调畅气机法治疗痰湿中阻型眩晕的临床观察
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摘要
目的探究调畅气机法治疗痰湿中阻型眩晕的临床观察。方法选取襄阳市中医医院2017年12月—2018年10月门诊诊治的病人48例,采用随机数字表法分为观察组和对照组各24例,观察组予升降散加味、对照组予盐酸氟桂利嗪胶囊,比较2组临床疗效。结果观察组治愈8例,显效7例,有效例8例,无效1例,总有效率95. 83%;对照组治愈3例,显效5例,有效10例,无效6例,总有效率75. 00%; 2组比较,差异具有统计学意义(P <0. 05)。结论运用调畅气机法治疗痰湿中阻型眩晕可明显的改善患者的症状,且疗效优于口服盐酸氟桂利嗪胶囊。
Objective To explore the clinical observation of regulating qi movenent therapy for vertigo of phlegm-dampness intermediate obstruction type. Methods 48 cases of outpatient patients in Xiangyang Hospital of Traditional Chinese Medicine from December 2017 to October 2018 were selected and divided into observation group and control group by random number table. The observation group was given modified Shengjiang powder,and the control group was given flunarizine hydrochloride capsule. The clinical efficacy of the two groups was compared. Results In the observation group,8 cases were cured,7 cases were markedly effective,8 cases were effective,1 case was ineffective,and the total effective rate was 95. 83%. In the control group,3 cases were cured,5 cases were markedly effective,10 cases were effective,6 cases were ineffective,and the total effective rate was 75. 00%. The difference between the two groups was statistically significant( P < 0. 05). Conclusion The regulating qi movement therapy for vertigo of phlegm-dampness obstruction type can obviously improve the symptoms of patients,and the curative effect is better than oral flunarizine hydrochloride capsule.
Objective To explore the clinical observation of regulating qi movenent therapy for vertigo of phlegm-dampness intermediate obstruction type. Methods 48 cases of outpatient patients in Xiangyang Hospital of Traditional Chinese Medicine from December 2017 to October 2018 were selected and divided into observation group and control group by random number table. The observation group was given modified Shengjiang powder,and the control group was given flunarizine hydrochloride capsule. The clinical efficacy of the two groups was compared. Results In the observation group,8 cases were cured,7 cases were markedly effective,8 cases were effective,1 case was ineffective,and the total effective rate was 95. 83%. In the control group,3 cases were cured,5 cases were markedly effective,10 cases were effective,6 cases were ineffective,and the total effective rate was 75. 00%. The difference between the two groups was statistically significant( P < 0. 05). Conclusion The regulating qi movement therapy for vertigo of phlegm-dampness obstruction type can obviously improve the symptoms of patients,and the curative effect is better than oral flunarizine hydrochloride capsule.
引文
[1]郭琳佳,刘文宏.后循环缺血的研究进展[J].中华老年心脑血管杂志,2015,17(12):1332-1336.
[2] Gulli G,Marquardt L,Rothwell PM,et al. Stroke risk after posterior circulation stroke/transient ischemic attack and its relationship to site of vertebrobasilar stenosis:pooled data analysis from prospective studies[J]. Stroke,2013,44(3):598-604.
[3]何菊,张怀亮.后循环缺血性眩晕的中西医研究进展[J].中国中医基础医学杂志,2018,24(6):871-872,封3-封4.
[4]王俐婷,张振涛,张兆辉.后循环供血区缺血性孤立性眩晕的临床研究进展[J].卒中与神经疾病杂志,2018,25(2):227-229.
[5]刘丰,韩巨.后循环缺血的诊断和急性期治疗的研究进展[J].中风和神经疾病杂志,2016,33(11):1048-1050.
[6]李同凯,杨光福.补气活血定晕方对后循环缺血性眩晕的疗效评价[J].世界中西医结合杂志,2011,6(10):867-869.
[7]国家中医药管理局医政司.中医病证诊断疗效标准[S].北京:中国中医药出版社,2014:108-109.
[8]李焰生.中国后循环缺血的专家共识[J].中华内科杂志,2006,45(9):786-787.
[9]北京中西医结合学会卒中专业委员会.慢性脑缺血中西医结合诊疗专家共识[J].中国中西医结合杂志,2018,38(10):1161-1167.
[10]张洪,周敏,章军建.眩晕宁治疗椎-基底动脉供血不足的疗效观察[J].中华中医药杂志,2007,22(10); 710-712.
[11]周仲瑛.中医内科学[M].北京:中国中医药出版社,2007:297-298.
[12]江雯涵.补阳还五汤联合倍他司汀治疗后循环缺血性眩晕(气虚血瘀)随机平行对照研究[J].实用中医内科杂志,2018,32(10):38-42.
[13]余志杰,李劲松,彭伟,等.息风止痉类动物药在中枢神经系统疾病中的研究进展[J].中国中药杂志,2018,43(6):1086-1092.
[14]黄宴,周文霞,张永祥,等.钩藤碱及其同分异构体对神经系统作用的研究进展[J].药学学报,2018,53(7):1017-1022.
[15]赵春娟,马玉清,郭杨志,等.丹参提取物药理作用研究进展[J].光明中医,2014,29(9):2013-2015.
[16]王华,杜元灏.针灸学[M].北京:中国中医药出版社,2012:64.
[17]房士明,樊官伟,姚进龙.蔓荆的化学成分及药理活性研究进展[J].中草药,2015,46(24):3757-3765.
[18]吴福林,董庆海,王涵.中药全蝎研究进展[J].辽宁中医药大学学报,2018,20(12):108-111.
[19]黄伟晖,宋纯清.当归的化学和药理学研究进展[J].中国中药杂志,2001,26(3):147-151,155.
[20]张慧林,赵妍.大黄的药理作用及临床应用分析[J].光明中医,2015,30(5):1119-1121.
[2] Gulli G,Marquardt L,Rothwell PM,et al. Stroke risk after posterior circulation stroke/transient ischemic attack and its relationship to site of vertebrobasilar stenosis:pooled data analysis from prospective studies[J]. Stroke,2013,44(3):598-604.
[3]何菊,张怀亮.后循环缺血性眩晕的中西医研究进展[J].中国中医基础医学杂志,2018,24(6):871-872,封3-封4.
[4]王俐婷,张振涛,张兆辉.后循环供血区缺血性孤立性眩晕的临床研究进展[J].卒中与神经疾病杂志,2018,25(2):227-229.
[5]刘丰,韩巨.后循环缺血的诊断和急性期治疗的研究进展[J].中风和神经疾病杂志,2016,33(11):1048-1050.
[6]李同凯,杨光福.补气活血定晕方对后循环缺血性眩晕的疗效评价[J].世界中西医结合杂志,2011,6(10):867-869.
[7]国家中医药管理局医政司.中医病证诊断疗效标准[S].北京:中国中医药出版社,2014:108-109.
[8]李焰生.中国后循环缺血的专家共识[J].中华内科杂志,2006,45(9):786-787.
[9]北京中西医结合学会卒中专业委员会.慢性脑缺血中西医结合诊疗专家共识[J].中国中西医结合杂志,2018,38(10):1161-1167.
[10]张洪,周敏,章军建.眩晕宁治疗椎-基底动脉供血不足的疗效观察[J].中华中医药杂志,2007,22(10); 710-712.
[11]周仲瑛.中医内科学[M].北京:中国中医药出版社,2007:297-298.
[12]江雯涵.补阳还五汤联合倍他司汀治疗后循环缺血性眩晕(气虚血瘀)随机平行对照研究[J].实用中医内科杂志,2018,32(10):38-42.
[13]余志杰,李劲松,彭伟,等.息风止痉类动物药在中枢神经系统疾病中的研究进展[J].中国中药杂志,2018,43(6):1086-1092.
[14]黄宴,周文霞,张永祥,等.钩藤碱及其同分异构体对神经系统作用的研究进展[J].药学学报,2018,53(7):1017-1022.
[15]赵春娟,马玉清,郭杨志,等.丹参提取物药理作用研究进展[J].光明中医,2014,29(9):2013-2015.
[16]王华,杜元灏.针灸学[M].北京:中国中医药出版社,2012:64.
[17]房士明,樊官伟,姚进龙.蔓荆的化学成分及药理活性研究进展[J].中草药,2015,46(24):3757-3765.
[18]吴福林,董庆海,王涵.中药全蝎研究进展[J].辽宁中医药大学学报,2018,20(12):108-111.
[19]黄伟晖,宋纯清.当归的化学和药理学研究进展[J].中国中药杂志,2001,26(3):147-151,155.
[20]张慧林,赵妍.大黄的药理作用及临床应用分析[J].光明中医,2015,30(5):1119-1121.