摘要
目的研究三参通络汤配合臭氧自体血回输对后循环缺血(PCI)眩晕(气虚血瘀型)患者血黏度的影响。方法将收治的120例PCI眩晕(气虚血瘀型)患者随机分为实验A组、实验B组和对照组,每组40例。对照组常规予甲磺酸培他司汀片、阿司匹林肠溶片口服,予胞二磷胆碱注射液静脉滴注;实验B组在对照组的基础上给予三参通络汤治疗;实验A组在对照组治疗的基础上配合臭氧自血回输及三参通络汤治疗。观察三组患者治疗后临床疗效及红细胞压积(HCT)、全血黏度情况。结果实验A组总有效率为92.5%,实验B组为82.5%,对照组仅为67.5%,实验A组疗效优于实验B组和对照组(P<0.05),且实验B组疗效优于对照组(P<0.05)。实验A、B两组及对照组治疗后全血黏度高、中、低切值均较治疗前降低(P<0.01);而实验A、B两组治疗后HCT均较治疗前降低(P<0.01),对照组降低不明显(P>0.05)。组间比较实验A、B两组HCT、全血黏度高、中、低切值均较对照组降低明显(P<0.01),且实验A组较实验B组降低更明显,差异有统计学意义(P<0.05,P<0.01)。结论三参通络汤配合臭氧自血回输治疗PCI眩晕(气虚血瘀型)可获得更好的疗效,HCT及全血黏度高、中、低切值降低更明显。
Objective To study the effects on the blood viscosity in the patients of posterior circulation ischemic vertigo（ qi deficiency and blood stagnation） in the patients treated with sanshen tongluo decoction and the major ozonated autohemotherapy. Methods A total of 120 patients of posterior circulation ischemic vertigo（ qi deficiency and blood stagnation） were randomized into an experiment A group,an experiment B group and a control group,40 cases in each one. In the control group,the routine treatment was given,such as the oral administration of betahistine mesilate tablets and aspirin enteric-coated tablets,and the intravenous drops of citicoline injection. In the experiment B group,on the base of the treatment as the control group,the major ozonated autohemotherapy was added. In the experiment A group,on the base of the control group,the combined treatment with the major ozonated autohemotherapy and sanshen tongluo decoction was applied. The clinical therapeutic effects,HCT and whole blood viscosity were observed after treatment in the three groups.Results The total effective rate was 92. 5% in the experiment A group,was 82. 5% in the experiment B group and 67. 5% in the control group. The effects in the experiment A group were better than the experiment B and the control groups（ P〈0. 05）. The effects in the experiment B group were better than the control group（ P〈0. 05）. After treatment,the whole blood viscosities at high,middle and low shears in the experiment A and B groups as well as the control group were all reduced as compared with those before treatment（ P〈0. 01）. HCT in the experiment A and B groups was reduced as compared with that before treatment（ P〈0. 01）.The reducing degree in the control group was not obvious（ P〈0. 05）. Between the experiment A group and the experiment B group,the values of HCT and the whole blood viscosities at high,middle and low shears were all obviously reduced as compared with the control group（ P〈0. 01）. The reducing degree in the e
作者
阮明军
郑峰
伊万里
RUAN Ming - jun;ZHENG Feng;YI Wan - li(Jining Chinese Medicine I-Iospital,Jining Shandong 27200)
出处
《世界中西医结合杂志》
2018年第3期395-398,402,共5页
World Journal of Integrated Traditional and Western Medicine
基金
山东省济宁市中医药科技发展计划项目(zyy2015014)
关键词
后循环缺血性眩晕
三参通络汤
臭氧自血回输
气虚血瘀型
Posterior Circulation Ischemic Vertigo
Sanshen Tongluo Decoction
Major Ozonated Autohemotherapy
Qi Deficiency and Blood Stagnation
