益气舒筋汤治疗后循环缺血性眩晕32例疗效观察

Clinical efficacy of Yiqi Shujin decoction in treatment of posterior circulation ischemia vertigo: a report of 32 cases

目的:观察益气舒筋汤治疗后循环缺血性眩晕的临床疗效。方法:将64例后循环缺血性眩晕患者随机分为治疗组与对照组各32例,对照组采用常规西药对症治疗,治疗组在对照组治疗基础上加用中药益气舒筋汤治疗。比较两组的临床疗效,观察两组治疗前后超敏C反应蛋白、脑血流速度等指标改善情况。结果:总有效率治疗组为87.5%,对照组为75.0%,两组比较,差异有统计学意义(P<0.05);在对超敏C反应蛋白、脑血流速度的改善方面,治疗组均优于对照组,差异有统计学意义(P<0.05)。结论:益气舒筋汤治疗后循环缺血性眩晕在改善患者症状、预防动脉粥样硬化、改善脑血流状况方面均有较好的疗效。

Objective： To observe the clinical efficacy of Yiqi Shujin decoction in the treatment of posterior circulation ischemia vertigo. Methods： A total of 64 patients with posterior circulation ischemia vertigo were equally and randomly divided into treatment group and control group. The control group received conventional Western medicine symptomatic treatment,while the treatment group received Yiqi Shujin decoction（ traditional Chinese medicine） in addition to conventional Western medicine symptomatic treatment. The clinical outcomes of the two groups were compared. And the improvements in level of high- sensitivity C- reactive protein and cerebral blood flow velocity were observed. Results： There was a significant difference in overall response rate between the treatment group and the control group（ 87. 5% vs 75. 0%,P〈0. 05）. The treatment group showed significant improvements in level of high- sensitivity C- reactive protein and cerebral blood flow velocity than the control group（ P〈0. 05）. Conclusion：For patients with posterior circulation ischemia vertigo,Yiqi Shujin decoction can relieve symptoms,prevent atherosclerosis,and improve cerebral blood flow. It has good clinical efficacy.