中药联合复位法治疗耳石症临床观察

Efficacy Observation of traditional Chinese drugs combined with reduction on otolith disease

目的:观察中药联合复位法治疗耳石症患者的临床疗效。方法:将神经内科收治的86例耳石症患者,随机分为对照组41例和治疗组45例。对照组采用单纯复位手法进行治疗;治疗组在对照组治疗基础上配合中药半夏白术天麻汤治疗;两组患者均分别于治疗后即刻、治疗后1周和治疗后4周3个时间点做出疗效评价;并随访3个月进行远期疗效评估。结果:对照组在治疗后即刻及治疗1周后其总有效率分别为90.2%和92.7%,治疗组相应总有效率分别为91.1%和93.3%,两组比较差异均无统计学意义(P>0.05);治疗后第4周,治疗组总有效率为95.6%,对照组为82.9%,两组比较差异具有统计学意义(P<0.05)。随访3个月后,治疗组复发率为2.2%,对照组为14.6%,两组比较,差异具有统计学意义(P<0.05)。结论:中药半夏白术天麻汤联合复位法治疗耳石症患者具有远期临床疗效较好,复发率低的优势。

Objective ： To observe the clinical effect of traditional Chinese drugs combined with reduction on o- tolith disease. Methods： 86 cases of patients with otolith which were treated in our hospotal were randomly divided into treatment group （45 cases） and control group（41 cases）. The control group was treated purely with manual reduction,while the treatment group was treated plus traditional Chinese drugs,Banxia Baizhu Tianma decoction, on the basis of treatment of control group. Respectively at three time points of momemt, the 1 st and 4th week after treatment, the effcts were assessed in patients of both groups ; then the patients were followed up for 3 months, and the long -term effect was evaluated. Results： At the momemt and the 1 st week after treatment, the total effective rates of control group were respectively 90.2% and 92.7% ; while the corresponding total effective rates of treat- ment group were respectively 91.1% and 93.3% ; compared between two groups,the difference was not statistical- ly significant （ P 〉 0. 05 ）. At the 4th week after treatment, the total effective rate of treatment group was 95.6%, while that of control group was 82. 9% ; compared between two groups, the difference was statistically significant （ P 〈 0. 05）. After 3 months of following up, the recurrence rate of treatment group was 2. 2%, while that of con- trol group was 14. 6% ; compared between two groups, the difference was statistically significant （ P 〈 0. 05 ）. Conclussion：Banxia Baizhu Tianma decoction, combined with manual reduction on otolith disease has the better clinical effect of long - term and the advantage of lower recurrence rate.