[1]吴达文,郭雪平,谢丽媛.天麻钩藤饮加减治疗肝阳上亢型后循环缺血性眩晕的效果[J].医学信息,2022,35(17):148-150.[doi:10.3969/j.issn.1006-1959.2022.17.041]
　WU Da-wen,GUO Xue-ping,XIE Li-yuan.Effect of Tianma Gouteng Decoction in the treatment of Posterior Circulation Ischemic Vertigo of Liver-yang Hyperactivity Type[J].Journal of Medical Information,2022,35(17):148-150.[doi:10.3969/j.issn.1006-1959.2022.17.041]
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天麻钩藤饮加减治疗肝阳上亢型后循环缺血性眩晕的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年17期
页码:
148-150
栏目:
中医中药
出版日期:
2022-09-01

文章信息/Info

Title:
Effect of Tianma Gouteng Decoction in the treatment of Posterior Circulation Ischemic Vertigo of Liver-yang Hyperactivity Type
文章编号:
1006-1959（2022）17-0148-03
作者:
吴达文; 郭雪平; 谢丽媛
（万安县中医院急诊科1，康复科2，江西 万安 343800）
Author(s):
WU Da-wen; GUO Xue-ping; XIE Li-yuan
(Department of Emergency1,Department of Rehabilitation2,Wan’an County Hospital of Traditional Chinese Medicine,Wan’an 343800,Jiangxi,China)
关键词:
天麻钩藤饮; 倍他司汀; 肝阳上亢; 后循环缺血性眩晕
Keywords:
Tianma Gouteng decoction; Betahistine; Liver-yang hyperactivity type; Posterior circulatory ischemic dizziness
分类号:
R255.4
DOI:
10.3969/j.issn.1006-1959.2022.17.041
文献标志码:
A
摘要:
目的 分析天麻钩藤饮加减治疗肝阳上亢型后循环缺血性眩晕（PCIV）的临床效果。方法 选取我院2018年8月-2021年8月收治的肝阳上亢型PCIV患者70例，随机分成研究组和对照组，每组35例。对照组给予盐酸倍他司汀针治疗，研究组在对照组基础上加用天麻钩藤饮加减治疗，比较两组临床疗效、血液黏度、TCD检查结果以及眩晕评分。结果 研究组治疗总有效率为91.43%，高于对照组的65.71%，差异有统计学意义（P＜0.05）；研究组血浆黏度、全血低切黏度、全血高切黏度均低于对照组，基底血流动脉、右侧椎动脉、左侧椎动脉血液流速均高于对照组，差异有统计学意义（P＜0.05）；两组治疗后眩晕评分低于治疗前，且研究组低于对照组，差异有统计学意义（P＜0.05）。结论 天麻钩藤饮加减治疗可优化肝阳上亢型PCIV的临床效果，降低其血液黏稠度，减轻其眩晕症状，具有一定的临床价值。
Abstract:
Objective To analyze the clinical effect of Tianma Gouteng decoction in the treatment of posterior circulation ischemic vertigo (PCIV) with liver-yang hyperactivity type.Methods A total of 70 patients with PCIV of liver-yang hyperactivity type admitted to our hospital from August 2018 to August 2021 were randomly divided into study group and control group, with 35 cases in each group. The control group was treated with betahistine hydrochloride. The study group was treated with Tianma Gouteng decoction on the basis of the control group. The clinical efficacy, blood viscosity, TCD examination results and vertigo score were compared between the two groups.Results The total effective rate of treatment in the study group was 91.43%, which was higher than 65.71% in the control group, and the difference was statistically significant (P<0.05). The plasma viscosity, whole blood low shear viscosity and whole blood high shear viscosity in the study group were lower than those in the control group, and the blood flow velocity of basilar artery, right vertebral artery and left vertebral artery were higher than those in the control group, the differences were statistically significant (P<0.05). The vertigo scores of the two groups after treatment were lower than those before treatment, and the study group was lower than the control group, the differences were statistically significant (P<0.05).Conclusion Modified Tianma Gouteng decoction can optimize the clinical effect of PCIV with liver-yang hyperactivity type, reduce its blood viscosity and relieve its vertigo symptoms, which has certain clinical value.

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更新日期/Last Update: 1900-01-01