推拿联合葛根素治疗颈性眩晕的疗效观察

Massage Puerarin Treatment of Cervical Vertigo

目的：探讨推拿联合葛根素治疗颈性眩晕的临床疗效。方法：针对颈性眩晕的发病机制及相关病因，运用中医辩证将65例颈性眩晕患者分为：①肝火上炎型20例；②风痰夹瘀型23例；③气血亏虚夹瘀型：22例。各组患者均以400mg葛根素注射液加5％葡萄糖注射液500ml静滴，1次／d，1周为一个疗程。间隔2d后行第二个疗程。同时联合推拿疗法。在治疗期间停用其他扩血管药物，用药两个疗程后进行疗效评定。结果：肝火上炎组共20例，其中显效有15例，有效有3例，无效有2例，总有效率为90．00％；风痰夹瘀组共23例，其中显效有17例，有效有3例，无效有3例，总有效率为86．96％；气血亏瘀组共22例，其中显效有5例，有效有11例，无效有6例，总有效率为72．73％。结论：根据颈性眩晕的相关病因，针对性地采用推拿联合葛根素治疗，取得了理想的临床效果，值得临床大力推广应用。

Objective：To investigate the combined uerarin massage theray the clinical efficacy of cervical vertigo. Methods：Cervical vertigo athogenesis and related causes, the use of Chinese Medicine of the 65 cases of cervical dizziness were divided into：（1）anget on 20 cases of inflammatory tye; （2）wind hlegm stasis folder 23 cases; （3）blood loss virtual folders Blood Stasis： 22 cases. The atients are 400 mg uerarin injection lus 5% glucose intravenous infusion of 500ml, 1 / d, 1 weeks a course. Interval of 2 d underwent a second course of treatment. Joint massage theray at the same time. Out in other vasodilator drugs during treatment, drug efficacy was evaluated after two courses. Results： The anger in the inflammation grou of 20 cases, of which there were 15 cases markedly effective in 3 cases, 2 cases ineffective, the total effective rate was 90. 00%; wind hlegm stasis grou folder 23 cases, of which 17 cases markedly effective, effective with 3 cases, 3 cases ineffective, the total effective rate was 86.96~; blood stasis grou loss of 22 cases, of which 5 cases were markedly effective in 11 cases, no 6, the total effective rate was 72.73%. Conclusion：According to the related causes of cervical vertigo, targeted massage combined with uerarin treatment, and achieved satisfactory clinical results, is worthy of great efforts to exand the alications.