生津补气血方治疗椎动脉颈椎病60例临床观察

Shengjin Buqi Blood Decoction in the Treatment of Vertebral Artery Cervical Spondylosis Clinical Observation of 60 Cases

[目的]观察生津补气血方治疗椎动脉颈椎病疗效。[方法]对60例椎动脉颈椎病住院患者,早期出现头痛或眩晕较严重,使用生津补气血方(防风10g,葛根30g,柴胡20g,独活12g,党参15g,羌活12g,车前子20g,白芷10g,甘草6g,川芎、升麻、茯苓各10g),1剂/d,水煎500mL,早晚服用。症状缓解调整为白芍、白术、当归各12g,黄芪25g,党参15g,升麻12g,丹参15g,甘草6g,川芎10g,陈皮12g。1剂/d,水煎500mL,早晚服用。根据病情延缓疗程或增减药量。连续治疗15d为1疗程。观测临床症状、不良反应。连续治疗1疗程,判定疗效。[结果]治愈17例,好转34例,无效9例,总有效率85.00%。中医症候评分治疗后明显低于治疗前(P<0.05)。[结论]生津补气血方治疗椎动脉颈椎病效果显著,值得推广使用。

[Objective]To observe the functions of Shengjin Buqi Blood Decoction in the treatment of vertebral artery cervical spondylosis.[Methods]60 cases of cervical spondylosis of vertebral artery,early headache or dizziness is more serious,Sheng Jin Buqi blood side,fangfeng10g,gegen30g,chaihu20g,duhuo12g,dangshen 15g,qianghuo12g,cheqianzi20g,baizhi10g,gancao 6g,chuanqiong、shengma、 fuling each 10g.1 doses of /d,water simmer in water 500mL,morning and evening to take.The patients were alleviated,appropriate adjustments,baishao、baizhu12g,huangzhi 25g,dangshen 15g,shengma 12g,danshen 15g,gancao 6g,Chuanxiong 10g,chenpi 12g.1 doses of /d,water simmer in water 500mL,morning and evening to take.According to the specific condition of patients with appropriate delay treatment or increase or decrease the amount of drugs.The two groups were continuous treatment with 15d for 1 courses.Observation of clinical symptoms,adverse reaction.Continuous treatment of 1 courses,to judge the curative effect.[Results] 17 cases were cured,34 cases improved,9 cases ineffective,the total efficiency of 85.00%.TCM syndrome score decreased significantly after treatment(P < 0.05).[Conclusion]the effect of fluid and fill prescription treatment of cervical spondylosis of vertebral artery significantly,it is worth to promote the use.