后循环缺血性眩晕中医证型的临床研究

Clinical Observation of Posterior Circulation Ischemia Vertigo Syndrome Type of Traditional Chinese Medicine

目的探讨后循环缺血性眩晕不同证候的临床分型情况及眩晕发病程度。方法选取150例后循环缺血性眩晕患者为研究对象,观察分析其中医证候分型情况和眩晕程度评分情况。结果肝火上炎证型所占比例28.00%,证候平均分(9.53±2.12)分,均高于其他证型所占比例和证候平均分,差异均有统计学意义(P<0.05)。肝火上炎证评分总分最高(15.4±5.7)分,肾精不足证评分总分最低(12.8±4.7)分,差异有统计学意义(P<0.05)。结论肝火上炎证型在后循环缺血性眩晕的中医临床分型中所占比例和证候评分最高,每种证型的眩晕症状和程度各有侧重,临床治疗中应辨证论治。

Objective To observe the type and degree of vertigo clinical study of Posterior Circulation Ischemia Vertigo syndrome. Methods Select 150 cases from Kaifeng City outpatient department of encephalopathy hospital emergency treatment and hospitalization in patients with posterior circulation ischemic vertigo as the research object,observe the clinical syndromes of the TCM syndrome differentiation type of TCM score and the degree of vertigo. Results Liver fire syndrome type proportion accounted for28%,and symptom scores syndrome average respectively（9.53±2.12）;were significantly higher in the proportion of other syndromes and syndrome score,the differences were statistically significant（P〈0.05）. Inflammatory score the highest on the anger（15.4±5.7）,kidney essence deficiency score the lowest score（12.8±4.7）,the difference was statistically significant（P〈0.05）. Conclusion TCM clinical hyperpyrexia of liver syndrome ischemic vertigo cycle in percentage and syndrome type of the highest rated,vertigo symptom and degree of each syndrome type are different,should the syndrome differentiation and treatment in clinical treatment.