首页|谢林教授从"痰瘀滞络"学说论治椎动脉型颈椎病的临床疗效

谢林教授从"痰瘀滞络"学说论治椎动脉型颈椎病的临床疗效

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目的:观察葛泽定眩汤治疗椎动脉型颈椎病的临床疗效.方法:将符合纳入标准的100例患者,随机分成对照组和治疗组,分别给予盐酸氟桂利嗪胶囊及葛泽定眩汤治疗,并通过观察颈性眩晕症状与采集功能评估量表(ESCV)、头晕问卷调查表(DHI)、疼痛视觉模拟评分(VAS评分)及中药新药临床疗效评定标准加以评判.结果:与治疗前相比,治疗2周后及治疗后3月,两组ESVC、DHI、VAS数值均明显优于治疗前.两组对比发现,在治疗2周后及治疗后3月,葛泽定眩汤组疗效均明显优于盐酸氟桂利嗪胶囊组.葛泽定眩汤组临床治疗有效率达97.83%(45/46),高于盐酸氟桂利嗪胶囊的临床治疗有效率83.67%(41/49).结论:从"痰瘀滞络"学说拟定的葛泽定眩汤治疗椎动脉型颈椎病有较好的临床疗效,特色突出,值得推广.
Professor Xie Lin discusses the clinical effect of treating cervical spondylosis of vertebral artery type from the theory of"phlegm and blood stasis stagnation"
Objective:To observe the clinical effect of Geze Dingxuan decoction on cervical spondylosis of vertebral artery type with phlegm and blood stasis syndrome.Methods:100 patients who met the inclusion criteria and were included in the study were randomly di-vided into the control group and the treatment group.Flunarizine hydrochloride capsules and Geze Dingxuan decoction were used to treat them respectively,and were evaluated by observing the cervical vertigo symptom and function evaluation scale(ESCV),dizziness question-naire(DHI),pain visual analogue score(VAS score)and the efficacy index Macnab efficacy evaluation standard.Results:Compared with before treatment,the ESVC,DHI and VAS values of the two groups were significantly better after 2 weeks and 3 months of treatment.The comparison between the two groups showed that,by comparing the ESVC,DHI and VAS values 3 months after treatment,Geze Dingxuan Decoction was obviously superior to flunarizine hydrochloride capsule group.The clinical effective rate of Geze Dingxuan decoction group was 97.83%(45/46),which was higher than that of flunarizine hydrochloride capsule(83.67%,41/49).Conclusion:Geze Dingxuan decoc-tion has a good clinical effect on cervical spondylosis of vertebral artery type with phlegm and blood stasis syndrome,and it is worth pop-ularizing because of its outstanding characteristics.

Cervical spondylosis of vertebral artery typeGeze Dingxuan decoctionTraditional Chinese MedicineEfficacy observation

张翔、谢林

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昆山市中医医院骨伤科 江苏 昆山 215300

江苏省中西医结合医院骨伤科 江苏 南京 210028

椎动脉型颈椎病 葛泽定眩汤 中医药 疗效观察

昆山市科技局社会发展课题昆山市中医医院青年科学基金江苏省中医药领军人才项目

KSF2021412020QNJJ15SLJ0210

2024

内蒙古中医药
内蒙古自治区中医药学会,内蒙古自治区中蒙医研究所

内蒙古中医药

影响因子:0.444
ISSN:1006-0979
年,卷(期):2024.43(1)
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