| Objective: Through clinical observation,this study first objectively evaluated the clinical efficacy of Banxia Baizhu Tianma Tang and Tongqiao Huoxue Tang combined with manual reduction in the treatment of BPPV with wind,phlegm and blood stasis,and then followed up the patients for 6 months.To observe the effect of Banxia Baizhu Tianma Tang and Tongqiao Huoxue Tang combined with manual reduction treatment on the recurrence rate of patients with wind-phlegm-stasis-type BPPV after treatment,and to provide clinical evidence for its effective treatment of wind-phlegm-stasis-type BPPV.Methods: A total of 60 patients who were treated in the outpatient and inpatient department of the Department of Neurology of Jiangxi Hospital of Integrated Traditional Chinese and Western Medicine from December 2019 to December 2020 were selected.Using the random number table method,60 patients were randomly divided into treatment group and observation group at a ratio of 1:1,with 30 people in each group.Both groups of patients underwent corresponding manual reduction as the basic treatment according to different BPPV types.The treatment group was treated with Banxia Baizhu Tianma Tang combined with Tongqiao Huoxue Tang,with 150 ml of water each time,1 dose a day,divided into morning and evening.The observation group used only manual reduction.The treatment course of the two groups was 14 days.The DHI scale scores and TCM syndrome score changes of the two groups of patients before treatment and 2 weeks after treatment were observed,and the clinical efficacy of the patients after treatment was compared and evaluated.Then the two groups of patients were followed up for 6 months.During the follow-up period The number of recurrences and the number of recurrences on 14 days,30 days,90 days,and180 days were counted,and the safety was compared.Use statistical software SPSS for data processing results.Result:1.Through statistical comparison,there was no significant difference between the two groups of patients in general baseline such as gender,age,type of BPPV,combined underlying diseases,and time of onset before treatment(P>0.05).Before treatment,the vertigo disorder scale(DHI)and vertigo TCM syndrome scores were not statistically significant(P>0.05),and they were comparable.2.Comparison of treatment effective rate:After 2 weeks of treatment,the total effective rate of the treatment group was 93.33%,and the total effective rate of the observation group was 80%.The total effective rate of the treatment group was better than that of the observation group in terms of efficacy,P<0.05,the difference was Statistical significance.3.DH1 scale comparison:2 weeks after treatment,the total score of the DHI scale score in the treatment group was 10.17±5.17,and the observation group was21.47±11.87.Both treatments can improve the DHI scale score,and the improvement effect of the treatment group is better than that of the observation group,The difference was statistically significant(P<0.05).In the table sub-items,the degree of improvement of DHI-P,DHI-E,and DHI-F in the treatment group after treatment was significantly higher than that in the observation group,and the difference was statistically significant(P<0.05).4.Comparison of TCM syndrome scores:After 2 weeks,the total score of TCM syndrome scores was 2.30±1.79 for the treatment group and 4.20±2.09 for the observation group.The treatment of both groups can improve the TCM syndromes,and the therapeutic effect of the treatment group is significantly higher than that of the observation group,P<0.05,the difference is statistically significant.After treatment,the scores of dizziness,visual rotation,headache,and head covering in the TCM syndrome sub-items of the treatment group were lower than those of the observation group,P<0.05,the difference was statistically significant.5.Comparison of recurrence rate:The two groups of patients were followed up for recurrence on 14 days,30 days,90 days,and 180 days of treatment.On the 14 th day,0 cases in the treatment group recurred,with a recurrence rate of 0%,and 3 cases in the observation group with a recurrence rate of 10%.The difference between the groups was no statistically significant(P>0.05);on the 30 th day,1 case in the treatment group recurred,with a recurrence The rate was 3.33%,5 cases in the observation group recurred,and the recurrence rate was 16.67%.The difference between the groups was no statistically significant(P>0.05);on the 90 th day,3 cases in the treatment group recurred,with a recurrence rate of 10%,and 9 cases in the observation group with a recurrence rate,and the recurrence rate was 30%,The difference between the groups was significant(P<0.05);on the 180 th day,the recurrence rate of the treatment group was 16.67%,with 5 cases of recurrence.The recurrence rate of the observation group was 46.67%,and 14 cases were recurred.The results of the recurrence rate,number of recurrences,and recurrence times of the treatment group were significantly lower than those of the observation group,P<0.05,which was statistically significant.6.Safety evaluation:There were no adverse reactions during the treatment of the two groups of patients,indicating that the Banxia Baizhu Tianma Tang and Tongqiao Huoxue Tang are safe.Conclusion: 1.The treatment group Banxia Baizhu Tianma Tang combined with Tongqiao Huoxue Tang combined with manual reduction and the observation group with simple manual reduction are effective in improving the clinical symptoms of BPPV.2.The clinical efficacy of Banxia Baizhu Tianma Tang and Tongqiao Huoxue Tang combined with manual reduction in the treatment of wind-phlegm and blood stasis BPPV is better than that in the observation group.3.The recurrence rate,the number of recurrences,and the number of recurrences after the treatment group of Banxiabaizhu Tianma Tang and Tongqiao Huoxue Tang combined with manual reduction were lower than those of the observation group.4.Banxia Baizhu Tianma Tang combined with Tongqiao Huoxue Tang is a safe and effective method for treating BPPV,which can improve the symptoms of dizziness and reduce the recurrence rate,and improve the overall curative effect of the treatment.It is worthy of being widely used in clinical practice. |
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