). The blood rheological parameters (high shear whole blood viscosity, low shear whole blood viscosity, plasma viscosity), negative emotions [Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) scores], balance function [Berg Balance Scale (BBS) score], and quality of life [Dizziness Handicap Inventory (DHI) score] of the two groups were compared before treatment, 1 week after treatment, and 2 weeks after treatment. 【Results】After 2 weeks of treatment, the high shear whole blood viscosity, low shear whole blood viscosity, plasma viscosity, HAMA score, and HAMD score of the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05). The BBS score of the observation group was higher than that of the control group 1 week and 2 weeks after treatment, and the differences were statistically significant (P<0.05). After 2 weeks of treatment, the scores of all dimensions of DHI in both groups were lower than those before treatment and 1 week after treatment. and the scores of the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05). 【Conclusion】Epley canalith repositioning maneuver combined with filiform needle acupuncture can effectively improve the blood rheological parameters, negative emotions, and balance function of BPPV patients, thereby improving their quality of life.
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Received: 26 September 2023
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2025, Vol. 42 
