Clinical Study On The Effect Of Traditional Chinese And Western Medicine On The Prognosis Of Vestibular Neuritis And HIMP And SHIM

Purpose:The purpose of this study is to increase the use of modified Chinese medicine and acupuncture therapy on the basis of treating patients with vestibular neuritis with western medicine,and to observe whether the treatment of integrated traditional Chinese and Western medicine can shorten the recovery time compared with western medicine.Video head impulse test were used to evaluate the prognosis of patients before and after treatment.Material and method:From October 2020 to January 2022,60 patients with acute vestibular neuritis who were randomly divided into 30 cases in the treatment group and 30 cases in the control group.The control group was treated with western medicine: 1.If the symptoms of nausea and vomiting were serious at admission,promethazine hydrochloride injection 25 mg once a day was injected intramuscularly;2.0.8mg/kg methylprednisolone tablets were taken in the morning for 3 consecutive days,and then decreased by 8mg to 0mg every 3 days;3.Ginkgo biloba extract injection 70 mg,0.9% sodium chloride solution 250 ml,intravenous drip once a day;4.20 ml of oxiracetam injection and 100 ml of 0.9% sodium chloride solution were injected intravenously once a day;5.Oral esomeprazole magnesium enteric coated tablets and Calcium carbonate D3 tablet to prevent hormone side effects;6. Perform vestibular rehabilitation training every day after nausea and vomiting symptoms are no longer repeated.On the basis of Western medicine treatment in the control group,the treatment group was increased with traditional Chinese medicine: 1.The traditional Chinese medicine decoction Sangjuyin was added 100 ml,orally three times a day for 2 weeks;2. Acupuncture points: Yintang,Baihui,bilateral Taiyang and dizzy hearing area,acupuncture once a day,keep the needle for 30 minutes after getting Qi,and continue acupuncture for 2 weeks.At admission and 2 weeks after treatment,the patients underwent DHI scale filling,video head impulse test(including head impulse paradigm and suppression head impulse paradigm),and infrared video electronystagmography every day after admission until spontaneous nystagmus disappeared,and the days of disappearance were recorded for curative effect evaluation.Results:1.The disappearance days of spontaneous nystagmus in the treatment group were shorter than those in the control group(P < 0.05).2.Both the treatment group and the control group can reduce the DHI score(P < 0.05),and the treatment group can reduce the DHI score more effectively than the control group(P <0.05).3.There was significant difference between the treatment group and the control group in the levels of HIMP and SHIMP and the regression gain of horizontal semicircular canal before and after treatment(P < 0.001).4.The treatment scheme in the two groups can increase the percentage of anti-compensatory saccade wave in the semicircular canal of SHIMP(P < 0.001),and the percentage of anti-compensatory saccade wave in the treatment group can be increased more than that in the control group(P < 0.05).5.The percentage of decompensated saccade wave of horizontal semicircular canal of SHIMP was significantly correlated with DHI score in the two groups(P < 0.05).The regression gain of horizontal semicircular canal of SHIMP,the regression gain of horizontal semicircular canal of HIMP and the percentage of compensatory saccade wave were not significantly correlated with DHI score(P > 0.05).6.The higher the percentage of anti-compensatory saccade wave of horizontal semicircular canal of SHIMP at admission,the better the recovery of vestibular function(P < 0.001).Conclusion:1.Sangjuyin combined with acupuncture can accelerate vestibular compensation,with high safety and little side effects.2.The percentage of anti-compensatory saccade wave in the horizontal semicircular canal of SHIMP can reflect the degree of vertigo better in patients with acute vestibular neuritis.3.The percentage of anti-compensatory saccade wave of horizontal semicircular canal of SHIMP at admission may be used as an index to judge the prognosis of patients with acute vestibular neuritis.