To explore the effect of scalp acupuncture combined with betahistine on clinical symptoms,sleep quality and recurrence in patients with peripheral vertigo.
The patients with peripheral vertigo of liver-Yang hyperactivity type from May 2022 to June 2023 were divided into observation group and control group with 47 cases in each group according to simple randomization method. The control group received betahistine treatment,and the observation group was treated with scalp acupuncture combined with betahistine,and both groups were continuously treated for 4 weeks. Before treatment and after 4 weeks of treatment,the vertigo degree[Dizziness Handicap Inventory(DHI)score,TCM syndrome score],vestibular function indicators[total length of barycentric movement(PL),total area of barycentric movement(CA),canal paresis value],hemodynamic indicators[whole blood viscosity(HBV),hemocrit(Hct),vertebral artery flow velocity,basilar artery flow velocity]and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]were compared between the two groups. The incidence of adverse reactions during treatment and recurrence within 3 months after treatment were recorded in both groups.
After 4 weeks of treatment,the DHI value,TCM syndrome score,PL,CA,canal paresis value,HBV,Hct and sleep quality score in both groups were significantly decreased compared with those before treatment,and the above indicators in the observation group were lower than those in the control group(all P<0.05). The blood flow velocities of vertebral artery and basilar artery in the two groups were significantly enhanced than those before treatment,and the two velocities in the observation group were faster than those in the control group(all P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05),and the recurrence in the observation group within 3 months after treatment was significantly lower than that in the control group(P<0.05).
Scalp acupuncture combined with betahistine can significantly improve the symptoms,effectively enhance the sleep quality and reduce the risk of recurrence in patients with peripheral vertigo.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |