熄风化痰止眩汤联合悬灸治疗风痰上扰型后循环缺血性眩晕的临床研究

Clinical study on the treatment of posterior circulation ischemic vertigo with the pattern of wind-phlegm disturbing upward using Xifeng Huatan Zhi Xuan Tang combined with suspension moxibustion

目的探讨熄风化痰止眩汤联合悬灸对风痰上扰型后循环缺血性眩晕患者的治疗效果。方法选取2020年5月-2023年5月江阴市中医院脑病科中医收治的81例风痰上扰型后循环缺血性眩晕患者作为研究对象,按随机数表法分为3组,各27例。其中中药组患者服用熄风化痰止眩汤,悬灸组患者采用悬灸治疗,联合组患者采用熄风化痰止眩汤及悬灸联合治疗。各组治疗周期为4周,比较2组患者的临床疗效、眩晕症状评分[Berg平衡表(BBS)评分、眩晕评估评分量表(DARS)]、脑血流速度[椎基底动脉(BA)、左椎动脉(LVA)和右椎动脉(RVA)]、中医症状积分。结果3组患者治疗后的各指标均优于治疗前。联合组的总有效率为92.60%(25/27),中药组为70.37%(19/27),悬灸组为74.07%(20/27),联合组的疗效明显优于中药组和悬灸组,差异有统计学意义(P<0.05)。联合组的BBS评分明显高于中药组和悬灸组,而DARS评分显著低于中药组和悬灸组(P<0.05);联合组BA、LVA、RVA明显高于中药组和悬灸组(P<0.05);中医症状积分在联合组明显低于中药组和悬灸组(P<0.05)。结论熄风化痰止眩汤联合悬灸治疗风痰上扰型后循环缺血性眩晕患者,可显著提高治疗效果,改善患者后循环血流和眩晕症状,具有明显优势。

Objective To investigate the therapeutic effect of Xifeng Huatan Zhi Xuan Tang combined with suspension moxibustion on patients with posterior circulation ischemic vertigo with the pattern of wind-phlegm disturbing upward.Methods A total of 81 patients diagnosed with posterior circulation ischemic vertigo with the pattern of windphlegm disturbing upward and admitted to the Encephalopathy Department of Jiangyin Traditional Chinese Medicine Hospital from May 2020 to May 2023 were selected as research subjects.They were randomly divided into three groups,with 27 patients in each group.The Chinese medicine group took Xifeng Huatan Zhi Xuan Tang,while the moxibustion group received the suspension moxibustion treatment,and the combination group received both.All the groups underwent a treatment cycle of 4 weeks.The clinical efficacy,vertigo symptom scores[Berg Balance Scale(BBS)and Dizziness Assessment Rating Scale(DARS)],cerebral blood flow velocity[vertebrobasilar artery(BA),left vertebral artery(LVA),and right vertebral artery(RVA)],and TCM symptom scores were compared among the groups.Results All the indicators improved post-treatment in the three groups.The overall effective rate was 92.60%(25/27)for the combination group,70.37%(19/27)for the Chinese medicine group,and 74.07%(20/27)for the moxibustion group,with the combination group significantly better than the other two groups(P<0.05).The BBS score of the combination group was significantly higher,while the DARS score was significantly lower than that of the other two groups(P<0.05).The BA,LVA,and RVA values in the combination group were also significantly higher(P<0.05),while the TCM symptom score was significantly lower(P<0.05).Conclusion The combination of Xifeng Huatan Zhi Xuan Tang and suspension moxibustion effectively enhances the treatment outcomes for patients with posterior circulation ischemic vertigo with pattern of wind-phlegm disturbing upward,significantly improving the posterior blood circulation and alleviating vertigo symptoms.