苓桂术甘汤联合电针风池供血穴治疗椎基底动脉供血不足性眩晕的临床研究

目的:探讨苓桂术甘汤联合电针风池供血穴治疗椎基底动脉供血不足(VBI)性眩晕的临床疗效.方法:选择2017年11月-2019年8月我院收治的VBI性眩晕患者145例为研究对象,采用随机数字表法分成联合组(75例)和对照组(70例).在基础治疗的前提下,联合组采用苓桂术甘汤联合电针风池供血穴治疗,对照组采用西比灵治疗.比...

Clinical Study on Lingguizhugan Decoction Combined with Electroacupuncture at Fengchi Blood Supply Point for Vertebrobasilar Insufficiency Vertigo

ABSTRACT Objective: To explore the clinical effect of Lingguizhugan decoction combined with electroacupuncture at Fengchi blood supply point on vertebrobasilar insufficiency (VBI) vertigo. Methods: 145 patients with VBI vertigo who were admitted to our hospital from November 2017 to August 2019 were selected as the study subjects. They were randomly divided into combined group (75 cases) and control group (70 cases). On the premise of basic treatment, the combined group was treated with Lingguizhugan decoction combined with electroacupuncture at Fengchi blood supply point, while the control group was treated with sibelium. The clinical efficacy, improvement of vertigo, cerebral artery blood flow velocity, atheroscle index (AI) and hemorheology were compared between the two groups. Results: After treatment, the total effective rate of the combined group was 89.33%, which was higher than 75.71% of the control group (P<0.05). After treatment, the vertigo symptom scores, european vertigo scale (EEV) scores and dizziness handicap inventory (DHI) scores of the combined group were lower than those of the control group (P<0.05). After treatment, the peak velocity (VP) of left artery and basilar artery, the mean velocity (VM) of left and right artery and basilar artery in the combined group were higher than that in the control group, the pulsatility index (PI) of left artery and basilar artery, resitance index (RI) of right artery, AI, high cut whole blood viscosity, medium cut whole blood viscosity, low cut whole blood viscosity, plasma viscosity, hematocrit were lower than those of control group (P<0.05). Conclusion: Lingguizhugan decoction combined with electroacupuncture at Fengchi blood supply Point is effective in the treatment of VBI vertigo. It can relieve the vertigo of patients, improve the cerebral artery blood flow velocity and the degree of cerebral arteriosclerosis, and reduce blood viscosity.