小柴胡汤加减治疗美尼尔氏综合征所致眩晕临床效果观察

Observation on treating the vertigo caused by Meniere's syndrome with the Xiaochaihu decoction

目的:分析与探讨采用小柴胡汤加减治疗美尼尔氏综合征所导致的眩晕的有效性和安全性。方法:选取2014年12月-2016年3月就诊于我院的96例因美尼尔氏综合征而产生眩晕的患者为研究对象,采用随机数表法,将患者随机分为试验组及对照组,两组患者各48例。对照组采用口服敏使朗方式进行治疗,试验组采用小柴胡汤加减的方式进行治疗,随诊1年。观察两组患者采用不同方式治疗后,其美尼尔氏综合征所导致的眩晕症状是否缓解,比较两种治疗方式的有效性及安全性。结果:试验组采用小柴胡汤加减的方式治疗,48例患者总有效率达95.83%;对照组采用口服敏使朗的方式治疗,48例患者总有效率为72.92%。试验组总有效率明显高于对照组,两组差异有统计学意义(P<0.05)。结论:治疗美尼尔氏综合征所致的眩晕,患者选用小柴胡汤加减的方式,其眩晕症状明显好转,疗效显著,安全性良好,能够显著提高患者的生活质量,值得临床大力推广。

Objective:To analyze and explore the efficacy and safety of the Xiaochaihu decoction(小柴胡汤)on vertigo caused by Meniere’s syndrome.Methods:96 patients were selected as the subjects,and randomly divided into the experimental group and control group,48 patients in each.The control group was treated with oral betahistine.The treatment group was treated with the Xiaochaihu decoction.Two groups were followed by 1 years.The alleviated degree of the vertigo symptom caused by the Meniere’s syndrome,the efficacy and safety were observed and compared after different treatment.Results:The total effective rate in the experimental group was 95.83%,and was significantly better than 72.92%in the control group,with a statistically significant difference(P<0.05).Conclusion:The Xiaochaihu decoction on vertigo caused by Meniere’s syndrome can improve the vertigo symptom obviously and the patient’s quality of life remarkably,with remarkable curative effects and good safety,and is worth popularizing vigorously in clinic.