《辅行诀》大补肾汤加减方治疗眩晕临床观察

Clinical Observation On Vertigo Treated by “Fu Xing Jue” Dabushen Decoction

目的:采用随机对照试验的方法观察《辅行诀五脏用药法要》中大补肾汤加减方治疗肾阴虚型眩晕的临床疗效及安全性。方法:将57例肾阴虚型眩晕的患者按随机数字表随机分为中药治疗组(大补肾汤加减方)29例及西药治疗组(甲磺酸倍他司汀片)28例,2组患者在治疗期间暂停服用其他具有缓解晕眩或镇静作用的药物,2组治疗疗程为2 w。2组患者治疗前后分别依据自己的症状表现填写眩晕临床症候评价量表及眩晕评定量表评分系统(DARS),分别得出眩晕症状评分及病情严重程度评分后,运用SPSS 19.0软件进行统计学分析,以评定疗效。结果:中药治疗组患者总有效率明显高于西药对照组,治疗后患者的眩晕症候评分水平明显下降。结论:大补肾汤加减方可以显著缓解患者的眩晕症状,有助于从多方面提高患者的生活质量。

Objective： To observe the method of using randomized controlled trials of clinical efficacy and safety of Dabu shen decoction jia jian fang of ＂Fu Xing Jue Wu Zang Yong Yao Fa Yao＂ in the treatment of kidney yin deficiency vertigo. Methods： 57 cases of kidney yin deficiency type vertigo patients were randomly divided into treatment group （Da bu shen decoction jia jian fang and Western medicine treatment group） 29 cases （Betahistine Mesilate Tablets） 28 cases, two groups of patients stop taking other drugs to relieve the dizziness or sedation during treatment, two groups of treatment was 2 week. Two groups of patients before and after treatment respectively according to their symptoms in vertigo clinical symptoms evaluation scale and vertigo score system （ DARS）, and the severity of symptoms of vertigo score severity score were obtained after the statistical analysis was performed using SPSS 19 software to evaluate the curative effect. Results： The total effective rate of Chinese medicine treatment group was significantly higher than that of Western medicine control group, the level of vertigo symptom scores decreased significantly after treatment. Conclusion： The Da bu shen decoction jia jian fang can significantly relieve the symptoms of vertigo and help to improve the quality of life of the patients in many ways.