平眩饮治疗椎-基底动脉供血不足性眩晕76例

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英文篇名：Seventy-Six Cases of Vertebrobasilar Insufficiency Treated with Ping Xuan Beverage 作者：范晓飞 ; 张怀亮 英文作者：FAN Xiao-fei;ZHANG Huai-liang;The First Hospital Attached to Henan University of TCM; 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 英文关键词：vertebrobasilar insufficiency(VBI);;liver kidney yin deficiency with wind-phlegm disturbance syndrome;;Ping Xuan Beverage(PXB);;Sibelium Capsules 中文刊名：HNZY 英文刊名：Henan Traditional Chinese Medicine 机构：河南中医药大学第一附属医院; 出版日期：2018-10-12 17:28 出版单位：河南中医 年：2018 期：v.38;No.322 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) 语种：中文; 页：HNZY201810016 页数：4 CN：10 ISSN：41-1114/R 分类号：64-67

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.

引文

[1]吴子明,张素珍.前庭症状国际分类与解析[J].中华耳科学杂志,2015,13(1):187-189.
    [2]帅建忠.眩晕的诊断与鉴别诊断[J].内蒙古中医药,2011,22(20):96-97.
    [3]阎孝诚.实用中医脑病学[M].北京:北京学苑出版社,1993:104.
    [4]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:585.
    [5]王净净,潘向军,黄云峰.眩晕定方治疗气虚血瘀型老年性眩晕30例临床研究[J].中医药导报,2006,12(3):5-8.
    [6]孙宏丽,赵志华.中西医结合治疗老年性眩晕临证体会[J].实用中医内科杂志,2004,18(3):208.
    [7]傅维康,吴鸿洲.黄帝内经[M].北京:中国国际广播出版社,2011:70-71.
    [8]高丽乔.老年性眩晕中西医结合治疗体会[J].中国中西医结合杂志,2003,3(16):120.
    [9]周克振.周子芳从瘀血风证论治老年眩晕的经验[J].湖北中医杂志,2001,23(7):15-16.
    [10]董明霞.清眩汤联合川芎嗪注射液治疗椎-基底动脉供血不足的疗效观察[J].北京中医药,2011,30(1):8-9.
    [11]唐世球.桂枝加葛根汤加减治疗椎-基底动脉供血不足性眩晕临床观察[J].吉林中医药,2011,31(7):635-636.
    [12]朱安龙.复方泽泻汤为主治疗椎-基底动脉供血不足性眩晕疗效观察[J].现代中西医结合杂,2008,17(29):4535-4536.
    [13]唐明邦.本草纲目[M].北京:中国国际广播出版社,2011:89-90.
    [14]罗国东,于洋,葛华迅,等.益肾平肝方防治高血压病早期肾损害的理论探讨[J].中西医结合心脑血管病杂志,2015,13(3):381-383.
    [15]张锡纯.医学衷中参西录[M].太原:山西科技出版社,2009:123-124.