葛根汤合小柴胡汤对风寒阻络型良性阵发性位置性眩晕患者眩晕残障指数的影响

Effect of Gegen Decoction Combined with Xiao Chaihu Decoction on Dizziness Handicap Index of Benign Paroxysmal Positional Vertigo Patients with Syndrome Pattern of Wind-cold Obstructing Collaterals

【目的】观察葛根汤合小柴胡汤联合手法复位对风寒阻络型良性阵发性位置性眩晕(BPPV)患者眩晕残障指数的影响。【方法】将76例风寒阻络型BPPV患者随机分为治疗组和对照组,每组各38例。对照组给予手法复位治疗,治疗组在对照组手法复位的基础上结合葛根汤合小柴胡汤颗粒治疗,疗程为1周。观察2组患者治疗前后眩晕残障量表(DHI)评分[包括功能(DHI-F)、躯体(DHI-P)、情感(DHI-E)3部分]和中医眩晕程度分级评分的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗1周后,治疗组的总有效率为89.47%(34/38),对照组为81.58%(31/38),治疗组的疗效略优于对照组,但差异无统计学意义(P>0.05)。(2)治疗后,2组患者的中医眩晕程度分级评分均较治疗前明显降低(P<0.05),但组间比较差异无统计学意义(P>0.05)。(3)治疗后,2组患者DHI量表的DHI-F、DHI-P、DHI-E评分及总分均较治疗前明显降低(P<0.05),且治疗组患者DHI量表的DHI-F、DHI-P、DHI-E评分及总分均低于对照组,其中DHI-F、DHI-P评分及总分差异有统计学意义(P<0.05)。【结论】葛根汤合小柴胡汤联合手法复位治疗风寒阻络型BPPV疗效确切,可有效降低患者的眩晕残障指数和中医眩晕程度分级评分。

Objective To observe the effect of Gegen Decoction combined with Xiao Chaihu Decoction on the dizziness handicap index of benign paroxysmal positional vertigo(BPPV)patients with the syndrome pattern of wind-cold obstructing collaterals. Methods Seventy-six cases of BPPV patients with the syndrome pattern of windcold obstructing collaterals were randomly divided into treatment group and control group,38 cases in each group.The control group was given manipulative reduction, and the treatment group was given oral use of Gegen Decoction combined with Xiao Chaihu Decoction together with manipulative reduction. The treatment lasted one week. Before and after treatment, the scores of Dizziness Handicap Inventory(DHI)including the functional(DHI-F),physical(DHI-P)and emotional(DHI-E)items,and the scores of vertigo grading in the field of traditional Chinese medicine were examined. After treatment,the clinical efficacy of the two groups was evaluated.Results(1)After treatment for one week,the total effective rate of the treatment group 89.47%(34/38)and that in the control group was 81.58%(31/38),the difference being insignificant(P > 0.05).(2)After treatment,the scores of TCM vertigo grading in the two groups were obviously decreased in comparison with those before treatment(P<0.05), but the difference between the two groups was insignificant(P>0.05).(3)After treatment, the scores of DHI-F,DHI-P,DHI-E and the overall scores of DHI in both groups were decreased as compared with those before treatment(P<0.05). The intergroup comparison showed that the overall DHI scores as well as the items scores of DHI-F,DHI-P,DHI-E in the treatment group were lower than those in the control group, and the differences of DHI-F scores, DHI-P scores and the overall DHI scores between the two groups were statistically significant(P<0.05). Conclusion Gegen Decoction combined with Xiao Chaihu Decoction together with manipulative reduction exerts certain effect for the treatment of BPPV patients with the syndrome pattern of wind-cold obstructing collaterals. And the combined therapy is effective on decreasing the dizziness handicap index and the scores of TCM vertigo grading.