熄风通络汤治疗脑卒中后眩晕的效果及对血液流变学指标水平的影响分析

Analysis of Xifengtongluo Decoction in the treatment of patients with vertigo after stroke and its influence on indicator level of blood rheology

目的分析脑卒中后眩晕患者应用熄风通络汤治疗后的效果.方法将某院91例脑卒中后眩晕患者采用随机数表法分组,对照组45例应用地芬尼多治疗,观察组46例联合熄风通络汤煎服,对比两组患者治疗后运动功能、平衡能力、眩晕障碍程度、血液流变学及临床疗效.结果治疗后,对照组的总有效率为80.00%(36/45),观察组总有效率为95.65%(44/46),两者比较差异有统计学意义(P<0.05).对照组Berg平衡量表评分(BBS)为(52.26±4.63)分,观察组BBS为(59.69±4.91)分,两者比较差异有统计学意义(P<0.05).对照组WOLF运动功能测试量表评分(WMFT)为(49.36±5.02)分,观察组WMFT为(67.88±6.35)分,两者比较差异有统计学意义(P<0.05).观察组眩晕障碍程度量表评分(DHI)为(28.16±2.19)分,对照组DHI为(41.39±4.1)分,两者比较差异有统计学意义(P<0.05).对照组低切全血黏度为(49.99±4.96)mpa·s,观察组低切全血黏度为(45.06±4.71)mpa·s,两者比较差异有统计学意义(P<0.05).对照组红细胞聚集指数为(4.50±0.40),观察组红细胞聚集指数为(4.06±0.38),两者比较差异有统计学意义(P<0.05).对照组高切全血黏度为(5.88±0.50)mpa·s,观察组高切全血黏度为(5.39±0.45)mpa·s,两者比较差异有统计学意义(P<0.05).对照组血液黏度为(1.52±0.11)mpa·s,观察组血液黏度为(1.29±0.09)mpa·s,两者比较差异有统计学意义(P<0.05).结论熄风通络汤能够有效调节脑卒中后眩晕患者血液流变学水平,改善患者运动功能及平衡能力,提升治疗效果.

Objective To analyze the effect of Xifengtongluo Decoction in the treatment of patients with vertigo after stroke.Methods A total of 91 patients with post-stroke vertigo in a hospital were randomly divided into two groups,the control group and the observation group.45 cases in the control group were treated with fentanyl while and 46 cases in the observation group were treated with fentanyl and XifengTongluo decoction.The balance ability,degree of dizziness,blood rheology and clinical efficacy were compared after the treatment.Results After the treatment,the total effective rate of the control group was 80.00%(36/45),and the total effective rate of the observation group was 95.65%(44/46).The difference was statistically significant(P<0.05).The Berg balance scale score(BBS)of the control group was(52.26±4.63)points,and the Berg balance scale score(BBS)of the observation group was(59.69±4.91)points.The difference was statistically significant(P<0.05).The WOLF motor function test scale score(WMFT)of the control group was(49.36±5.02)points,and the WOLF motor function test scale score(WMFT)of the observation group was(67.88±6.35)points.The difference between the two groups was statistically significant(P<0.05).The DHI of the observation group was(28.16±2.19),and the DHI of the control group was(41.39±4.1).The difference was statistically significant(P<0.05).The low-cut whole blood viscosity of the control group was(49.99±4.96)mpa·s,and the low-cut whole blood viscosity of the observation group was(45.06±4.71)mpa·s.The difference was statistically significant(P<0.05).The erythrocyte aggregation index of the control group was(4.50±0.40),and the erythrocyte aggregation index of the observation group was(4.06±0.38).The difference was statistically significant(P<0.05).The high-cut whole blood viscosity of the control group was(5.88±0.50)mpa·s,and the high-cut whole blood viscosity of the observation group was(5.39±0.45)mpa·s.The difference was statistically significant(P<0.05).The blood viscosity of the control group was(1.52±0.11)mpa·s,and the blood viscosity of the observation group was(1.29±0.09)mpa·s.The difference was statistically significant(P<0.05).Conclusion Xifengtongluo Decoction could effectively regulate the blood rheology of patients with vertigo after stroke,improving the motor function and balance ability of patients and the therapeutic effect.