半夏白术天麻汤加减联合耳穴压豆治疗后循环缺血性眩晕症患者的效果分析

Analysis of the effect of modified Banxia Baizhu Tianma Decoction combined with auricular points plaster therapy on patients with posterior circulation ischemic vertigo

目的分析后循环缺血性眩晕症患者应用半夏白术天麻汤加减联合耳穴压豆治疗的效果。方法整理本院收治的78例后循环缺血性眩晕症患者资料,依据随机数字表法分为观察组与对照组,各39例。对照组采用常规西药治疗,观察组在对照组基础上采用半夏白术天麻汤加减联合耳穴压豆治疗。对比两组临床疗效,治疗前后中医证候积分、炎症因子[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)]水平。结果观察组治疗总有效率94.87%,较于对照组的76.92%更高(P<0.05)。两组治疗前恶心呕吐、耳鸣耳聋、头晕目眩、乏力倦怠积分对比,差异无统计学意义(P>0.05);治疗后,观察组积分分别为(1.02±0.12)、(1.02±0.13)、(1.13±0.42)、(1.04±0.30)分,均较对照组的(2.05±0.16)、(2.10±0.17)、(2.15±0.44)、(2.16±0.37)分更低(P<0.05)。两组治疗前IL-6、TNF-α、hs-CRP水平对比,差异无统计学意义(P>0.05);治疗后,观察组IL-6、TNF-α、hs-CRP分别为(27.85±7.22)pg/ml、(10.51±4.52)ng/L、(8.81±2.36)mg/L,均低于对照组的(31.25±6.31)pg/ml、(13.82±5.12)ng/L、(10.56±3.05)mg/L,差异有统计学意义(P<0.05)。结论后循环缺血性眩晕症患者予以半夏白术天麻汤加减联合耳穴压豆治疗的效果显著,可有效改善患者临床症状,并减轻其机体炎症反应。

Objective To analyze the effect of modified Banxia Baizhu Tianma Decoction combined with auricular points plaster therapy on patients with posterior circulation ischemic vertigo.Methods Data of 78 patients with post-circulation ischemic vertigo treated in our hospital were divided into observation group and control group according to random number,with 39 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with modified Banxia Baizhu Tianma Decoction and auricular points plaster therapy on the basis of the control group.Both groups were compared in terms of clinical efficacy,traditional Chinese medicine syndrome score and the levels of inflammatory factors[interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and high-sensitivity C-reactive protein(hs-CRP)]before and after treatment.Results The observation group's total effective rate was 94.87%,higher than 76.92%in the control group,and was significant(P<0.05).Before treatment,there was no statistically significant difference in the scores of nausea and vomiting,tinnitus and deafness,vertigo and fatigue between the two groups(P>0.05).After treatment,the scores of the observation group were(1.02±0.12),(1.02±0.13),(1.13±0.42)and(1.04±0.30)points,lower than(2.05±0.16),(2.10±0.17),(2.15±0.44)and(2.16±0.37)points in the control group,and was significant(P<0.05).Before treatment,there was no significant difference in IL-6,TNF-αand hs-CRP levels between the two groups(P>0.05).After treatment,IL-6,TNF-αand hs-CRP in the observation group were(27.85±7.22)pg/ml,(10.51±4.52)ng/L and(8.81±2.36)mg/L,which were lower than(31.25±6.31)pg/ml,(13.82±5.12)ng/L and(10.56±3.05)mg/L in the control group,and was significant(P<0.05).Conclusion The therapeutic effect of modified Banxia Baizhu Tianma Decoction combined with auricular points plaster therapy on patients with posterior circulation ischemic vertigo is significant,which can effectively improve the clinical symptoms of patients and reduce their inflammatory reaction.