| Purpose: To observe the clinical efficacy of integrated Chinese and western medicine in treating residual symptoms of dizziness and anxiety after BPPV reduction.Material and method: From March 2017 to June 2018,patients diagnosed with otolith disease in the affiliated hospital of liaoning university of traditional Chinese medicine who still had dizziness or(and)Anxiety after effective reduction treatment or significant effect were assessed by self-rating Anxiety Scale(SAS)and the static posturography.If the SAS scale score was more than 50 points and the static posturography was abnormal,the dizziness and anxiety group was included,with a total of 60 people included.If the SAS scale score was less than 50 and the static posturography was normal,60 people were included in the anxiety group.If the SAS score was less than or equal to 50 and the static posturography was abnormal,60 patients in the dizziness group were included.Each group was randomly divided into two groups,namely treatment group and control group,with 30 people each.Dizziness group: the control group received Brandt-Daroff training,while the treatment group received and the treatment group was treated with acupuncture in the area of Yunting,sishen prescription and Brandt-Daroff training at the same time.The anxiety group: the control group received oral therapy of Luyoutai,while the treatment group received acupuncture sishen prescription and siguan prescription,and oral therapy of Luyoutai at the same time.Dizziness and anxiety group: the control group was treated with oral therapy of luyoutai and Brandt-Daroff training,while the treatment group was treated with acupuncture in the area of Yunting,sishen prescription and siguan prescription,as well as oral therapy of luyoutai and Brandt-Daroff training.Each treatment schedule for 3 weeks,repeated again in 3 weeks after treatment respectively SAS rating scale and(or)SP test,dizziness group with SP test,anxiety group with SAS rating scale,dizziness and anxiety group with SAS rating scale and SP detection,and between groups of data for lateral group respectively and longitudinal statistical comparison before and after oneself,so as to evaluate the curative effect.Results:1.The comparison of data before treatment was as follows: general data of dizziness group,anxiety group,dizziness and anxiety group showed no statistical significance in pairwise comparison(P>0.05).Pairwise comparison of SP data and SAS scores showed no statistical significance(P>0.05).2.In the three groups of dizziness group,anxiety group and dizziness and anxiety group,SP data and SAS scores of the treatment group and the control group were better after 3 weeks of treatment than before treatment,and the data comparison was statistically significant(P<0.05),but the treatment group was more significant than the control group(P<0.05).3.Compared with the SP data of the dizziness group with anxiety,the indicators in the dizziness group improved more significantly after 3 weeks of treatment,and the data were statistically significant(P<0.05).Compared with the SAS score of the dizziness group with anxiety,the index value of the anxiety group improved more significantly after 3 weeks of treatment,and the data comparison was statistically significant(P<0.05).Conclusion:1.The balance function and SAS score of patients with residual symptoms of BPPV in the treatment group were significantly improved than those in the control group,indicating that acupuncture treatment was effective for residual symptoms of BPPV.2.After the treatment in the treatment group,the static posturography of patients in the dizziness group was significantly improved compared with that in the dizziness and anxiety group,suggesting that the dizziness symptoms in patients with simple dizziness were more easily improved than those with anxiety,which may be related to the negative effect of anxiety on dizziness and the adverse circulation between them.3.The static posture diagram can be used to evaluate the residual symptoms of BPPV. |
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