Efficacy Evaluation Of Yiqi Yangxue Tongqiao Method In The Treatment Of Residual Symptoms After BPPV Reduction

Purpose: To investigate the effect of benefiting qi and activating blood circulation and vein relaxing therapy on residual dizziness in patients with benign paroxysmal positional vertigo(BPPV) after successful particle repositioning maneuver(PRM)Material and method:A total of 60 patients aged 31-79 years who are from the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine Department of ENT inpatient,those patients were dignosed as BPPV and underwent successful treatment of PRM.25 cases were male,35 were female, male to female ratio was 1:1.4; 31-79 years old,the average age was 54.1 years. In 54 cases(including stone canal posterior semicircular canal stones accounted for 42 cases; In 12 cases, horizontal semicircular stone),stone ridge at great canal in 6 cases of patients with stones. And the above patients were randomly divided into treatment group and control group,30 cases in each group. The treatment group were prescribe benefiting qi for activating blood circulation and vein relaxing therapy,Taohong Siwu Decoction was given(150ml/time,2times/d) for 2 weeks,the control group was given orally Betahistine Mesilate Tablets( 12mg/time,3times /d) for 2 weeks. Hamilton Anxiety Scale(HAMA) was used to assess the anxiety state of patients with BPPV before and after 1 weeks treatment.The patient’s physical,emotional and functional status were assessed using the vertigo Handicap Scale(DHI).The check OVEMP assessment quantitative index such as utricular function,used to evaluate the effect of benefiting qi for activating blood circulation and vein relaxing therapy on residual dizziness in patients with benign paroxysmal positional vertigo(BPPV) after successful PRM.Results: 1.There was no statistically significant difference between treatment group and control group before the PRM in DHI total score、body score、emotion score、function score.; Treatment group and control group DHI total score 、body score、emotion score,function score improved after PRM;However,DHI score、body score、emotion score、function score was lower in the treatment group than in the control group. 2.Before the PRM,there was no statistically significant difference between treatment group and control group in HAMA scores; HAMA scores of the treatment group and the control group after PRM were compared with those before the PRM has improved,However, HAMA scores was lower than in the treatment group than in the control group. 3.There was no statistically significant difference between treatment group and control group in the amplitude of o VEMP before the PRM;The o VEMP amplitude of the control group after PRM were compared with its before the PR M has declined,the difference was statistically significant;There was statistically difference between treatment group and control group in the amplitude of o VEMP after the PRM;However the amplitude of o VEMP has significantly decreased in the treatment group than in the control group,the difference was statistically significant.Conclusion: 1. There was a therapeutic effect on the residual symptoms after BPPV reduction both in the control group and the experimental group. 2. The effect of the treatment group with the principle of tonifying qi and promoting blood circulation to remove meridian obstruction therapy was better than the control group with western medicine intervention.