摘要
[目的]探讨归逆定眩汤与氟桂利嗪治疗气血亏虚型后循环缺血的临床疗效。[方法]选取2018年1月-2019年1月收治82例气血亏虚型后循环缺血患者,按随机数字表法分为观察组和对照组,各41例。对照组患者给予氟桂利嗪治疗,观察组患者给予中药归逆定眩汤治疗。两组均治疗1个月,比较两组疗效及双侧椎动脉及基底动脉的平均血流速度变化情况。[结果]观察组治疗总有效率为92.68%,明显高于对照组的73.17%(P<0.05);治疗后,观察组中平均血流速度增高患者右椎动脉(RVA)、左椎动脉(LVA)、基底动脉(BA)的平均血流速度均低于对照组,差异有统计学意义(P<0.05);观察组中平均血流速度降低患者RVA、LVA、BA的平均血流速度均高于对照组,差异有统计学意义(P<0.05)。[结论]采用归逆定眩汤对气血亏虚型后循环缺血的患者进行治疗,可有效的改善双侧椎动脉及基底动脉的平均血流速度,提高临床治疗效果,疗效显著。
[Objective]To explore the clinical effect of Guini Dingxuan Decoction and flunarizine in the treatment of post circulation ischemia with deficiency of Qi and blood.[Methods]From January 2018 to January 2019,82 patients with post circulation ischemia with deficiency of Qi and blood were selected and divided into observation group and control group,41 cases in each group.The patients in the control group were treated with flunarizine,while those in the observation group were treated with Guini Dingxuan Decoction.Both groups were treated for one month,and the therapeutic effect and the change of mean blood flow velocity of bilateral vertebral artery and basilar artery were compared.[Results]The total effective rate of the observation group was 92.68%,which was significantly higher than that of the control group(73.17%)(P<0.05).After treatment,the average blood flow velocity of the right vertebral artery(RVA),left vertebral artery(LVA)and basilar artery(BA)in the observation group were lower than those of the control group and the difference was statistically significant(P<0.05).The average blood flow velocity in the observation group was lower than that of the control group(P<0.05).The mean blood flow velocities of RVA,LVA and BA in patients were higher than those in the control group(P<0.05).[Conclusion]Guini Dingxuan Decoctioncan effectively improve the average blood flow velocity of bilateral vertebral artery and basilar artery,and improve the clinical treatment effect.
作者
张雨芳
ZHANG Yufang(Pingdingshan Hospital of Traditional Chinese Medicine,Pingdingshan 467000,Henan,China)
出处
《实用中医内科杂志》
2019年第12期53-55,共3页
Journal of Practical Traditional Chinese Internal Medicine
基金
河南省自然科学基金项目(162300410241)。
关键词
后循环缺血
气血亏虚型
归逆定眩汤
氟桂利嗪
血流速度
posterior circulation ischemia
deficiency of Qi and blood
Guini Dingxuan Decoction
flunarizine
blood flow velocity
