Acupoint Injection Cooperate Heating Traditional Chinese Medicine Pillow For The Treatment Of Posterior Circulation Ischemic Vertigo The Acute Phase Of Clinical Research

Objectives:To observe the clinical therapeutic efficacy of curing Posterior Circulation Ischemia Vertigo (PICV) at acute stage, we try to cure the patients by on the foundation treatment with acupoint injection cooperate heating traditional chinese medicine (TCM) pillow, explore the effectiveness of the integrated scheme of TCM, and expand the use of external treatment。Method:The 75 patients who are met inclusion criteria are randomized into two groups:8 for treatment group and 37 for control group, among which the former group inject 5-mg-anisodamine (654-2) (lml) into the zusanli acupoint of both sides of feet, Once per day, and foment patients’neck with TCM pillow of NO.1 prescription for TCM dizziness with 2 times a day, each time for half an hour and course of treatment for seven days . What are used for the two-group basic treatment are NS (250ml), gastrodin injection (0.6g in intravenous drip), once per day,NS(250ml), sodium ozagrel (80mg in intravenous drip), twice per day, course of treatment for 7 days. Both records before and after 7 days of treatment which are respectively made about the chinese medicine symptom complex score; before treatment, treatment after 1 day, after 2 days,3 days later, after 7 days of main symptoms and the frequency of the integral of dizziness, and record the degree of dizziness; detection of two groups of patients before and 7 days after treatment transcranial doppler(TCD) ultrasound to exceed the change of the indicators(systoic peak flow velocity,Mean peak flow velocity,Resistance index).Findings:(1)By contrasting the comprehensive clinical effects of two groups, it is found that both treatment and control groups create conspicuous effects with an efficiency rate of 94.76% for the former and 89.19% for the latter, which indicates that the therapeutic method for treatment group is better than that of control group and the two groups was statistically difference(P<0.05). Meanwhile, the treatment group with an cure and significant efficiency rate of 84.21% apparently higher than the control group with 51.35%。(2)Two groups of patients with vertigo TCM symptom integral comparison itself before and after were statistically significant differences(P< 0.01) and statistically differences between the two groups(P<0.05).(3) In the treatment of after 1 day, after 2 days,3 days later and 7 days later comparing two groups vertigo degree difference was statistically significant (P<0.05), at the same time, P is gradually increasing. The symptom of dizzy and seizure frequency comparison difference has also statistical significance (P<0.05).(4) Compare of two groups of patients treatment after 7 days transcranial doppler to exceed the indicators’change, the treatment group comparison itself before and after bilateral vertebral artery and basilar artery systolic peak flow velocity, mean peak flow velocity, resistance index by the statistical analysis have statistically significant differences (P<0.01) and the control group comparison itself before and after were statistically differences (P<0.05)and statistically differences between the two groups (P<0.05).Conclusions:(1) Acupoint injection cooperate heating traditional chinese medicine pillow for the treatment of posterior circulation ischemic vertigo the acute phase has a good clinical curative effect.(2) Acupoint injection cooperate heating traditional chinese medicine pillow can in a short period of time obviously relieve acute stage in patients with clinical symptoms, quickly reduce the severity of the symptoms such as dizziness, reduce frequency of the integral of dizziness, relieve the suffering of the patients with acute phase.(3) Acupoint injection cooperate heating traditional chinese medicine pillow can effectively improve the blood supply of vertebral basilar artery system, by speeding up of the vertebral artery and basilar artery blood flow velocity, reducing vascular resistance index, increase cerebral blood flow, thereby effectively relieve symptoms.(4) There is no adverse drug reaction found in the observation period, which prove to have a better safety in acupoint injection cooperate heating traditional chinese medicine pillow and has a good clinical application prospects.