虎杖叶胶囊联合手法复位治疗良性阵发性位置性眩晕的临床疗效分析

Clinical efficacy of Huzhangye capsule combined with manual reduction on benign paroxysmal positional vertigo

目的观察祛风息痰、平肝潜阳的虎杖叶胶囊联合手法复位治疗良性阵发性位置性眩晕(BPPV)的临床疗效。方法前瞻性选择70例BPPV患者,随机分为单纯手法复位治疗组及虎杖叶胶囊联合手法复位治疗组,每组35例。分别在治疗前、治疗2周后及治疗4周后采用眩晕障碍量表(DHI)评估患者残余症状中躯体、情绪、功能状态。结果治疗前,两组患者之间DHI躯体、情绪、功能状态评分及总分差异均无统计学意义(P均>0.05)。治疗2周及4周后,虎杖叶胶囊联合手法复位治疗组DHI躯体、情绪、功能状态评分及总分均低于单纯手法复位治疗组,差异均有统计学意义(P均<0.01)。结论虎杖叶胶囊联合手法复位治疗对改善BPPV症状的效果较单纯手法复位更佳。

Objective To observe the clinical efficacy of Huzhangye capsule(dispelling pathogenic wind and eliminating phlegm,and suppressing hyperactive liver and subsiding yang)combined with manual reduction on benign paroxysmal positional vertigo(BPPV).Methods A total of 70 patients with BPPV were prospectively enrolled and randomly divided into simple manual reduction group(n=35)and Huzhangye capsule combined with manual reduction group(n=35).The physical,emotional and functional status in residual symptoms were assessed by dizziness handicap inventory(DHI)before treatment,2 weeks and 4 weeks after treatment.Results There were no significant differences in physical,emotional and functional scores,or total score in DHI between the two groups before treatment(all P>0.05).After 2 weeks and 4 weeks of treatment,the physical,emotional and functional scores,and total score in DHI in Huzhangye capsule combined with manual reduction group were significantly lower than those in the manual reduction group(all P<0.01).Conclusion Huzhangye capsule combined with manual reduction is more effective in improving the symptoms of BPPV than manual reduction alone.