Objective:To evaluate the therapeutic effect of Tianma Gouteng Decoction combined with Betahistine Mesylate in patients with posterior circulation ischemic vertigo(PCI).Methods:Eighty-two patients with PCI who visited...Objective:To evaluate the therapeutic effect of Tianma Gouteng Decoction combined with Betahistine Mesylate in patients with posterior circulation ischemic vertigo(PCI).Methods:Eighty-two patients with PCI who visited the hospital from February 2024 to February 2025 were selected as samples and randomly divided into two groups.Group A received Tianma Gouteng Decoction combined with Betahistine Mesylate,while Group B received only Betahistine Mesylate.The efficacy,syndrome scores,hemodynamics,and quality of life indicators were compared between the two groups.Results:The efficacy of PCI treatment in Group A was higher than that in Group B(P<0.05).The syndrome scores in Group A were lower than those in Group B(P<0.05).The peak systolic velocity(PSV)of the basilar artery and left and right vertebral arteries in Group A were higher than those in Group B(P<0.05).The quality of life(SF-36)score in Group A was higher than that in Group B(P<0.05).Conclusion:Tianma Gouteng Decoction combined with Betahistine Mesylate is effective and feasible in the treatment of PCI,with improved hemodynamic indicators and reduced disease scores.展开更多
Objective:To analyze the necessity and effectiveness of vestibular rehabilitation training instruction in the treatment of sudden deafness accompanied by vertigo.Methods:Sixty medical staff who learned the treatment m...Objective:To analyze the necessity and effectiveness of vestibular rehabilitation training instruction in the treatment of sudden deafness accompanied by vertigo.Methods:Sixty medical staff who learned the treatment methods for sudden deafness accompanied by vertigo(vestibular rehabilitation training)from January 2024 to February 2025 were selected as the research subjects.They were divided into two groups according to the time of study:the control group,who participated in the training teaching first,and the observation group,who participated later.Each group had 30 people.The control group received conventional training,while the observation group underwent continuous quality improvement.The effects and assessment results of different teaching methods were compared.Results:The theoretical and practical assessment scores of medical staff in the observation group were higher than those in the control group(p<0.05);the satisfaction of medical staff in the observation group with the teaching mode was higher than that in the control group(p<0.05).Conclusion:Vestibular rehabilitation training has significant effects on sudden deafness accompanied by vertigo.Training medical staff not only enhances their understanding of training methods but also enables them to provide specialized guidance to patients,improving their vertigo condition.展开更多
Objective To explore the efficacy of electric stimulation at the balance area and vertigo-auditory area of scalp acupuncture for vertigo caused by cerebellar infarction. Methods One hundred cases of vertigo caused by ...Objective To explore the efficacy of electric stimulation at the balance area and vertigo-auditory area of scalp acupuncture for vertigo caused by cerebellar infarction. Methods One hundred cases of vertigo caused by cerebellar infarction at the recovery stage were randomized into a scalp acupuncture group and a conventional acupuncture group. In the scalp acupuncture group, on the basis of the routine drug therapy, the electric stimulation was applied to the balance area and vertigo-auditory area of scalp acupuncture. In the conventional acupuncture group, on the basis of the routine drug therapy, the conventional acupuncture was supplemented. The treatment was given once a day, 6 treatments made one session. The clinical efficacy was assessed after 4 sessions of treatment. The transcranial Doppler ultrasonography （TCD） was adopted in the scalp acupuncture group to observe the changes of the mean blood flow velocity （Vm） of the anterior cerebral artery （ACA）, middle cerebral artery （MCA） and posterior cerebral artery （PCA） before and after treatment. Results After treatment, the total effective rate was 90.0% （45/50） in the scalp acupuncture group and was 68.0% （34/50） in the conventional acupuncture group, presenting the statistically significant difference in comparison （P0.05）. After treatment, Vm of ACA and MCA was increased apparently as compared with that before treatment in the scalp acupuncture group. Conclusion The electric stimulation at the balance area and vertigo-auditory area of scalp acupuncture achieves the apparent efficacy on vertigo caused by cerebellar infarction at the recovery stage and improves obviously brain blood circulation. It is significant to promote this therapy in clinical practice.展开更多
背景:前庭周围性眩晕具有病种范围广、影响深、防治难度大等特点,是全球范围内亟待解决的公共卫生问题。目前中医药治疗前庭周围性眩晕的随机对照试验研究复杂多样,缺乏标准化和系统化梳理,制约了循证证据的质量和临床转化价值。目的:...背景:前庭周围性眩晕具有病种范围广、影响深、防治难度大等特点,是全球范围内亟待解决的公共卫生问题。目前中医药治疗前庭周围性眩晕的随机对照试验研究复杂多样,缺乏标准化和系统化梳理,制约了循证证据的质量和临床转化价值。目的:系统回顾中医药治疗前庭周围性眩晕的随机对照试验,分析临床研究特征和结局指标,以优化临床指南指标集的制订,为未来临床试验的设计提供参考。方法:计算机检索PubMed、Web of Science、The Cochrane Library、EMbase、中国知网、维普、万方、中国生物医学文献服务系统,检索时限为各数据库建库至2025-04-18,收集中医药治疗前庭周围性眩晕的随机对照试验文献,2名研究者独立进行文献筛选、数据提取和文献质量评价,通过定性分析汇总临床结局指标和相关试验设计要素。结果与结论:最终纳入166篇随机对照试验,涉及患者14718例,累计结局指标119种。结局指标根据功能属性分为7个指标域:症状/体征,中医病证,理化检查,安全性,远期预后,生活质量,其他。目前,中医药治疗前庭周围性眩晕的随机对照试验研究设计尚未形成统一规范,中医证型及测量工具缺乏规范性,方法学质量存在诸多问题。临床结局指标存在异质性问题突出、终点指标及替代指标不平衡、选用不合理、忽视经济学指标、安全性事件及远期预后评价体系不完善等问题。建议研究者未来应提高方法学质量,合理设计结局指标,符合中药临床试验疗效评价特点,以促进前庭周围性眩晕临床指南及核心指标集的规范,为前庭周围性眩晕的精准防治提供更科学有效的循证医学证据。展开更多
文摘Objective:To evaluate the therapeutic effect of Tianma Gouteng Decoction combined with Betahistine Mesylate in patients with posterior circulation ischemic vertigo(PCI).Methods:Eighty-two patients with PCI who visited the hospital from February 2024 to February 2025 were selected as samples and randomly divided into two groups.Group A received Tianma Gouteng Decoction combined with Betahistine Mesylate,while Group B received only Betahistine Mesylate.The efficacy,syndrome scores,hemodynamics,and quality of life indicators were compared between the two groups.Results:The efficacy of PCI treatment in Group A was higher than that in Group B(P<0.05).The syndrome scores in Group A were lower than those in Group B(P<0.05).The peak systolic velocity(PSV)of the basilar artery and left and right vertebral arteries in Group A were higher than those in Group B(P<0.05).The quality of life(SF-36)score in Group A was higher than that in Group B(P<0.05).Conclusion:Tianma Gouteng Decoction combined with Betahistine Mesylate is effective and feasible in the treatment of PCI,with improved hemodynamic indicators and reduced disease scores.
文摘Objective:To analyze the necessity and effectiveness of vestibular rehabilitation training instruction in the treatment of sudden deafness accompanied by vertigo.Methods:Sixty medical staff who learned the treatment methods for sudden deafness accompanied by vertigo(vestibular rehabilitation training)from January 2024 to February 2025 were selected as the research subjects.They were divided into two groups according to the time of study:the control group,who participated in the training teaching first,and the observation group,who participated later.Each group had 30 people.The control group received conventional training,while the observation group underwent continuous quality improvement.The effects and assessment results of different teaching methods were compared.Results:The theoretical and practical assessment scores of medical staff in the observation group were higher than those in the control group(p<0.05);the satisfaction of medical staff in the observation group with the teaching mode was higher than that in the control group(p<0.05).Conclusion:Vestibular rehabilitation training has significant effects on sudden deafness accompanied by vertigo.Training medical staff not only enhances their understanding of training methods but also enables them to provide specialized guidance to patients,improving their vertigo condition.
文摘Objective To explore the efficacy of electric stimulation at the balance area and vertigo-auditory area of scalp acupuncture for vertigo caused by cerebellar infarction. Methods One hundred cases of vertigo caused by cerebellar infarction at the recovery stage were randomized into a scalp acupuncture group and a conventional acupuncture group. In the scalp acupuncture group, on the basis of the routine drug therapy, the electric stimulation was applied to the balance area and vertigo-auditory area of scalp acupuncture. In the conventional acupuncture group, on the basis of the routine drug therapy, the conventional acupuncture was supplemented. The treatment was given once a day, 6 treatments made one session. The clinical efficacy was assessed after 4 sessions of treatment. The transcranial Doppler ultrasonography （TCD） was adopted in the scalp acupuncture group to observe the changes of the mean blood flow velocity （Vm） of the anterior cerebral artery （ACA）, middle cerebral artery （MCA） and posterior cerebral artery （PCA） before and after treatment. Results After treatment, the total effective rate was 90.0% （45/50） in the scalp acupuncture group and was 68.0% （34/50） in the conventional acupuncture group, presenting the statistically significant difference in comparison （P0.05）. After treatment, Vm of ACA and MCA was increased apparently as compared with that before treatment in the scalp acupuncture group. Conclusion The electric stimulation at the balance area and vertigo-auditory area of scalp acupuncture achieves the apparent efficacy on vertigo caused by cerebellar infarction at the recovery stage and improves obviously brain blood circulation. It is significant to promote this therapy in clinical practice.
文摘背景:前庭周围性眩晕具有病种范围广、影响深、防治难度大等特点,是全球范围内亟待解决的公共卫生问题。目前中医药治疗前庭周围性眩晕的随机对照试验研究复杂多样,缺乏标准化和系统化梳理,制约了循证证据的质量和临床转化价值。目的:系统回顾中医药治疗前庭周围性眩晕的随机对照试验,分析临床研究特征和结局指标,以优化临床指南指标集的制订,为未来临床试验的设计提供参考。方法:计算机检索PubMed、Web of Science、The Cochrane Library、EMbase、中国知网、维普、万方、中国生物医学文献服务系统,检索时限为各数据库建库至2025-04-18,收集中医药治疗前庭周围性眩晕的随机对照试验文献,2名研究者独立进行文献筛选、数据提取和文献质量评价,通过定性分析汇总临床结局指标和相关试验设计要素。结果与结论:最终纳入166篇随机对照试验,涉及患者14718例,累计结局指标119种。结局指标根据功能属性分为7个指标域:症状/体征,中医病证,理化检查,安全性,远期预后,生活质量,其他。目前,中医药治疗前庭周围性眩晕的随机对照试验研究设计尚未形成统一规范,中医证型及测量工具缺乏规范性,方法学质量存在诸多问题。临床结局指标存在异质性问题突出、终点指标及替代指标不平衡、选用不合理、忽视经济学指标、安全性事件及远期预后评价体系不完善等问题。建议研究者未来应提高方法学质量,合理设计结局指标,符合中药临床试验疗效评价特点,以促进前庭周围性眩晕临床指南及核心指标集的规范,为前庭周围性眩晕的精准防治提供更科学有效的循证医学证据。
