首页|半夏白术天麻汤治疗后循环缺血性眩晕的临床研究

半夏白术天麻汤治疗后循环缺血性眩晕的临床研究

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目的 探讨半夏白术天麻汤在治疗后循环缺血性眩晕中的效果.方法 选择2022年3月-2023年4月医院收治的80例循环缺血性眩晕患者,按照入院顺序编号,依据随机数字表法将其分为观察组(尼麦角林注射液联合半夏白术天麻汤,40例和对照组(尼麦角林注射液,40例).对比两组疗效及治疗前后中医证候积分、DARS评分和DHI评分差异,分析两组治疗前后双侧脑血流速度[椎-基底动脉(vertebrobasilar artery,BA)、左侧椎动脉(left vertebral artery,LVA)、右侧椎动脉(right vertebral artery,RVA)]及血黏度(高中低切)变化.结果 观察组疗效高于对照组(95.00%vs 80.00%)(P<0.05);与对照组相比,观察组治疗后中医证候积分、DARS评分和DHI评分更低(P<0.05);与对照组相比,观察组治疗后BA流速、LVA流速、RVA流速更高(P<0.05);与对照组相比,观察组治疗后高切血黏度、中切血黏度及低切血黏度更低(P<0.05).结论 麦角林注射液联合半夏白术天麻汤可显著改善后循环缺血性眩晕患者脑血流状况,促进脑部供血恢复,并降低血黏度增加血流速度,抗眩晕效果疗效明显.
Clinical Study on Banxia Baizhu Tianma Decoction(半夏白术天麻汤)in Treatment of Ischemic Vertigo of Posterior Circulation
Objective To exploring the effect of Banxia Baizhu Tianma Decoction(半夏白术天麻汤)in the treatment of is-chemic vertigo in the posterior circulation.Methods Eighty patients with circulating ischemic vertigo admitted to the hospital from March 2022 to April 2023 were selected,numbered according to admission order,and were divided into observation group(Niergo-lin Injection combined with Banxia Baizhu Tianma Decoction,40 cases)and control group(Niergolin Injection,40 cases)accord-ing to random number table method.The effects of the two groups and the differences of TCM syndrome scores,Dizziness Assess-ment Rating Scale(DARS)and Dizziness Handicap Inventory(DHI)scores before and after treatment were compared.The bilat-eral cerebral blood flow velocity of the left vertebral artery(vertebrobasilar artery,BA),left vertebral artery(LVA),changes in right vertebral artery(RVA)and blood viscosity(high,medium and low shear)were analyzed.Results The curative effect of the observation group was higher than that of the control group(95.00%vs 80.00%)(P<0.05).Compared with those of the control group,TCM syndrome scores,DARS score and DHI score were lower in the observation group after treatment(P<0.05).Com-pared with those of the control group,the BA flow velocity,LVA flow velocity and RVA flow velocity in the observation group were higher after treatment(P<0.05).Compared with those of the control group,the high,medium and low shear blood viscosities were lower in the observation group after treatment(P<0.05).Conclusion Niergolin Injection combined with Banxia Baizhu Tianma Decoction can significantly improve cerebral blood flow in patients with post-circulation ischemic vertigo,promote the re-covery of blood supply to the brain,reduce blood viscosity and increase blood flow speed,and the anti-vertigo effect is obvious.

Niergoline InjectionBanxia Baizhu Tianma Decoction(半夏白术天麻汤)post-circulationischemic vertigocurative effect

王婷、马雷、莫佳瑶

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宿州市第一人民医院,安徽宿州 234000

道东街道社区卫生服务中心,安徽宿州 234000

尼麦角林注射液 半夏白术天麻汤 后循环 缺血性眩晕 疗效

2025

辽宁中医杂志
辽宁中医药大学,辽宁省中医药学会

辽宁中医杂志

北大核心
影响因子:0.815
ISSN:1000-1719
年,卷(期):2025.52(1)