Correlative Analysis Of TCM Syndrome And Video Phenomenon Of Posterior Circulatory Ischemic Vertigo

Objective:By studying TCM syndrome types and videonystagmography in patients with posterior circulation ischemic vertigo,to explore the relationship between TCM syndromes and videonystagmography, for providing the relevant evidence of inspection.Methods:Collected posterior circulation ischemic vertigo cases of Chinese medicine "vertigo" as the first diagnosis and accepting videonystagmography,record cases including general information, videonystagmography results, the neck vascular ultrasound examination results, cranial magnetic head, cervical vascular MRI results,TCD and TCM syndrome score, to build the database, using SPSS 19.0 analysis software to analyze the data. The 100 patients with posterior circulation ischemic vertigo were divided into phlegm type, hyperactivity, wind phlegm type, liver inflammation, blood deficiency, kidney essence deficiency syndrome type six group.Results:1 In cases of 100 cases,39 cases of male, female 61 cases. Women, men’s average age was 64.26±11.297, the average age was 64.41±10.944,the difference in age was no statistical significance (P>0.05).100 patients with posterior circulation ischemic vertigo in the elderly (60-74 years) distribution were the most. The the percentage of of hypertension(61%), hyperlipidemia(59%),and stroke(59%) is higher than others.2100 patients with posterior circulation ischemic vertigo, different proportion of TCM syndrome score order from large to small was:kidney essence deficiency, wind phlegm syndrome, qi deficiency syndrome, phlegm syndrome, hyperpyrexia of liver, yin deficiency and yang hyperactivity.Kidney essence deficiency and qi deficiency syndrome accounted for 44%.3 The TCM syndrome and videonystagmography of 100 cases had no statistically significant difference with age, gender, disease, smoking drinking.4 Among 100 cases,17% were simple central vertigo, 51% were simple peripheral vertigo, 32% were central and peripheral.5 The syndrome distribution between different VNG results had no obvious difference, P=0.325>0.05; the VNG results of hyperpyrexia of liver had obvious difference, P=0.024<0.05.6 The TCM syndromes had no obvious differences in Spontaneous nystagmus, Gaze Test, Saccade Test, Caloric Test7 The TCM syndromes had obvious differences in Smooth Pursuit,P<0.05.Conclusion:videonystagmography is one of common methods for nystagmus, can be used as supplementary way to judge TCM syndrome of posterior circulation ischemic vertigo.This study has some limitations, because only included 100 patients, the small sample size, and all the cases were from dongzhimen hospital, were mostly limited in Beijing city, the sample results cannot represent the overall population trends. Large sample, multi center, multi-level research should be needed in the future to enhance the reliability of the results of the study.