| Purpose:Observation of therapy of tonifying kidney,activating blood and opening orifice clinical effect in the catabasis of otogenic vertigo patients with abnormal otolith function.Material and method:From 2016 07 to 2017 10 in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine Department of 180 met the requirements of the catabasis of otogenic vertigo patients with abnormal otolith function.According to the results of the examination,the patients were divided into 60 cases of abnormal function of utriculus,60 cases of abnormal function of sacculus,60 cases of abnormal function of utriculus and sacculus.Each group of patients was randomly divided into 30 cases in the control group and 30 cases in the treatment group.The treatment group received 3 times Decoction of traditional Chinese medicine for 3 weeks.The control group received Betahistine 3 times a day for 3 weeks.Patients in each group were treated with c VEMP,o VEMP,SVV,DHI and VSI at seeing doctor,3 weeks,3 months and evaluating the curative effect.Results: 1.Utricular function abnormality and utricle,saccule function were abnormal in patients after 3 weeks of treatment,3 months of treatment SVV was gradually approaching the normal,but the treatment group was significantly more than the control group(P<0.05).2.The c VEMP of the patients in the treatment group and the control group in the abnormal group of the sacculus had the following characteristics in different periods:P-wave latency:There was no statistically significant difference between different periods of patients in each group(P>0.05).N-wave latency:Lesions side longer than healthy side(P<0.05),After treatment,there was no statistically significant difference between lesions side and healthy side in two groups(P>0.05).P-N amplitude:The amplitude of patients in each group lesions side were all shorter than healthy side in different periods(P<0.05).No significant changes were seen in the amplitude of the control group after treatment(P>0.05).The amplitude of the treatment group was significantly increased after 3 months(P<0.05).Asymmetric ratio:There was no statistically significant difference between two groups when see doctor the first time(P>0.05).The asymmetry ratio of the treatment groups decreased gradually after2weeks(P<0.05),No obvious change of asymmetry ratio in control group(P>0.05).The asymmetry ratio of the two groups was lower than that after 3 months.,but the treatment group declined more obviously(P<0.05).3.The o VEMP of the patients in the treatment group and the control group in the abnormal group of the utriculus had the following characteristics in different periods:N-wave latency:There was no statistically significant difference between different periods of patients in each group(P>0.05).P-wave latency:Lesions side longer than healthy side(P<0.05),After treatment,there was no statistically significant difference between lesions side and healthy side in treatment group(P>0.05).No significant changes of P-wave latency in control group(P>0.05).P-N amplitude:The amplitude of patients in each group lesions side were all shorter than healthy side in different periods(P<0.05).The amplitude of the treatment groups was gradually improved after treatment(P<0.05).the control group amplitude were higher after 3months(P<0.05).But the treatment group was more obvious than the control group(P<0.05).Asymmetric ratio:There was no statistically significant difference between two groups when see doctor the first time(P>0.05).After treatment,the asymmetry ratio of the two groups decreased gradually(P<0.05),but the treatment group declined more obviously(P<0.05).4.The VEMPs of the patients in the treatment group and the control group in the abnormal group of the utriculus and sacculus had the following characteristics in different periods:P-wave latency of c VEMP and N-wave latency of o VEMP:There was no statistically significant difference between different periods of patients in each group(P>0.05).N-wave latency of c VEMP and P-wave latency of o VEMP:Lesions side longer than healthy side(P<0.05),After treatment,there was no statistically significant difference between lesions side and healthy side(P>0.05).P-N amplitude:The amplitude of patients in each group lesions side were all shorter than healthy side in different periods(P<0.05).The amplitude of the two groups was gradually improved after treatment(P<0.05).But the treatment group was more obvious than the control group(P<0.05).Asymmetric ratio:There was no statistically significant difference between two groups when see doctor the first time(P>0.05).After treatment,the asymmetry ratio of the two groups decreased gradually(P<0.05),but thetreatment group declined more obviously(P<0.05).5.There was no statistically significant difference in P score,E score,F score and total score in each group(P>0.05).The P score,E score,F score and total score of patients in each group were decreased during 3 weeks treatment,and the treatment group was more obvious(P<0.05).P score,E score,F score and total treatment group were lower than 3 weeks after treatment 3 months(P<0.05),the control group had no significant change compared with 3 weeks of treatment(P>0.05).6.The VAS score of vertigo,nausea and headache was lower in the patients of each group,and the difference was statistically significant after treatment(P<0.05).The VAS score of balance,dizziness and visual sensitivity was higher,the score decreased after treatment,and the treatment group was more obvious than the control group(P<0.05).There was no statistically significant difference between the control group and the treatment group of the VSI when the first time to see the doctor(P>0.05).After treatment,the scores decreased gradually,the treatment group was more obvious than the control group,and the treatment group was better in the long term(P<0.05).7.The effective rate of treatment group was better than that in the control group(P < 0.05).The curative effect of treatment group for 3 months was better than that of 3 weeks(P < 0.05).Treatment effect of the control group was treated for 3 weeks as same as treated for 3 months(P> 0.05).Conclusion: 1.The treatment group program can improve the SVV findings in patients with abnormal utricle function and have long-term efficacy.2.The treatment group can effectively improve the indexes of VEMPs in the patients with otic dysfunction during the period of aural vertigo,and improve the function of Otolith apparatus with affected side ears.3.The two groups can improve the DHI score in the short term,and the long-term effect of the treatment group is better than that of the control group.4.Main symptoms of the catabasis of otogenic vertigo patients with abnormal otolith function are balance,dizziness,visual sensitivity,dizziness,nausea,headache aren't the mainsymptom.Treatment group and control group were able to improve the patient balance,dizziness,visual sensitive symptoms,the treatment group is superior to control group scheme.5.The treatment group was better than the control group on overall efficacy. |
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