摘要
目的分析痰浊上蒙型眩晕病患者采用穴位贴敷与中药足浴联合治疗的效果。方法选取2021年10月—2022年8月在福建省龙岩市中医院风湿科接受治疗的66例痰浊上蒙型眩晕病患者为研究对象,以随机数字表法将患者分为两组。对照组(n=33)患者采用甲磺酸倍他司汀片治疗,观察组(n=33)患者联合应用穴位贴敷及中药足浴治疗。比较两组临床疗效以及中医证候积分、血流动力学指标和眩晕发生频率、持续时间及眩晕障碍调查量表(dizziness disorder survey scale,DHI)评分改善情况。结果观察组总有效率高于对照组(P<0.05)。治疗前,两组患者中医证候积分比较,差异无统计学意义(P>0.05);治疗后观察组主症及次症中医证候积分均较对照组低(P<0.05)。治疗前,两组患者血流动力学指标比较,差异无统计学意义(P>0.05);治疗后观察组平均血流速度(average blood flow velocity,Vm)、基底动脉血流速度(blood flow velocity of basilar artery,BA)、右侧椎动脉血流速度(right vertebral artery blood flow velocity,RVA)、左侧椎动脉血流速度(left vertebral artery blood flow velocity,LVA)高于对照组(P<0.05)。治疗前,两组患者眩晕发生频率、持续时间与DHI评分比较,差异无统计学意义(P>0.05);治疗后,观察组眩晕发生频率更低、持续时间更短、DHI评分更低(P<0.05)。结论痰浊上蒙型眩晕病患者采用穴位贴敷与中药足浴联合治疗可促进眩晕症状缓解,改善血流动力学。
Objective To analyze the effect of the combination of acupoint application and foot bath with traditional Chinese medicine on patients with vertigo of phlegm turbid and upper Mongolia type.Methods A total of 66 patients with phlegm turbid upper Mongolia type dizziness who were treated in the department of rheumatology,Longyan Hospital of Traditional Chinese Medicine,Fujian Province from October 2021 to August 2022 were selected as the study objects.The patients were divided into two groups by random number table method.The control group(n=33)received treatment with betahistine mesylate tablets,while the observation group(n=33)received a combination of acupoint application and traditional Chinese medicine foot bath treatment.The clinical efficacy and improvement of TCM syndrome score,hemodynamic index,dizziness frequency,duration and dizziness disorder survey scale(DHI)score were compared between the two groups.Results The total effective rate of observation group was higher than that of control group(P<0.05).Before treatment,there was no significant difference in the TCM syndrome scores of patients(P>0.05).After treatment,the TCM syndrome scores of the main and secondary symptoms in the observation group were lower than those in the control group(P<0.05).Before treatment,there was no significant difference in hemodynamic indexes between the two groups(P>0.05).After treatment,average blood flow velocity(Vm),blood flow velocity of basilar artery(BA),right vertebral artery blood flow velocity(RVA),left vertebral artery blood flow velocity(RVA)of observation group were higher than those of control group(P<0.05).Before treatment,there was no significant difference in the occurrence and duration of dizziness between the patients and the DHI score(P>0.05).After treatment,the observation group had a lower frequency and duration of dizziness,and a lower DHI score(P<0.05).Conclusion The combination of acupoint application and foot bath with traditional Chinese medicine can promote the relief of vertigo symptoms and improve hemodynamics.
作者
吕金焕
罗秀清
LYU Jinhuan;LUO Xiuqing(Department of Rheumatology,Longyan Hospital of Traditional Chinese Medicine,Fujian Province,Longyan Fujian 364000,China)
出处
《中国卫生标准管理》
2023年第20期139-142,共4页
China Health Standard Management
关键词
痰浊上蒙型眩晕
穴位贴敷
中药足浴
西药治疗
眩晕障碍
血流动力学
中医证候
phlegm turbid and overhung vertigo
acupoint application
Chinese medicine foot bath
western medicine treatment
vertigo disorder
hemodynamics
TCM syndrome
