中药定向透药在脑动脉供血不足型眩晕患者中应用效果

The Effect of Directional Penetration of Traditional Chinese Medicine in Patients with Cerebral Artery Insufficiency Vertigo and its Influence on Hemodynamics and Sleep Quality

目的:探索中药定向透药在脑动脉供血不足型眩晕患者中的应用效果及其对血流动力学及睡眠质量的影响。方法:选取河南省开封市中医院2021年1月—2023年4月87例脑动脉供血不足型眩晕患者作为研究对象,依照护理方式分为药物组和透药组。药物组43例给予倍他司汀口服干预,透药组44例给予联合中药定向透药,比较两组患者症状改善效果,血流动力学指标,睡眠质量。结果:2组患者干预3个月后月眩晕发生次数、眩晕持续时间及干预2周后眩晕残障调查量表评分水平较干预前降低,透药组低于药物组(P<0.05)。2组患者干预2周后基底动脉血流速度、平均血流速度、左侧椎动脉血流速度、右侧椎动脉血流速度水平较干预前升高,透药组高于药物组(P<0.05)。2组患者干预2周后入睡时间、睡眠时间、睡眠质量评分较干预前降低,透药组低于药物组(P<0.05)。结论:中药定向透药可调节脑动脉供血不足型眩晕患者血流动力学,改善睡眠质量,提高症状改善效果。

Objective: To explore the effect of Chinese medicine directional drug penetration in patients with vertigo caused by cerebral artery insufficiency and its effect on hemodynamics and sleep quality. Methods: A total of 87 pa-tients with vertigo caused by cerebral artery insufficiency in Kaifeng Traditional Chinese Medicine Hospital of Henan Province from January 2021 to April 2023 were selected as the research subjects and divided into a drug group and a drug penetration group according to the nursing method. 43 cases in the drug group were given oral intervention of betahistine, and 44 cases in the drug penetration group were given combined Chinese medicine directional drug pen-etration. The symptom improvement effect, hemodynamic indicators and sleep quality of the two groups were compared. Results: After 3 months of intervention, the number of vertigo occurrences, the duration of vertigo and the score level of the Vertigo Disability Survey Scale after 2 weeks of intervention in the two groups were lower than those before inter-vention, and the drug penetration group was lower than the drug group (P<0.05). After 2 weeks of intervention, the basal artery blood flow velocity, average blood flow velocity, left vertebral artery blood flow velocity, and right vertebral artery blood flow velocity levels of the two groups of patients increased compared with those before intervention, and the drug-penetrating group was higher than the drug group (P<0.05). After 2 weeks of intervention, the sleep time, sleep time, and sleep quality scores of the two groups of patients decreased compared with those before intervention, and the drug-penetrating group was lower than the drug group (P<0.05). Conclusion: Chinese medicine directional penetration can regulate the hemodynamics of patients with vertigo caused by cerebral artery insufficiency, improve sleep quality, and improve the effect of symptom improvement.