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半夏白术天麻汤对后循环缺血性眩晕的临床研究 被引量:32

Clinical Observation of Banxia Baizhu Tianma Decoction on Posterior Circulation Ischemic Vertigo
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摘要 目的观察半夏白术天麻汤对后循环缺血性眩晕的临床疗效。方法患者90例随机分为两组,两组均给予基础治疗,在此基础上对照组给予盐酸氟桂利嗪、拜阿司匹林肠溶片治疗,治疗组在对照组的基础上予以半夏白术天麻汤治疗。一个疗程(14 d)后比较两组临床疗效情况,同时观察两组治疗前及治疗后第3、7、14天的椎基底动脉TCD指标、血液流变学指标的变化。结果治疗组临床疗效明显高于对照组,差异有统计学意义(P <0.05);治疗组在第3、7、14天的椎基底动脉平均血流速度、血流变学指标改善程度明显高于对照组(P <0.05)。结论半夏白术天麻汤对后循环缺血性眩晕疗效确切,可明显改善患者临床症状,提高椎基底动脉平均血流速度,降低血液流变学指标。 Objective: To observe the clinical effect of Banxia Baizhu Tianma Decoction on posterior circulation ischemic vertigo. Methods: 90 patients were randomly divided into two groups. The two groups were given basic treatment. On this basis,the control group was given flunarizine hydrochloride and aspirin enteric-coated tablets. The treatment group was given Banxia Baizhu Tianma Decoction on the basis. After one course of treatment,the clinical effects of the two groups were compared. Meanwhile,the changes of mean blood flow velocity and hemorheological indexes of vertebrobasilar artery were observed before treatment and 3,7 and 14 days after treatment. Results: The clinical efficacy of the treatment group was significantly higher than that of the control group(P < 0.05). On the 3rd,7th and 14th day,the average blood flow velocity and hemorheological indexes of vertebrobasilar artery in the treatment group were significantly higher than those in the control group(P < 0.05). Conclusion: Banxia Baizhu Tianma Decoction is effective on posterior circulation ischemic vertigo. It can improve the clinical symptoms,increase the average blood flow velocity of vertebrobasilar artery and reduce the hemorheological indexes.
作者 蔡洪 杨德钱 Cai Hong;Yang Deqian(TCM Hospital of Dianjiang,Chongqing 408300,China)
出处 《中国中医急症》 2019年第5期848-850,共3页 Journal of Emergency in Traditional Chinese Medicine
基金 重庆市卫生计生委中医药科技项目(ZY201802009)
关键词 后循环缺血 眩晕 半夏白术天麻汤 Posterior circulation ischemia Vertigo Banxia Baizhu Tianma Decoction
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