Objective:To explore the clinical effect of five acupoints of the skull base combined with Huatan Tongluo decoction on acute posterior circulation infarct vertigo(PCIV)of phlegm and blood stasis blocking collaterals.Methods:A total of 114 patients with PCIV(acute stage of cerebral infarction)of phlegm and blood stasis blocking collaterals were selected and divided into observation group(54 cases)and control group(60 cases).The control group was treated with oral Huatan Tongluo decoction,the observation group was treated with acupuncture"five acupoints of skull base"treatment on the basis of the control group.Both groups received basic neurological treatment and symptomatic supportive treatment for 14 d.Traditional Chinese medicine(TCM)and syndrome score,vertigo disorder scale score(DHI),cerebral hemodynamic blood index,low density lipoprotein cholesterol(LDL-C),Hcy before and after treatment of the two groups were observed and recorded,and the clinical efficacy of the two groups was compared.Results:Compared with the control group,the TCM syndrome score of the observation group decreased(P<0.05),and the total effective rate of clinical treatment was higher(P<0.05).Compared with the control group,the mean vertebral artery(VA)blood flow velocity and mean basilar artery(BA)blood flow velocity in the observation group increased after treatment(P<0.05),DHI score,LDL-C and Hcy decreased(P<0.05).Compared with data before treatment,the TCM syndrome score,DHI score,LDL-C and Hcy in both groups decreased after treatment(P<0.05).The average blood flow velocity of VA and BA increased(P<0.05).Conclusion:Acupuncture five acupoints of skull base combined with Huatan Tongluo decoction shows remarkable clinical effect for the treatment of acute posterior circulation infarct vertigo with phlegm and blood stasis blocking collaterals,which can improve the patients'daily living ability and quality of life,improve the state of cerebral blood flow,regulate lipid metabolism and protect cerebral vessels.
posterior circulation infarct vertigoacute cerebral infarctionfive acupoints of skull basephlegm and blood stasis blocking collaterals
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