摘要
[目的]观察半夏白术天麻汤加减治疗痰浊内蕴眩晕疗效。[方法]使用随机平行对照方法,将140例住院患者随机数字表方法简单随机分为两组。对照组70例西比灵,10mg/次,1次/d,口服。治疗组70例半夏白术天麻汤(半夏15g,白术12g,天麻、茯苓、陈皮各10g,甘草6g;呕吐重加代赭石6g,纳呆腹胀重加砂仁10g;肢沉苔腻重加藿香、石菖蒲各10g;耳鸣重加郁金10g);水煎200m L,1剂/d,早晚口服;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、血液流变学指标(纤维蛋白原、全血黏度、血浆黏度)、椎-基底动脉血流速度、不良反应。连续治疗2疗程,判定疗效。随访6个月。[结果]治疗组痊愈25例,显效31例,有效12例,无效3例,总有效率95.71%。对照组痊愈12例,显效18例,有效26例,无效14例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。椎-基底动脉血流速度、血液流变学指标两组均有改善(P<0.05),治疗组治疗组优于对照组(P<0.05)。[结论]半夏白术天麻汤加减治疗痰浊内蕴眩晕,疗效满意,无严重不良反应,值得推广。
[Objective]Observation Banxiabaizhutianma decoction for treatment of phlegm intrinsic vertigo.[Method]Random parallel control method,140 cases of hospitalized patients were randomly divided into two groups is simple.70 cases in the control group sibelium,10mg/times,1 times/d,orally.The treatment group 70 cases Banxiabaizhutianma soup(Pinellia 15 g,Atractylodes 12 g,Tianma,Poria,dried tangerine peel 10 g,licorice 6g;vomiting weight plus Ruddle 6g,poor appetite bloating heavier Amomum 10g;limb Shen greasy heavier beans incense,Shichangpu each 10g;tinnitus heavy add turmeric 10g);decoction 200 m L,1 ji/d,sooner or later orally;Western medicine with the control group.14 d for a course of continuous treatment.Observation of clinical symptoms,blood rheology(fibrinogen,whole blood viscosity,plasma viscosity),vertebral-basilar artery blood flow velocity,adverse reactions.Continuous treatment of 2 courses,to determine efficacy.Follow-up of six months.[Results]The cure in 25 cases,31 cases markedly effective in 12 cases,3 cases,the total efficiency of 95.71%.The control group cured 12 cases,18 cases markedly effective in 26 cases,14 cases,the total efficiency of 80.00%.Treatment group than the control group(P〈0.05).Vertebral-basilar artery blood flow velocity,blood rheology in both groups improved(P〈0.05),treatment group treatment group than the control group(P〈0.05).[Conclusion]Banxiabaizhutianma decoction for treatment of phlegm intrinsic vertigo,results were satisfactory,no serious adverse reactions,should be promoted.
出处
《实用中医内科杂志》
2015年第10期93-95,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
眩晕
半夏白术天麻汤
痰浊内蕴
西比灵
血液流变学
纤维蛋白原
全血黏度
血浆黏度
椎-基底动脉血流速度
中西医结合治疗
dizziness
Banxiabaizhutianma soup
phlegm intrinsic
flunarizine
blood rheology
fibrinogen
whole blood viscosity
plasma viscosity
vertebral-basilar artery blood flow velocity
integrative medicine