摘要
目的：分析天麻钩藤饮结合甲磺酸倍他司汀治疗后循环缺血性眩晕的临床效果。方法：本次研究的病例均为2014年1月~2015年2月我院后循环缺血性眩晕患者,共纳入100例。根据随机分组方法分西药组50例和中西医组50例。西药组治疗采用西药甲磺酸倍他司汀,中西医组治疗采用西药甲磺酸倍他司汀联合中药天麻钩藤饮,对比干预前后2组血液黏度差异以及疗效水平情况。结果：干预后中西医组血液黏度明显较低,中西医组疗效水平明显高于西药组（P〈0.05）。结论：天麻钩藤饮结合甲磺酸倍他司汀治疗后循环缺血性眩晕的临床效果显著,可降低血液黏度,促进患者症状好转,在临床可考虑该中西医结合治疗方案。中西医组、中药组内耳鸣、眩晕症状消失时间分别为（28.9±10.2）h、（30.5±11.3）h和（46.8±11.6）h、（50.3±12.6）h,2组两指标对比差异显著（P〈0.05）。
Objective： To analyze the Clinical effect of Gastrodia and Uncaria Decoction combined with methanesulfonic betahistine in treatment of posterior circulation ischemic vertigo. Methods： The study cases were patients from January 2014 to February2015 in our hospital with Posterior Circulation Ischemia Vertigo,a total of 100 cases. According to the randomized grouping method,50 cases of Western medicine group and 50 cases of traditional Chinese and Western medicine group were divided into groups. Western medicine group was treated with western medicine mesylate betahistine,while traditional Chinese and Western medicine group was treated with western medicine mesylate betahistine combined with traditional Chinese medicine Gastrodia and Uncaria Decoction,comparing the differences of blood viscosity and curative effect between the two groups before and after intervention. Results： The blood viscosity of the Chinese and Western medicine group was significantly lower,and the curative effect was significantly higher than that of Western medicine group（ P〈0. 05）. The disappearing time of traditional Chinese and Western medicine group,western medicine group in tinnitus and vertigo symptom were（ 28. 9 ± 10. 2） h,（ 30. 5 ± 11. 3） h and（ 46. 8 ± 11. 6） h,（ 50. 3 ± 12. 6） h,The difference between the two groups was significant（ P〈0. 05）. Conclusion： Gastrodia and Uncaria Decoction combined with mesylate betahistine had significant clinical effect in the treatment of posterior circulation ischemic vertigo,they can reduce blood viscosity and improve symptoms for patients. The combination of traditional Chinese and Western medicine can be considered in the clinical treatment.
出处
《成都中医药大学学报》
2016年第1期54-56,60,共4页
Journal of Chengdu University of Traditional Chinese Medicine
基金
广东省中医药局立项课题:黄培新教授"中风祖方"复杂干预栓窗外急性缺血性中风的探索性疗效评价(编号:20141109)
关键词
天麻钩藤饮
甲磺酸倍他司汀
后循环缺血性眩晕
临床效果
Gastrodia and uncaria decoction
methanesulfonic betahistine
posterior circulation ischemia vertigo
clinical effect
