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平眩饮治疗椎-基底动脉供血不足性眩晕76例 被引量:5

Seventy-Six Cases of Vertebrobasilar Insufficiency Treated with Ping Xuan Beverage
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摘要 目的:观察平眩饮治疗椎-基底动脉供血不足性眩晕肝肾阴虚风痰上扰证的临床疗效。方法:将152例患者随机分为对照组和治疗组,每组各76例。对照组给予氟桂利嗪胶囊,治疗组给予自拟方平眩饮。比较两组患者的临床疗效,记录两组患者治疗前后中医证候积分变化情况,检测两组患者治疗前后椎-基底动脉血平均流速变及血液流变学指标。结果:治疗组有效率为94. 7%,对照组有效率为76. 3%,差异具有统计学意义(P <0. 05)。两组患者治疗后中医证候积分低于治疗前,且治疗组低于对照组,差异具有统计学意义(P <0. 05)。两组患者治疗后椎-基底动脉血平均流速高于治疗前,且治疗组高于对照组,差异具有统计学意义(P <0. 05)。两组患者治疗后全血黏度及红细胞压积水平低于治疗前,且治疗组低于对照组,差异具有统计学意义(P <0. 05)。结论:自拟方平眩饮治疗椎-基底动脉供血不足性眩晕肝肾阴虚风痰上扰证疗效确切,可改善患者的临床症状。 Objective: To observe the clinical curative effect of Ping Xuan Beverage(PXB) on liver kidney yin deficiency with wind-phlegm disturbance syndrome. Methods: One hundred and fifty-two patients were randomly divided into the control group and the treatment group,with 76 cases in each group. The ones in the control group were given Sibelium Capsules,while the ones in the treatment group were given Self-made Ping Xuan Beverage(PXB). Then the clinical curative effects of the two groups were compared,and their changes of TCM syndrome scores before and after the treatment were recorded. The average blood flow velocity and hemorheological indexes of vertebral-basilar artery before and after the treatment were detected. Results: The effective rate of the treatment group was 94. 7%,and that of the control group was 76. 3%,the difference was statistically significant(P〈0. 05).After the treatment,the scores of TCM syndromes in the two groups were lower than those before the treatment,and the treatment group was lower than the control group,and the difference was statistically significant(P〈0. 05). After the treatment,the average velocity of vertebral-basilar artery blood flows in the two groups were higher than those before the treatment,and the treatment group was higher than the control group,and the difference was statistically significant(P〈0. 05). After the treatment,the whole blood viscosity and hematocrit levels of the two groups were lower than those before the treatment,and the treatment group was lower than the control group,the difference was statistically significant(P〈0. 05). Conclusion: Self-made PXB has a remarkable clinical curative effect on VBI due to liver kidney yin deficiency with wind-phlegm disturbance syndrome,can improve the clinical symptoms of patients.
作者 范晓飞 张怀亮 FAN Xiao-fei;ZHANG Huai-liang(The First Hospital Attached to Henan University of TCM,Zhengzhou,Henan,China,45000)
出处 《河南中医》 2018年第10期1515-1518,共4页 Henan Traditional Chinese Medicine
基金 河南省重点中医学科(专科)学术带头人培养项目(编号:2013ZY03003)
关键词 椎-基底动脉供血不足性眩晕 肝肾阴虚风痰上扰 平眩饮 氟桂利嗪胶囊 vertebrobasilar sufficiency(VBI) liver kidney yin deficiency with wind-phlegm disturbance syndrome Ping Xuan Beverage(PXB) Sibelim Capsules
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