联用克林澳、甲磺酸倍他司汀和中药足浴法治疗后循环缺血性眩晕的疗效评价

Efficacy evaluation of combined treatment of postcyclic ischemic vertigo with curcumao,betastatin mesylate and Chinese medicine foot bath

目的:探讨联用克林澳、甲磺酸倍他司汀和中药足浴法治疗后循环缺血性眩晕的疗效。方法:选取2017年2月至2018年1月期间北京市怀柔区中医医院接诊的106例后循环缺血性眩晕患者作为研究对象。将其随机分为联合组(53例)和对比组(53例)。为联合组患者联用克林澳、甲磺酸倍他司汀和中药足浴法进行治疗,为对比组患者联用克林澳和甲磺酸倍他司汀进行治疗。然后比较两组患者的临床疗效、治疗前后其椎动脉、基底动脉及大脑后动脉的血流速度。结果:联合组患者治疗的总有效率高于对比组患者,P<0.05。治疗前,两组患者椎动脉、基底动脉及大脑后动脉的血流速度相比,P>0.05。治疗2周后,联合组患者椎动脉、基底动脉及大脑后动脉的血流速度均慢于对比组患者,P<0.05。结论:联用克林澳、甲磺酸倍他司汀和中药足浴法治疗后循环缺血性眩晕的临床疗效良好,可显著改善患者脑组织的供血情况。

objective： to explore the curative effect of combined treatment of postcirculatory ischemic vertigo with klingo, betastatin mesylate and Chinese medicine foot bath. Methods： 106 patients with postcyclic ischemic vertigo who received treatment in Beijing huairou district hospital of traditional Chinese medicine from February 2017 to January 2018 were selected as the study subjects. They were randomly divided into the combined group（53 cases） and the comparison group（53 cases）. Patients in the combined group were treated with klingo, betastatin mesylate and Chinese medicine foot bath, and patients in the comparison group were treated with klingo and betastatin mesylate. Then the clinical efficacy of the two groups of patients was compared, and the blood flow rate of vertebral artery, basilar artery and posterior cerebral artery before and after treatment was compared. Results： the total effective rate of the combined group was higher than that of the control group, P〈 0.05. Before treatment, the blood flow velocity of vertebral artery, basilar artery and posterior cerebral artery in the two groups was compared, P 〉 0.05. After 2 weeks of treatment, the blood flow rate of vertebral artery, basilar artery and posterior cerebral artery in the combined group was lower than that of the control group, P〈 0.05. Conclusion： the combined treatment with klingo, betastatin mesylate and Chinese medicine foot bath has good clinical effect on the treatment of postcirculatory ischemic vertigo and can improve the blood supply of brain tissue.