The Impact of Acupuncture and Moxibustion Rehabilitation Combined With Tongluo Decoction on the Prognosis of Elderly Patients With Isolated Vertigo Due to Posterior Circulation Ischemia
Objective To explore the effect of acupuncture and moxibustion rehabilitation combined with Tongluo decoction on elderly patients with isolated vertigo due to posterior circulation ischemia.Methods A total of 70 elderly patients with isolated vertigo due to posterior circulation ischemia who were treated in the department of rehabilitation,Fuqing City Hospital,Fujian Province from February 2022 to April 2023 were selected as the study objects.They were divided into control group and observation group by random number table method,35 cases in each group.All patients received neurological treatment,the control group combined with acupuncture and moxibustion rehabilitation,the observation group combined with Tongluo decoction treatment on this basis.The blood flow velocity of vertebrobasilar artery,vascular endothelial function index,hemorheology status and adverse reactions were compared between the two groups.Results After treatment,basilar artery(BA),right vertebral artery(RVA)and left vertebral artery(LVA)in the observation group were(52.38±3.21)cm/s,(35.38±3.12)cm/s and(34.91±3.35)cm/s,respectively,which were higher than(49.25±3.27)cm/s,(31.34±3.07)cm/s and(30.44±3.37)cm/s in the control group,and the differences were statistically significant(P<0.05).The levels of nitric oxide(NO)and calcium gene related peptide(CGRP)in the observation group were(72.38±5.31)μmol/L and(36.23±5.37)ng/L,respectively,which were higher than(64.35±5.38)μmol/L and(31.35±5.02)ng/L in the control group,and the endothelin-1(ET-1)level in the observation group was(77.89±9.21)ng/L,which was lower than(90.56±9.24)ng/L in the control group,and the differences were statistically significant(P<0.05).Hematocrit(HCT),high whole blood viscosity,low whole blood viscosity and plasma viscosity in the observation group were(44.35±4.19)%,(3.82±0.36)mPa·s,(8.10±1.04)mPa·s,(2.01±0.42)mPa·s,respectively,which were lower than(47.26±4.27)%,(4.45±0.38)mPa·s,(9.45±1.06)mPa·s,(2.46±0.44)mPa·s in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Acupuncture and moxibustion rehabilitation combined with Tongluo decoction can not only increase cerebral blood flow,but also improve vascular endothelial function after treatment of isolated vertigo due to posterior circulation ischemia.
isolated vertigoposterior circulation ischemiaTongluo decoctionacupuncture and moxibustionendothelial function of blood vesselscerebral blood flow
万方数据
维普
