Clinical Observation Of Banxia Baizhu Tianma Decoction Combined With Manual Reduction In The Treatment Of Benign Paroxysmal Positional Vertigo With Turbid Phlegm And Upper Mongolia

Objective: To observe the clinical efficacy and safety of Banxia Baizhu Tianma Decoction in the treatment of phlegm-turbid upper Mongolian-type benign paroxysmal positional vertigo compared with simple manual reduction therapy,so as to provide clinical evidence for the treatment of this disease with integrated traditional Chinese and Western medicine.method:1.Select patients who were first diagnosed with benign paroxysmal positional vertigo at the Vertigo Diagnosis and Treatment Center of the Department of Neurology,Wuhan Hospital of Integrated Traditional Chinese and Western Medicine from April 2020 to December 2020.This study has been approved by the Medical Ethics Committee of our hospital,and all patients have voluntarily signed an informed consent form.Finally,a total of 80 patients in each group were determined to be included in the clinical treatment.Using the random number scale method,the patients were randomly divided into the treatment group and the control group,each with 40 clinical patients.2.The treatment plan of the control group is to use simple manual reduction treatment;the treatment group adopts manual reduction based on combined treatment with Banxia Baizhu Tianma Decoction,oral treatment with Chinese medicine,and a 3-month regular telephone or outpatient follow-up after the treatment..Complete the nystagmus examination,vertigo disorder degree scale,balance confidence scale,TCM syndrome score scale,etc.before and after treatment,and observe the scores of positional vertigo,nystagmus,vertigo disorder degree scale and balance confidence before and after treatment.Changes in the scores of the table and the scores of the TCM Syndrome Scale;improve routine examinations of blood,urine,feces,liver function,kidney function,etc.before and after treatment;record various adverse reactions and deal with them in time to assess their safety;pass the two groups Changes in observational indicators before and after treatment were used to quantify the efficacy of the two groups of patients.3.The statistical analysis software selects SPSS22.0 to process and analyze the obtained data.The measurement data is described by the mean plus and minus the standard deviation(x±s),and the counting data is represented by the frequency.Measurement data were tested using t test and rank sum test;count data were using chi-square test.result:1.There are 70 cases with complete final data,including 34 cases in the treatment group and 36 cases in the control group.There was no significant difference between the treatment group and the control group in terms of age,gender,and BPPV clinical classification.There were no significant differences between the treatment group and the control group,and they were comparable.There was no significant difference in the scores of the Vertigo Disorder Scale,Balance Confidence Scale,and TCM Syndrome Scale before treatment between the treatment group and the control group,and they were comparable.2.The treatment group and the control group have the same effective rate of reduction treatment for otoliths,and there is no statistical difference between the results;the treatment group and the control group have a comparison of the scores of the Vertigo Disorder Degree Scale,the Balance Confidence Scale,and the TCM Syndrome Scale.Both have been significantly improved,and the degree of improvement in the treatment group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The recurrence rate of BPPV in the treatment group during the3-month follow-up was lower than that in the control group,and the difference was statistically significant(P<0.05).3.In the course of this treatment,there were no obvious adverse reactions in the treatment group and the control group.Conclusion: Banxiabaizhu Tianma Decoction combined with manual reduction in the treatment of turbid phlegm and upper Mongolian type benign paroxysmal positional vertigo is equivalent to otolith reduction compared with simple manual reduction;Banxiabaizhu Tianma decoction combined with manual reduction in the treatment of turbid phlegm upper Mongolia Compared with simple manual reduction,type benign paroxysmal positional vertigo can better alleviate symptoms such as residual dizziness,enable the patient to return to normal life more quickly,and reduce the recurrence of BPPV;during the treatment,there was no obvious adverse effect in the two groups of patients.Response,both treatment options have high safety.