柴胡加龙骨牡蛎汤联合黛力新治疗慢性主观性头晕疗效分析

Clinical Analysis of Chaihu Longgu Muli Decoction Combined with Deanxit in Treating Chronic Subjective Dizziness

目的 探讨慢性主观性头晕患者采用柴胡加龙骨牡蛎汤联合黛力新治疗的效果。方法纳入韶关市曲江区人民医院收治的慢性主观性头晕患者50例为研究对象,时间为2020年5月至2022年5月,按随机数字表法分2组,每组25例。给予对照组黛力新治疗,观察组采用柴胡加龙骨牡蛎汤联合黛力新治疗,比较两组的疗效、医院焦虑抑郁量表(HADS)评分和复发率。结果 观察组总有效率为92.00%,高于对照组(68.00%,P<0.05)。两组治疗后的HADS评分均低于治疗前,且观察组低于对照组(P<0.05)。停药1个月后,观察组中,未复发24例,复发1例,复发率为4.00%;对照组中,未复发17例,复发8例,复发率为32.00%,观察组复发率低于对照组(P<0.05)。结论 慢性主观性头晕患者采用柴胡加龙骨牡蛎汤联合黛力新治疗,能缓解患者的焦虑抑郁情绪,降低复发率,效果显著。

Objective To investigate the effect of Chaihu Longgu Muli Decoction combined with Deanxit in treating chronic subjective dizziness.Methods A total of 50 patients with chronic subjective dizziness admitted to the People's Hospital of Qujiang District,Shaoguan City,from May 2020 to May 2022,were enrolled in the study.They were randomly divided into two groups,with 25 patients in each group.The control group was treated with Deanxit,and the observation group was treated with Chaihu Longgu Muli Decoction combined with Deanxit.The efficacy,hospital anxiety and depression scale(HADS) score,and recurrence rate of the two groups were compared.Results The total effective rate of the observation group was 92.00%,higher than the control group of 68.00%(P<0.05).The HADS score after treatment in both groups was lower than that before treatment,and that in the observation group was lower than that in the control group(P<0.05).One month after drug withdrawal,in the observation group,only one patient suffered a relapse,and the recurrence rate was 4.00%;in the control group,17 cases did not recur,eight patients suffered a relapse,and the recurrence rate was 32.00%.The recurrence rate in the observation group was lower than that in the control group(P<0.05).Conclusion The combination of Chaihu Longgu Muli Decoction and Deanxit can relieve the anxiety and depression of patients with chronic subjective dizziness and significantly reduce the recurrence rate.