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中医药治疗后循环缺血性眩晕的临床研究 被引量:10

Clinical research of Chinese medicine treatment in posterior circulation ischemic vertigo
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摘要 目的:探讨中医药治疗后循环缺血性眩晕的临床效果。方法:选取后循环缺血性眩晕患者110例,采用随机数字表法分为观察组和对照组,每组55例,对照组采用阿司匹林肠溶片+甲磺酸倍他司汀片+盐酸氟桂利嗪片治疗,观察组联用平肝健脾补肾中药治疗,于治疗前后行经颅多普勒超声检查和眩晕症状量表评分,比较两组患者的治疗效果。结果:治疗后,两组患者左侧椎动脉血流速度、右侧椎动脉血流速度、椎基底动脉血流速度均明显增加(P<0.05)。两组患者血管阻力指数、眩晕症状量表评分明显降低(P<0.05)。观察组患者左侧椎动脉血流速度、右侧椎动脉血流速度、椎基底动脉血流速度、治疗总有效率明显高于对照组(P<0.05)。观察组患者血管阻力指数、眩晕症状量表评分明显低于对照组(P<0.05)。结论:平肝健脾补肾法治疗后循环缺血性眩晕的临床疗效显著,可有效改善患者颈部血流状况。 Objective: To investigate clinical effects of Chinese medicine treatment in posterior circulation ischemic vertigo.Methods: 110 patients with posterior circulation ischemic vertigo were selected and divided into observation group (n = 55) and controlgroup (n = 55) by the random number table method. The control group was treated with Aspirin enteric-coated tablets+ Betahistinemesilate tablets+ Flunarizine hydrochloride tablets, while the observation group was given Aspirin enteric-coated tablets+ Betahistinemesilate tablets+ Flunarizine hydrochloride tablets combined with Pinggan Jianpi Bushen Chinese medicine. Transcranial Doppler ultrasonography and vertigo symptom scale score were examined before and after treatment. The treatment effects were compared between thetwo groups. Results: After the treatment, the blood flow velocities of left vertebral artery, right vertebral artery and vertebrobasilar artery increased in two the groups significantly (P〈0. 05), while the vascular resistance indexes and vertigo symptom scale scores decreased (P〈0. 05). The blood flow velocity of left vertebral artery, right vertebral artery and vertebrobasilar artery as well as the totaleffective rate in the observation group were obviously higher than those in the control group (P〈0. 05); however, the vascular resistance index and vertigo symptom scale score were lower than those in the control group (P〈0. 05). Conclusions: Pinggan Jianpi Bushen method has significant effects in the treatment for posterior circulation ischemic vertigo, and can obviously improve the condition ofneck blood flow.
作者 张清奇 常耀辉 ZHANG Qingqi;CHANG Yaohui(Hospital of traditional Chinese Medicine of Tanghe County, Tanghe Henan 473400, Chin)
出处 《中国民康医学》 2018年第6期79-81,共3页 Medical Journal of Chinese People’s Health
关键词 后循环缺血性眩晕 阿司匹林肠溶片 甲磺酸倍他司汀片 盐酸氟桂利嗪片 平肝健脾补肾法 Posterior circulation ischemic vertigo Aspirin enteric - coated tablets Betahistine mesilate tablets Flunarizinehydrochloride tablets Pinggan Jianpi Bushen method
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