观察"醒脑开窍"针刺法治疗精神性眩晕的临床疗效。

选取2016年11月至2018年4月天津中医药大学第一附属医院针灸科和心身科病房及门诊收治的精神性眩晕患者60例，按照随机数字表法分为2组，每各30例。对照组采用口服氟哌噻吨美利曲辛片治疗，治疗组采用"醒脑开窍"针刺法治疗，2周为1个疗程。治疗2周后评价2组患者眩晕障碍量表(DHI)评分、医院焦虑抑郁量表(HADS)评分及临床疗效。采用χ²检验比较2组患者临床疗效；采用t检验比较2组患者治疗后DHI评分和HADS评分。

治疗组痊愈17例，有效10例，无效3例，总有效率90.0%(23/30)；对照组治愈12例，有效8例，无效10例，总有效率66.7%(20/30)。2组患者总有效率比较，差异具有统计学意义(Z＝2.02，P<0.05)。对照组治疗前后、治疗组治疗前后和2组治疗后DHI评分比较，差异均有统计学意义(t＝11.41、24.39、8.42，P均<0.05)。对照组治疗前后、治疗组治疗前后和2组治疗后HADS评分比较，差异均有统计学意义(t＝5.42、9.98、8.42，P均<0.05)。

"醒脑开窍"针刺法治疗精神性眩晕疗效确切，值得临床推广应用。

To observe the effect of the consciousness-restoring resuscitation(XingnaoKaiqiao)acupuncture therapy on psychogenic vertigo.

Sixty patients with psychogenic vertigo admitted to the Department of Acupuncture and Moxibustion and the outpatient department of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from November 2016 to April 2018 were selected and divided into two groups according to the random number table method. The control group was treated with western medicine Deanxit, and one tablet was taken orally in the morning. The treatment group was treated with acupuncture method of consciousness-restoring resuscitation, and 1 course was used for 2 weeks. After 2 weeks of treatment, dizziness disorder scale (DHI), hospital anxiety and depression scale (HADS) and clinical efficacy in two groups of patientswere evaluated. The clinical efficacy of the two groups was compared by χ² test. The DHI and HADS scores of the two groups were compared by t test.

In the treatment group, 17 cases were cured, 10 cases were effective, 3 cases were ineffective, and the total effective rate was 90.0% (23/30). The control group was cured in 12 cases, effective in 8 cases, and ineffective in 10 cases. The total effective rate was 66.7% (20/30). The difference of the total effective rate between the two groups was statistically significant (Z=2.02, P<0.05). There were significant differences in DHI scores before and after treatment in both groups, and after treatment between the two groups(t=11.41, 24.39, 8.42, all P<0.05). There were significant differences in HADS scores before and after treatment in both groups, and after treatment between the two groups (t=5.42, 9.98, 8.42, all P<0.05).

" Consciousness-restoring resuscitation" acupuncture therapy is effective in the treatment of psychogenic vertigo and worthy of clinical application.