| Objective:To study the clinical effect of the treatment of phlegm extinguishing wind and vertigo acupuncture in the treatment of the insufficiency of vertebral basilar artery insufficiency in phlegm dampness.Methods:All the selected cases were from January 2016 to April 2017 in the First Affiliated Hospital of Heilongjiang University Of Chinese Medicine.60 patients who met the inclusion criteria were randomly divided into treatment group and control group,30 cases in each group.The treatment group was treated with Huatan Xifeng and dazzle acupuncture,while the control group was treated by routine acupuncture.The treatment group was selected for acupuncture,such as Shuigou,Taiyang,Baihui,TouWei,FengChi,Jiaji(C4-6),DanZhong,Zusanli,Sanyinjiao,Fenglong,Hegu and Taichong.Control group selected Baihui,Fengchi,Neiguan,Zhongwan,Taichong,yinlingquan,Fenglong acupuncture.Two groups of patients with retaining needle 50 min each time,once per day,one week is a course of treatment,continuous for diagnosis and treatment of 2 course of treatment,then the data before and after treatment were compared,the difference in clinical efficacy was analyzed:(1)Before and after treatment,the score of TCM syndromes and curative effect syndrome of TCM were improved.(2)The changes of systolic blood velocity(Vs),diastolic flow velocity(Vd),mean velocity of blood flow(Vm),and vascular pulsation index(PI)of bilateral vertebral artery(VA)and basilar artery(BA)in two groups were examined by transcranial Doppler ultrasound(TCD).Result:1.the difference of TCM syndrome score in the two groups before and after treatment:the total score of TCM syndrome in the two groups before treatment was not statistically significant(P>0.05).Compared with before treatment,the total score of TCM syndrome in the two groups after treatment was reduced,and the difference was statistically significant(P<0.01);compared with the control group,the treatment was compared with the treatment group.The scores of TCM syndromes in the treatment group were reduced,the difference was statistically significant(P<0.05),and the treatment group was better than the control group in improving TCM syndromes.2.the effective comparison of TCM syndrome:after treatment,6 cases in the treatment group recovered,12 cases were markedly effective,9 cases were effective,ineffective 2 cases,total effective rate was 89.66%;3 cases in the control group was cured,8 cases had marked effect,12 cases effective,6 cases were ineffecive,the total effective rate was 79.31%,After statistics analysis statistically significant difference(P<0.05),the treatment group of TCM syndrome was effective.The rate was higher than that of the control group.3.TCD test results showed that there was no significant difference in the values of Vs,Vd,Vm and PI between the two groups before the treatment(P>0.05).Compared with before treatment,the two groups of VA and BA Vs,Vd,and BA increased,and the difference was statistically significant(P<0.01).Compared with the control group,the treatment group was compared with the control group.The Vs,Vd and Vm of VA and BA were all increased,and the value of PI decreased.The difference was statistically significant(P<0.01,P<0.05).The treatment group was superior to the control group in increasing VA and BA Vs,Vd and decreasing values.Conclusion:1.the method of eliminating phlegm,expelling wind and setting dizziness can obviously improve the symptoms and signs of patients with phlegm dampness blocking type of vertebrobasilar insufficiency.2.the method of eliminating phlegm,expelling wind and setting dizziness can significantly improve the blood flow velocity and pulsatility index of vertebrobasilar artery in patients with phlegm dampness and obstruction of vertebrobasilar insufficiency. |
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