Clinical Efficacy Of Brain Shock Therapy In Treating PC-BPPV Patients In Mongolian Medicine

Objective: To evaluate the clinical effect of brain shock in Mongolian medicine on benign paroxysmal positional vertigo by comparing with Epley manipulation reduction method,and to provide clinical reference for the advantages of traditional Mongolian medicine.Methods: According to inclusion criteria and exclusion criteria,90 patients with benign paroxysmal positional vertigo of posterior semicircular canal were selected.The patients were randomly divided into two groups:treatment group and control group: 45 patients in each group.The treatment group was treated with Mongolian medicine brain shock,and the control group was treated with Epley manipulation.By observing the changes of the scores of positional vertigo,positional nystagmus,nystagmus velocity,vertigo Disability Scale(DHI)and dizziness Syndrome Scale before and after treatment,the clinical effect of Mongolian brain shock in the treatment of posterior semicircular benign paroxysmal positional vertigo was evaluated.SPSS27.0 statistical software was used for statistical analysis of the above observed indicators.Results:1.There was no statistical difference between the two groups in gender,age,semicircular canal involvement and other general information,as well as the score of dizziness syndrome scale,DHI Disability Scale,nystagmus velocity and other indicators before treatment(P > 0.05),indicating comparability.2.Comparison of overall efficacy: the total effective rate of the treatment group was 95.56% after the treatment with Mongolian medicine brain shock;After manual reduction treatment,the total effective rate of the control group was 88.89%,and the difference between the two groups was statistically significant(P=0.03 < 0.05).The total effective rate of the treatment group was better than that of the control group.3.Comparison of the efficacy of Mongolian medicine dizziness Syndrome Scale:(1)Compared with before treatment,the total score of Mongolian medicine dizziness Syndrome scale in both groups decreased after treatment(P < 0.01);The total score of syndrome scale of dizziness in the treatment group was lower than that in the control group(P < 0.05).(2)After treatment,P > 0.05 was found in the severity of chest tightness,palpitation,loss of appetite,dry throat,dry mouth,sweating and cold limbs between the two groups,while P < 0.05 was found in the severity of dizziness,vision rotation,nausea and vomiting,dry eyes and other symptoms between the two groups.The score of symptoms of syndrome scale of Mongolian medicine dizziness in the treatment group was lower than that in the control group.4.Comparison of nystagmus velocity: Compared with before treatment,the peak value of nystagmus velocity in both groups decreased after treatment(P < 0.01);The peak value of nystagmus velocity in the treatment group was lower than that in the control group(P < 0.05).5.DHI score comparison:(1)Compared with before treatment,DHI score in both groups decreased after treatment(P < 0.01);The DHI score of the treatment group was lower than that of the control group(P < 0.05).(2)Compared with before treatment,the physical score(P),functional score(F)and emotional score(E)of two groups were decreased after treatment(P <0.01);The functional scores(F)and emotional scores(E)of the treatment group were lower than those of the control group(P < 0.05).6.Safety evaluation: No adverse reactions or adverse events occurred in both groups during the study.Conclusion:(1)Mongolian medical brain shock can effectively treat vertigo and nystagmus caused by PC-BPPV,and is more prominent than Epley manipulation in improving the degree of dizziness in patients.(2)No obvious adverse reactions have been found in the use of brain shock in Mongolian medicine.