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中医药治疗椎-基底动脉供血不足性眩晕研究进展

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中医药治疗椎-基底动脉供血不足性眩晕主要包括中药汤剂、中成药、中药注射液等,这些药物具有养血、补肾、活血通络、平肝定眩、滋阴潜阳等功效.中医药治疗椎-基底动脉供血不足性眩晕的作用机制为提高临床效果、改善血液流变、加快椎-基底动脉血流速度等.目前,研究存在以下不足:现有指标研究深度不够,缺乏多中心、大样本的随机对照研究,缺乏远期随访,亦存在疗效判定标准不统一等问题.今后,应加强大样本、多中心的临床研究,统一规范疗效判定标准,加大定量研究,延长随访时间,为中医药治疗椎-基底动脉供血不足性眩晕提供更多高质量的证据支持.
Clinical Research Progress in the Treatment of Vertebrobasilar Insufficiency Vertigo with Traditional Chinese Medicine
The treatments of vertebrobasilar insufficiency vertigo with traditional Chinese medicine(TCM)primarily include Chinese medicinal decoction,Chinese patent medicine,Chinese medicinal injection,etc.These treatments are effective in nourishing blood,toni-fying the kidney,promoting blood circulation and dredging collaterals,calming the liver,stabilizing vertigo,nourishing yin,and subduing yang.The mechanisms by which TCM treats vertebrobasilar insufficiency vertigo include improving clinical efficacy,enhancing hemorhe-ology,and accelerating blood flow in the vertebrobasilar arteries.However,current research faces several limitations,such as insufficient depth of existing indicator studies,lack of multi-center,large sample randomized controlled trials,lack of long-term follow-ups,and in-consistent efficacy evaluation criteria.In the future,it is necessary to strengthen large-scale and multi-center clinical research,standard-ize efficacy standards,increase quantitative research,extend follow-ups,and provide more high-quality evidence support for the treatment of vertebrobasilar artery insufficiency vertigo with TCM.

vertebrobasilar insufficiency vertigoChinese medicinal decoctionChinese patent medicineChinese medicinal injection

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南昌市洪都中医院,江西 南昌 330038

椎-基底动脉供血不足性眩晕 中药汤剂 中成药 中药注射

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(9)