首页|通窍活血汤联合西药治疗后循环缺血眩晕临床疗效

通窍活血汤联合西药治疗后循环缺血眩晕临床疗效

扫码查看
目的:观察通窍活血汤加减联合西药治疗后循环缺血眩晕的临床疗效。方法:选取郑州中康医院 2021 年 6 月至 2022 年 6 月收治的 85 例后循环缺血眩晕患者,随机分为观察组(43 例)和对照组(42 例)。对照组患者给予银杏达莫注射液治疗,观察组患者在对照组治疗基础上增加通窍活血汤治疗。观察两组患者的中医眩晕程度评分、血液流变学状况、椎-基底动脉的平均血流速度,比较两组患者治疗效果及不良反应发生情况。结果:观察组患者治疗总有效率高于对照组,差异具有统计学意义(P<0。05)。治疗后两组患者全血高切黏度(HBV)、全血低切黏度(LBV)、血浆黏度(PV)、血浆纤维蛋白原(FIB)水平均低于治疗前,且治疗后观察组患者HBV、LBV、PV、FIB水平均低于对照组,差异具有统计学意义(P<0。05)。治疗后两组患者基底动脉,左、右椎动脉平均血流速度均较治疗前明显升高,且治疗后观察组患者基底动脉,左、右椎动脉平均血流速度均高于对照组,差异具有统计学意义(P<0。05)。观察组患者不良反应发生率低于对照组,差异具有统计学意义(P<0。05)。结论:通窍活血汤加减联合银杏达莫注射液治疗后循环缺血性眩晕疗效较好,可有效改善椎基底动脉血流动力学,降低血液黏度,减轻眩晕症状,且安全性较好。
Clinical Effect of Tongqiao Huoxue Decoction Combined with Western Medicine on Post-circulation Ischemia Vertigo
Objective To observe the clinical effect of Tongqiao Huoxue decoction combined with Western medicine in the treatment of post-circulation ischemia vertigo.Methods A total of 85 patients with post-circulation ischemia vertigo admitted to Zhengzhou Zhongkang Hospital from June 2021 to June 2022 were randomly divided into an observation group(43 cases)and a control group(42 cases).The control group was treated with ginkgo damo injection,the observation group was treated with Tongqiao Huoxue decoction on the basis of control group.The score of vertigo degree,hemorheology and average blood flow velocity of vertebrobasilar artery of the two groups were observed,and the therapeutic effect and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The levels of whole blood high shear viscosity(HBV),whole blood low shear viscosity(LBV),plasma viscosity(PV)and plasma fibrinogen(FIB)levels in the two groups after treatment were lower than those before treatment,and the levels of HBV,LBV,PV and FIB in the observation group were lower than those in the control group after treatment,with statistical significance(P<0.05).After treatment,the average blood flow velocity of basilar artery,left and right vertebral artery in the two groups were significantly higher than those before treatment,and the average blood flow velocity of basilar artery,left and right vertebral artery in the observation group were higher than those of the control group,with statistical significance(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Tongqiao Huoxue decoction combined with ginkgo damo injection has good efficacy in the treatment of circulating ischemic vertigo,which can effectively improve the hemodynamics of vertebrobasilar artery,reduce blood viscosity and post-circulation vertigo symptoms with good safety.

VertigoPost-circulation ischemiaPhlegm and Blood Stasis SyndromeTongqiao Huoxue decoctionGinkgo damo injection

胡仕强、许冬瑞、魏新明

展开 >

郑州中康医院,河南 新密 452370

眩晕 后循环缺血 痰瘀阻窍证 通窍活血汤 银杏达莫注射液

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(1)
  • 15