平肝熄风和血汤治疗椎基底动脉供血不足性眩晕随机平行对照研究

Pinggan Xifeng Hexue Tang Treated Vertebrobasilar Insufficiency Vertigo Randomized Controlled Study

[目的]观察平肝熄风和血汤治疗椎基底动脉供血不足性眩晕疗效。[方法]使用随机平行对照方法,将86例门诊患者按就诊顺序号法简单随机分为两组。对照组43例倍他司汀20mg+5%250 m L葡萄糖,1次/d,静滴;阿司匹林,100mg/次,1次/d。治疗组43例平肝熄风和血汤(石决明生、桑椹各30g,白芍、地骨皮各24g,栀子炒12g,天麻、当归各15g,菊花、蔓荆子、竹茹、川芎、酸枣仁各10g),1剂/d,水煎400m L,早晚口服,200m L/次。连续治疗28d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈12例,显效18例,有效10例,无效3例,总有效率93.02%。对照组痊愈6例,显效11例,有效13例,无效13例,总有效率69.77%。治疗组疗效优于对照组(P<0.01)。[结论]平肝熄风和血汤治疗椎基底动脉供血不足性眩晕疗效满意,无严重不良反应,值得推广。

[Objective]To observe Pingganxifeng and blood Treated vertebrobasilar insufficiency vertigo.[Methods]randomized,parallel controlled method,86 cases of outpatient treatment order number method is simple and randomly divided into two groups.The control group 43 cases betahistine 20 mg ＋ 5% 250 m L glucose,1 times/d,intravenous infusion;aspirin,100mg/times,1 times/d.The treatment group 43 cases Pingganxifeng and blood soup（Shijueming,Sangshen 30 g,Baishao,Digupi 24 g,Zhizi 12 g,Tianma,Danggui 15 g,Juhua,Manjingzi,Zhu ru,Chuanxiong,Suanzaoren each 10g）,1 ji/d,decoction 400 m L,sooner or later,oral,200 m L/times.28 d for a course of continuous treatment.Observation of clinical symptoms,adverse reactions.One course of treatment,to determine efficacy.[Results]The treatment group cured 12 cases,effective in 18 cases,10 cases,3 cases,the total efficiency of 93.02%.The control group healed in 6 cases,11 cases markedly effective in 13 cases,13 cases,the total efficiency of 69.77%.Treatment group than the control group（P〈0.01）.[Conclusion]Pingganxifeng and blood Treated vertebrobasilar insufficiency vertigo results were satisfactory,no serious adverse reactions,is worth promoting.