| Objective To observe the effect and curative effect comparison of three kinds of treatment on posterior circulation ischemic vertigo(PCIV):Tongdu Tiaoshen acupuncture and moxibustion,conventional acupuncture and oral simple western medicine,and to compare the difference of three kinds of treatment methods.To study and establish the optimized scheme of acupuncture and moxibustion treatment for circulatory ischemic vertigo,to explore the possible mechanism of acupuncture and moxibustion treatment of this disease,and to provide scientific basis for clinical improvement of prevention and treatment of post circulatory ischemic vertigo.Methods Eighty patients diagnosed as PCIV from outpatient department and inpatient department of Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine were randomly divided into three groups: Tongdu Tiaoshen acupuncture and moxibustion group(group A),conventional acupuncture group(group B)And oral simple western medicine group(group C).Tongdu Tiaoshen acupuncture and moxibustion group selected to treat Baihui,Dazhui,Fengchi,Fengfu,Shangxing and so on acupoints,and use suspension moxibustion on the Baihui point;Auxiliary points: Yintang,Taiyang,Jingjiaji.Syndrome differentiation points: Liver Yang on hyperactivity plus Xiaxi,Xingjian;Phlegm dampness in obstruction plus Zhongwan,Yinlingquan,Fenglong;Qi and Blood deficiency and deficiency in Qihai,Pishu,Weishu,Geshu;deficiency of Kidney essence plus Zhishi,Taixi,Xuanzhong,Sanyinjiao.Routine acupuncture group selected Baihui,Fengchi,Neiguan,Taichung,Ganshu,Shenshu and Zusanli were treated with acupuncture.The acupuncture and moxibustion group and the routine acupuncture group were treated 10 times a day as a course of treatment and continued for two courses.The oral simple western medicine group was given oral betahistine mesylate,6mg per session,three times daily for a total of 20 days.All patients were evaluated for safety before and after treatment.The adverse events occurred during the treatment were recorded.The changes of TCM syndromes score,dizziness assessment scale(DHI)score,vertigo assessment scale(DARS)and TCD examination results were observed and recorded before and after treatment.Compared the efficacy and safety of the treatment regimen.Finally,statistical software SPSS22.0 was used to analyze the data and evaluate the effect of the three groups.Results analysis1.The General information of the three groups showed that there was no difference between the three groups before treatment(P > 0.05).2.Clinical Efficacy Analysis: Compared with the clinical efficacy of the three treatment regimens,The total effective rate of the Tongdu Tiaoshen acupuncture and moxibustion group was 88.89%,while that of the control group was higher than that of the traditional acupuncture group.The total effective rate of routine acupuncture group was 84.62%and that of drug group was 76.00%.The clinical efficacy of the three treatment regimens was significantly different(P<0.01 or P<0.05).Compared between the two groups,the Tongdu Tiaoshen acupuncture and moxibustion group compared with the routine acupuncture group,P<0.01,.Tongdu Tiaoshen acupuncture and moxibustion group compared with the simple medicine group P<0.01,with very significant difference.routine acupuncture group compared with the simple medicine group,P<0.05,the difference is obvious.3.The correlation analysis of TCM syndrome score: the difference between the three groups before and after treatment was very significant(P<0.01).Comparison among the three groups,Comparison between the Tongdu Tiaoshen acupuncture and moxibustion group and the routine acupuncture group P<0.05,Comparison between Tongdu Tiaoshen acupuncture and moxibustion group and simple medicine group P<0.01,The difference between routine acupuncture group and drug group was significant(P<0.05).4.Comparison of TCD test results: The comparison of LVA,RVA and BA in group Vs before and after treatment in the three groups,The P values of RVA and BA in the Tongdu Tiaoshen acupuncture and moxibustion group were both P<0.01.The difference is very significant.Comparison of routine acupuncture group before and after treatment,LVA and RVA,P<0.05;BA,P<0.01.The results showed that there was significant difference in Vs in routine acupuncture group.The P value of RVA and BA in the drug group were both P<0.05.Comparison of groups of LVA,RVA and BA in the three groups after treatment with Vs,P<0.01,with significant difference.Comparison between the Tongdu Tiaoshen acupuncture and moxibustion group and routine acupuncture group,LVA,P<0.05,The P values of RVA and BA were P<0.01.Comparison between the Tongdu Tiaoshen acupuncture and moxibustion group and simple medicine group,P<0.01.Comparison between conventional acupuncture group and simple drug group,LVA and BA,P<0.05.RVA,P<0.01.Comparison of Vd in three groups before and after treatment,the Tongdu Tiaoshen acupuncture and moxibustion group,LVA,P<0.01;RVA,P<0.01.BA,P<0.01.The results suggest that there is a significant difference in Vd of RVA and BA between the two groups before and after treatment.Routine acupuncture group,LVA,P<0.01;RVA,P<0.05;BA,P<0.01.The difference of Vd in routine acupuncture group is very significant.Drug group,LVA,P<0.01.The P values of RVA and BA were both P<0.05.The difference is obvious.The comparison between the Tongdu Tiaoshen acupuncture and moxibustion group and routine acupuncture group:LVA and BA,P<0.05.RVA,P<0.01.The comparison between the Tongdu Tiaoshen acupuncture and moxibustion group and the simple medicine group,P<0.01,with very significant difference.Comparison between conventional acupuncture group and simple drug group,LVA,RVA and BA,P<0.05,the difference is obvious.5.Scale Scoring analysis: Three groups of patients were given the DARS and DHI scale before and after treatment.The comparison of DARS score before and after treatment in the three groups was statistically significant(P<0.05).After treatment,the TongduTiaoshen acupuncture and moxibustion group and the group of routine acupuncture were measured among the three groups P<0.01,there is a very significant difference.Tongdu Tiaoshen acupuncture and moxibustion group and simple medicine group P<0.01,the difference is obvious.Routine acupuncture group and simple drug group P<0.05,with statistical differences.The three groups of patients were compared with the DHI score group before treatment,all of which were statistically significant,P<0.05.Comparison between groups,Comparison between Tongdu Tiaoshen acupuncture and moxibustion group and routine acupuncture group P<0.05,Comparison between Tongdu Tiaoshen acupuncture and moxibustion group and simple medicine group P<0.01,there is a very significant difference.Comparison between routine acupuncture group and simple medicine group P<0.05,the difference is obvious.Conclusion1.Three different therapies have different effects on the patients with circulatory ischemic vertigo.They have different effects on the clinical symptoms,quality of life,blood supply of LVA,RVA and BA.2.Compared with conventional acupuncture and simple medicine,Tongdu Tiaoshen acupuncture and moxibustion has more advantages in improving the clinical symptoms,quality of life and blood supply of LVA,RVA and BA of PCIV patients.Routine acupuncture is better than single medication.3.The treatment of postoperative circulatory ischemic vertigo with the Tongdu Tiaoshen acupuncture and moxibustion therapy is safe,economical and efficient.It is worthy of clinical application. |
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