The Acupuncture Treatment Of Vertebral - Basilar Insufficiency (vbi) Vertigo And Clinical Observation

Objective: To discuss the curative effect ,and supposes the western medicine Thebes spirit treatment control group, the discussion benefits the vitality, passes after detachably for the principle acupuncture treatment Vertebrobasilar Insufficiency dizziness curative effect and the mechanism, provides the theory basis for the acupuncture treatment Vertebrobasilar Insufficiency dizziness.Methods: 60 cases of VBI were chosen and randomly divided into acupuncture treatment group of 30 cases and Sibelium control group of 30 cases in term of consulting random numeric table. The treatment group treated with therapy of activating qi and blood and fill in the gaps of dredging . The main acupoints selected were the alveolus for Fengchi(GB20), Baihui(GV20), C3-5Jiaji(EX-B2), Zusanli(ST36),Sanyinjiao(SP6), and the auxiliary acupoints were chosen according to differentiation of syndromes in treatment group.Taking Sibelium orally was chosen in control group treated with acupuncture method. The acupoints above in treatment group comprised 8 days in a course and treated once a day at certain time. They had been observed for three courses in total. Patients broke 2-3 days between two courses.5mg Sibelium were used in the control group, and only taked it in evening before going to bed. It comprised 28 days in a course. The indexes were checked between the two groups before the commencement and after the completion of three courses:(1)The main clinical symptom and physical sign of evaluating by clinical curative effect. (2)Some indexes of blood flow velocity of systolic apex(Vs),diastasis (Vd),mean(Vm)and artery pulsate index (PI) of vertebra-artery (VA) and basilar arterial (BA) checked by TCD.(3) Blood-lipid including cholesterin(TC),triglyceride((TG), high density lipoprotein(HDL-C), and low density lipoprotein(LDL-C). (4) The adhesion of the whole blood, plasma reduced degree, hematocrit and platelet adhesion reaction rate et al checked by blood rheology. Results:1 The result manifests that it were healed 10 cases,the cure rate was 33.33% ; effected 10cases,the cure rate was 33.33% ;ineffected 2,the cure rate was 6.67% ;the total effective 29 cases ,the cure rate was 93.33% in treatment group; and healed 5 cases, the cure rate was 16.67% ; effected 12cases,the cure rate was 40% ; inefficiency 7, the cure rate was 23.33% ; the total effective23 cases, rate was 76.67% in the control group .There difference between the two groups (P<0.01).The curative effect in treatment group was better than that in control group.2 There was a statistical meaning between the two groups(P<0.05- P<0.01)change of the experimental indexs by TCD, blood rheology, blood lipid . Just before the commencement and after the completion of a course of treatment. And only some indexs in control group have improved.Conclusion:Nourished, Qi inability to promote, cause moisture phlegm metabolic disorders, unsmoothness of vessels , so the deficiency of blood stasis due to its pathogenesis. Because the pathological mechanism of VBI is that qi and blood are insufficiency, and they don't rise, and brain is failure. We acupuncture the acupoint ,as fundamental to activating qi and blood and fill in the gaps of dredginghave cured vertigo.Our conclusion is that as follows:1 Vertigo and Tinnitus symptomsv can alleviated by using acupoint .2 Vertebrobasilar Insufficiency, blood rheology,, and blood lipid can be improved by acupoint for patient.3 Acupoint have no toxic and side-effect to vertigo,it is better than Sibelium.4 Acupuncture treatment of vertebral basilar insufficiency vertigo can by completed by the mechanisms below:(1)Systolic and diastolic function of acupuncture on blood vessels have two-way regulation can reduce the vascular resistance, enhanced compensatory ability of vascular ischemia, can also reduce the vascular spasm, cerebral blood flow to adjust the low irrigation conditions, thereby increasing cerebral blood flow.(2)By adjusting the lipid metabolism in a variety of enzyme function, so that blood lipids were converted faster to use, allowing rapid conversion of cholesterol to bile acids and steroid hormones, peripheral tissue removal of excess cholesterol in the artery wall to reduce its on lipid deposition, thereby reducing blood lipid levels, to lipid-lowering effect.(3)Acupuncture can improve blood poly, sticking tendency-related pathology, improve the quality of red blood cells and platelets.5 The therapy in this study is a effective therapy and is welled grounded on law. It is worth while extensive application and deeper research by its simply-operation, low-cost,low-risk,and fast acting.