中西医结合疗法治疗后循环缺血性眩晕30例临床观察

Integrated Chinese and Wester Medicine Therapy Therapeutic Effect of Posterior Circulation Ischemic Vertigo

目的:观察中西医结合治疗后循环缺血痰浊上扰清窍型眩晕的临床疗效.方法:选取60例后循环缺血痰浊上扰清窍型眩晕患者,随机分为两组;对照组30例,采用静脉滴注盐酸倍他司汀氯化钠;观察组30例在对照组基础上加用半夏白术天麻汤加减和针灸治疗.观察治疗前后症状、 经颅多普勒(TCD)血流流速及搏动指数的变化.结果:治疗组总有效率为93.3%,明显优于对照组73.3%(P<0.05);治疗后,两组的椎基底动脉的收缩期峰值血流速度(Vs)和其搏动指数(PI值)差异具有统计学意义(P<0.05).结论:中西医结合治疗后循环缺血痰浊上扰清窍型眩晕疗效优于单纯西药.

Objective To observe the curative effect of combined traditional Chinese and Western medicine in the treatment of posterior circulation ischemic vertigo.Methods Randomized controlled observations were performed to classify 60 patients with posterior circulation ischemic vertigo into 2 groups.In the control group,30 patients received intravenous infused of betastatin hydrochloride and 250 sodium chloride.30 cases were compared with the acupuncture and moxibustion group.The changes of symptoms,transcranial Doppler(TCD)blood flow velocity and pilse index were observed before and after treatment.Results The total effective rate of the treatment group was 93.3%,significantly better than the group(73.3%)(P<0.05).After treatment,the were significant differences in systolic peak blood flow velocity(Vs)and pulsatile index(PI value)between the two groups(P<0.05).Conclusion The curative effect of integrated traditional traditional Chinese and Western medicine on posterior vertigo is better than that of western medicine alone.