Clinical Observation On Treating Posterior Circulation Ischemic Vertigo Of Wind Phlegm Stasis Type By Acupuncture At Wufeng Point Combined With Dingxuan Granule

Research purposes:(1)To observe the clinical efficacy and safety of Wufeng Point Hedingxuan Granules in the treatment of wind phlegm and blood stasis type posterior circulation ischemia;(2)To clarify the clinical efficacy of acupuncture and medicine in the treatment of posterior circulation ischemic vertigo It is more obvious;(3)Provide a basis for early acupuncture intervention to improve the acute phase symptoms of post-circulatory ischemic vertigo and shorten the course of the disease.Research method:According to the patient standards set in this project,60 cases were selected,and SPSS23.0 system was adopted to randomly select numbers.According to the control requirements and the principle of randomization,the patients were divided into control and treatment two groups,each group had 30 Patient.The treatment group was treated with acupuncture at Wufeng points and oral Dingxuan granules,acupuncture once a day,6 times a week,Dingxuan granules were taken twice a day,each time about 200ml;the control group was Dingxuan granules group,taking 2 a day Each time,about 200ml each time.Summarize its efficacy after the treatment.The course of disease,TCD index,hemorheology index,symptom score,DHI scale score change of the two groups of patients was observed,and the treatment effect of the two groups of patients was evaluated.Analysis of research results:(1)In the comparison of general data,the difference between the two groups is not obvious,and there is comparability.PCIV patients in the two groups are basically about 65 years old;the control group has 13 male patients and 16 female patients,and the treatment group has 12 male patients and 17 female patients.Both groups have the phenomenon that female patients are too male.The average duration of vertigo in the enrolled patients was about 12 days;26 patients had previous hypertension,13 patients had previous coronary heart disease,12 patients had previous diabetes,24 patients had lacunar infarction,and 16 patients With hyperlipidemia,there was no significant difference between the two groups in terms of comorbidities(P>0.05).The pre-treatment evaluation scores of TCM syndromes between the two groups of patients were compared,and there was no significant difference(P>0.05),and the data of the two groups were comparable.The comparison of the course of disease showed that there was no significant difference between the two groups of patients(P>0.05).After the treatment,the treatment course of the treatment group was significantly less than that of the control group,and the difference was significant(P<0.05);Comparing before and after treatment within the group,there was a significant decrease in syndrome scores between the two groups,and the difference was statistically significant(P<0.05);comparing the symptom scores after treatment between the groups,the scores of the treatment group decreased significantly on the 5th day and after treatment It is greater than the control group,the difference is statistically significant(P<0.05);comparing the TCD indicators of the two groups before treatment,there is no significant difference(P>0.05).The improvement of the treatment group after treatment is more significant than that of the control group.There is statistical significance(P<0.05);there is no current difference in the hemorheological index data of the two groups of patients before treatment(P>0.05).The improvement of patients in the treatment group after treatment is better than that of the control group.There are statistics Significance(P<0.05);there is no significant difference in the DHI scores of the two groups before treatment(P>0.05).The DHI scores on the 5th day of treatment and after treatment show that the decline in the treatment group is more obvious,and there are statistics Academic significance(P<0.05).Conclusion:(1)Wufeng Point and Dingxuan Granules can effectively improve the syndrome and physical sign scores of patients with wind-phlegm-stasis-type posterior circulation ischemia,improve TCD and hemorheological indicators,and improve the quality of life of patients.(2)Compared with the simple Dingxuan granule treatment,the observation indexes of the acupuncture combined group improved significantly,and the treatment effect was more significant.(3)The improvement of syndrome score and DHI score on the 5th day of combined acupuncture and medicine treatment is better than that of the traditional Chinese medicine group,which effectively improves the patients’ dizziness in the acute stage and shortens the course of treatment.(4)During the treatment of vertigo with acupuncture and moxibustion combined with traditional Chinese medicine,there were no adverse reactions such as fainting needles,broken needles,hematomas,and infections.It is safe and effective and can be promoted.