Efficacy and safety of acupuncture for dizziness and vertigo in emergency department: a pilot cohort study

BMC Complementary and Alternative Medicine

Lun-Chien Lo²  John. Y. Chiang¹  Shun-Chang Chang³  Chia-Yun Chen³  Po-Chi Hsu³  Tsung-Chieh Lee³  Chih-Wen Chiu⁴ 

[1] Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan;Graduate Institute of Statistical and informational Science, National Changhua University of Education, Changhua, Taiwan;Department of Chinese medicine, Changhua Christian hospital, Changhua, Taiwan;Department of Emergency Medicine, Changhua Christian hospital, Changhua, Taiwan

关键词: Traditional Chinese medicine (TCM);    Acupuncture;    Clinical trial;    Emergency department (ED);    Dizziness and vertigo;   

Others  :  1212018
DOI  :  10.1186/s12906-015-0704-6

 received in 2015-01-09, accepted in 2015-05-29,  发布年份 2015

【 摘 要 】

Background

Dizziness and vertigo account for roughly 4% of chief symptoms in the emergency department (ED). Pharmacological therapy is often applied for these symptoms, such as vestibular suppressants, anti-emetics and benzodiazepines. However, every medication is accompanied with unavoidable side-effects. There are several research articles providing evidence of acupuncture treating dizziness and vertigo but few studies of acupuncture as an emergent intervention in ED. We performed a pilot cohort study to evaluate the efficacy and safety of acupuncture in treating patients with dizziness and vertigo in ED.

Methods

A total of 60 participants, recruited in ED, were divided into acupuncture and control group. Life-threatening conditions or central nervous system disorders were excluded to ensure participants’ safety. The clinical effect of treating dizziness and vertigo was evaluated by performing statistical analyses on data collected from questionnaires of Dizziness Handicap Inventory (DHI), Visual Analog Scale (VAS) of dizziness and vertigo, and heart rate variability (HRV).

Results

The variation of VAS demonstrated a significant decrease (p-value: 0.001 and p-value: 0.037) between two groups after two different durations: 30 mins and 7 days. The variation of DHI showed no significant difference after 7 days. HRV revealed a significant increase in high frequency (HF) in the acupuncture group. No adverse event was reported in this study.

Conclusion

Acupuncture demonstrates a significant immediate effect in reducing discomforts and VAS of both dizziness and vertigo. This study provides clinical evidence on the efficacy and safety of acupuncture to treat dizziness and vertigo in the emergency department.

Trial registration

ClinicalTrials.gov ID: NCT02358239 webcite. Registered 5 February 2015

【 授权许可】

   
2015 Chiu et al.

【 图 表 】

Fig. 1.

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