Epley手法复位联合化痰活血、通络开窍法治疗良性阵发性位置性眩晕痰瘀阻窍证40例临床观察
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摘要
目的观察Epley手法复位联合化痰活血、通络开窍法治疗良性阵发性位置性眩晕痰瘀阻窍证的临床疗效。方法将80例良性阵发性位置性眩晕痰瘀阻窍证患者随机分为对照组和治疗组,各40例。对照组予常规西药治疗,治疗组予Epley手法复位联合化痰活血、通络开窍法治疗。连续治疗2周后比较2组的临床疗效、眩晕分级及治疗前后的中医证候积分。结果对照组总有效率为65.0%,治疗组为97.5%,2组比较差异有统计学意义(P<0.05);总体眩晕分级治疗组低于对照组,2组眩晕分级比较差异有统计学意义(P<0.05);治疗7,14 d后,2组的中医证候积分均明显降低,与同组治疗前比较差异有统计学意义(P<0.05),且治疗组的降低程度明显高于对照组,2组比较差异均有统计学意义(P<0.05)。结论 Epley手法复位联合化痰活血、通络开窍法治疗良性阵发性位置性眩晕痰瘀阻窍证疗效显著,可明显改善患者的临床症状,值得临床推广应用。
Objective To observe the clinical efficacy of Epley manual reposition combined with resolving phlegm to activate blood and dredging collaterals to open orifice method in the treatment of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom.Methods Eighty cases of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom were randomly divided into control group and treatment group,with 40 cases in each.The control group was given routine Western medicine treatment,while the treatment group was given Epley manual reposition combined with resolving phlegm to activate blood and dredging collaterals to open orifice method.After consecutive treatment for 2 weeks,the clinical efficacy,vertigo grading,and TCM symptom scores before and after treatment of the two groups were compared.Results The total effective rate of the control group was 65.0%,that of the treatment group was 97.5%,there was statistically significant difference between the two groups(P<0.05).The overall vertigo grading in the treatment group was lower than that in the control group,there was statistically significant difference in vertigo grading between the two groups(P<0.05).After treatment for 7 days and 14 days,the TCM symptom scores of the two groups all significantly decreased,there was statistically significant difference compared with the same group before treatment(P<0.05),moreover,the decrease extent of the treatment group was significantly higher than that of the control group,there was statistically significant difference between the two groups(P<0.05).Conclusion It has significant clinical efficacy to combine Epley manual reposition with resolving phlegm to activate blood and dredging collaterals to open orifice method in the treatment of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom,and it markedly improves the clinical symptoms of the patients,which deserves clinical promotion and application.
Objective To observe the clinical efficacy of Epley manual reposition combined with resolving phlegm to activate blood and dredging collaterals to open orifice method in the treatment of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom.Methods Eighty cases of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom were randomly divided into control group and treatment group,with 40 cases in each.The control group was given routine Western medicine treatment,while the treatment group was given Epley manual reposition combined with resolving phlegm to activate blood and dredging collaterals to open orifice method.After consecutive treatment for 2 weeks,the clinical efficacy,vertigo grading,and TCM symptom scores before and after treatment of the two groups were compared.Results The total effective rate of the control group was 65.0%,that of the treatment group was 97.5%,there was statistically significant difference between the two groups(P<0.05).The overall vertigo grading in the treatment group was lower than that in the control group,there was statistically significant difference in vertigo grading between the two groups(P<0.05).After treatment for 7 days and 14 days,the TCM symptom scores of the two groups all significantly decreased,there was statistically significant difference compared with the same group before treatment(P<0.05),moreover,the decrease extent of the treatment group was significantly higher than that of the control group,there was statistically significant difference between the two groups(P<0.05).Conclusion It has significant clinical efficacy to combine Epley manual reposition with resolving phlegm to activate blood and dredging collaterals to open orifice method in the treatment of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom,and it markedly improves the clinical symptoms of the patients,which deserves clinical promotion and application.
引文
[1]Michael von Brevern,Pierre Bertholon,Thomas Brandt,等.良性阵发性位置性眩晕诊断标准[J].中国全科医学,2017,20(11):1275-1281.
[2]戴慎,薛建国,岳沛平.中医病证诊疗标准与方剂选用[M].北京:人民卫生出版社,2001:184-188.
[3]汪静波,陈君,朱翌,等.Epley管石复位法和Semont管石解脱法及其联合治疗后半规管良性阵发性位置性眩晕的疗效比较研究[J].中国全科医学,2016,19(17):2015-2018.
[4]王凯,荣良群,朱本亮,等.Epley手法复位联合眩晕宁治疗青年后半规管良性阵发性位置性眩晕效果观察[J].中国综合临床,2015,31(9):795-798.
[5]邓杉杉.改良Epley复位法联合氟桂利嗪治疗后半规管良性阵发性位置性眩晕68例[J].山东医药,2014,54(12):106-107.
[6]王玉琳,秦旭旭,刘佳,等.针刺治疗后半规管型良性阵发性位置性眩晕经Epley法复位后的残余头晕[J].针灸临床杂志,2016,32(5):14-16.
[7]Lee J D,Shim D B,Park H J,et al.A multicenter randomized double-blind study:comparison of the Epley,Semont,and sham maneuvers for the treatment of posterior canal benign paroxysmal positional vertigo[J].Audiol Neurootol,2014,19(5):336-341.
[8]刘雪景.通窍活血汤治疗瘀血阻络型眩晕临床研究[J].北方药学,2017,14(3):47.
[2]戴慎,薛建国,岳沛平.中医病证诊疗标准与方剂选用[M].北京:人民卫生出版社,2001:184-188.
[3]汪静波,陈君,朱翌,等.Epley管石复位法和Semont管石解脱法及其联合治疗后半规管良性阵发性位置性眩晕的疗效比较研究[J].中国全科医学,2016,19(17):2015-2018.
[4]王凯,荣良群,朱本亮,等.Epley手法复位联合眩晕宁治疗青年后半规管良性阵发性位置性眩晕效果观察[J].中国综合临床,2015,31(9):795-798.
[5]邓杉杉.改良Epley复位法联合氟桂利嗪治疗后半规管良性阵发性位置性眩晕68例[J].山东医药,2014,54(12):106-107.
[6]王玉琳,秦旭旭,刘佳,等.针刺治疗后半规管型良性阵发性位置性眩晕经Epley法复位后的残余头晕[J].针灸临床杂志,2016,32(5):14-16.
[7]Lee J D,Shim D B,Park H J,et al.A multicenter randomized double-blind study:comparison of the Epley,Semont,and sham maneuvers for the treatment of posterior canal benign paroxysmal positional vertigo[J].Audiol Neurootol,2014,19(5):336-341.
[8]刘雪景.通窍活血汤治疗瘀血阻络型眩晕临床研究[J].北方药学,2017,14(3):47.