摘要
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.
Abstract
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.
维普
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