摘要
目的:观察天麻钩藤饮联合针灸治疗后循环缺血性眩晕(PCIV)肝阳上亢证的临床疗效。方法:选取98例PCIV肝阳上亢证患者,根据随机数字表法分为联合组及针灸治疗组各49例。针灸治疗组给予针灸治疗,联合组给予天麻钩藤饮联合针灸治疗,2组均治疗1个月。比较2组临床疗效、中医证候积分、眩晕频率、眩晕障碍量表(DHI)评分、脑卒中风险程度及椎-基底动脉血流速度。结果:治疗后,联合组总有效率93.88%,高于针灸治疗组77.55%(P<0.05)。治疗后,2组眩晕耳鸣、头痛且胀、急躁易怒、面红目赤、口苦积分均较治疗前降低(P<0.05),联合组上述5项中医证候积分均低于针灸治疗组(P<0.05)。2组眩晕频率及DHI评分均较治疗前降低(P<0.05),联合组眩晕频率及DHI评分均低于针灸治疗组(P<0.05)。联合组脑卒中低危率61.22%,高于针灸治疗组34.69%(P<0.05)。2组基底动脉(BA)、右侧椎动脉(RVA)、左侧椎动脉(LVA)血流速度均较治疗前升高(P<0.05),联合组BA、RVA、LVA血流速度均高于针灸治疗组(P<0.05)。结论:在针灸基础上加用天麻钩藤饮治疗有利于提高PCIV肝阳上亢证患者椎-基底动脉血流速度,减轻其临床症状,降低脑卒中发生风险。
Objective:To observe the clinical effect of the therapy of Tianma Gouteng Decoction combined with acupuncture on posterior circulation ischemia vertigo(PCIV)with ascendant hyperactivity of liver yang syndrome.Methods:A total of 98 cases of PCIV patients with ascendant hyperactivity of liver yang syndrome were selected and divided into the combination group and the acupuncture group according to the random number table method,with 49 cases in each group.The acupuncture group was given acupuncture for treatment,and the combination group was treated with Tianma Gouteng Decoction combined with acupuncture.Both groups were treated for 1 month.The clinical effects,traditional Chinese medicine(TCM)syndrome scores,vertigo frequency,scores of dizziness handicap inventory(DHI),risk levels of stroke and blood flow velocity of vertebrobasilar artery were compared between the two groups.Results:After treatment,the total effective rate was 93.88%in the combination group,higher than that of 77.55%in the acupuncture group(P<0.05).After treatment,the scores of vertigo and tinnitus,headache and feeling of fullness in the head,irritability and susceptibility to rage,red face and eyes and bitter mouth in both groups were decreased when compared with those before treatment(P<0.05),and the above five TCM syndrome scores in the combination group were lower than those in the acupuncture group(P<0.05).The vertigo frequency and DHI scores in both groups were decreased when compared with those before treatment(P<0.05),and the vertigo frequency and DHI score in the combination group were lower than those in the acupuncture group(P<0.05).The low risk rate of stroke was 61.22%in the combination group,higher than that of 34.69%in the acupuncture group(P<0.05).The blood flow velocity of basilar artery(BA),right vertebral artery(RVA)and left vertebral artery(LVA)in both groups were decreased when compared with those before treatment(P<0.05),and the blood flow velocity of BA,RVA and LVA in the combination group were higher than those in the acupu
作者
金赢政
井睿智
李金江
JIN Yingzheng;JING Ruizhi;LI Jinjiang(Shaoxing City Keqiao District Hospital of Traditional Chinese Medicine,Shaoxing Zhejiang 312030,China)
出处
《新中医》
CAS
2023年第22期53-58,共6页
New Chinese Medicine
关键词
后循环缺血性眩晕
肝阳上亢证
天麻钩藤饮
针灸
脑卒中
椎动脉
基底动脉
血流速度
Posterior circulation ischemia vertigo
Ascendant hyperactivity of liver yang syndrome
Tianma Gouteng Decoction
Acupuncture
Stroke
Vertebral artery
Basilar artery
Blood flow velocity
