[1]黄选华 黄立武 窦维华 黄夏冰 王馨苑 陈 伟 吴 鹏 周艳英.益气活血、化痰通络法治疗椎-基底动脉 供血不足性眩晕的临床研究[J].大众科技,2014,16(05):109-111.
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益气活血、化痰通络法治疗椎-基底动脉 供血不足性眩晕的临床研究
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
第16卷
期数:
2014年05期
页码:
109-111
栏目:
医药与卫生
出版日期:
2014-12-25

文章信息/Info

Title:
Clinical Study of treating vertebrobasilar insufficiency dizziness with the methods of Yiqi Huoxue and eliminating phlegm and freeing channels
文章编号:
1008-1151(2014)05-0109-03
作者:
黄选华 黄立武 窦维华 黄夏冰 王馨苑 陈 伟 吴 鹏 周艳英
广西中医药大学第一附属医院，广西 南宁 530023
关键词:
中药治疗; 椎-基底动脉供血不足; 眩晕; 临床研究
Keywords:
Traditional Chinese medicine treatment;  vertebrobasilar insufficiency;  dizziness;  clinical study
分类号:
R241
文献标志码:
A
摘要:
目的：观察中药益气活血、化痰通络法治疗椎-基底动脉供血不足(VBI)性眩晕的临床疗效，从血液流变学、头 颅多普勒超声的相关指标改变，进一步研究其作用机理。方法：将符合纳入标准的 100 例患者随机分为两组。治疗组 50 例，口 服益气活血、化痰通络中药；对照组 50 例，口服西药：甲磺酸倍他司汀片 12mg,一天3 次。两周为一疗程。分别比较两组治疗 前后临床疗效、中医症候，并检测血液流变学指标及头颅多普勒超声的变化。结果：（1）临床疗效:治疗组总有效率为 90.00%， 明显优于对照组的 76.00%
Abstract:
Objective: To observe the clinical efficacy with the traditional Chinese medicine yiqi huoxue and eliminating phlegm and freeing channels methods in the treatment of vertebrobasilar insufficiency (VBI) dizziness and to further study the mechanism of action based on the change of hemorheology and transcranial doppler ultrasound. Methods: One hundred patients met the inclusion criteria were randomly divided into treatment group and control group. Fifty patients in treatment group accepted oral yiqi huoxue and eliminating phlegm and freeing channels traditional Chinese medicine, the others in the control group accepted betahistine mesilate tablets 12mg orally 3 times/day. The period of treatment was 14 days. Clinical efficacy and traditional Chinese medicine symptoms were compared, and the change of hemorheology and transcranial doppler ultrasound were detected between the two groups before and after treatment．Results: (1) Clinical efficacy: the total effective rate in treatment group (90.00%) was significantly better than those in control group (76.00%)(P<0.05). (2) Traditional Chinese medicine symptoms: the total efficiency was 94% and 80% in treatment group and control group, respectively. The improvement of traditional Chinese medicine symptoms in treatment group was significantly better than those in control group. (3) Hemorheology: the hemodynamic indexes decreased in treatment group was significant better than control group (P<0.05). (4) Transcranial Doppler ultrasonography: the average blood flow velocity improved in treatment group compared with control group (P<0.05). Conclusion:Yiqi huoxue and eliminating phlegm and freeing channels recipe was a convenient, safe and effective therapy in the treatment of vertebrobasilar insufficiency (VBI) dizziness, which was worth popularizing in clinic.

参考文献/References:

[1] 王燕平,张华敏.解读《中医内科常见病诊疗指南》[J].中 国标准化,2009(11):25-26. [2] 史玉泉.实用神经病学[M].第 2 版.上海:上海科学技术出 版社,1994:1072-1073.

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备注/Memo

备注/Memo:
【收稿日期】2014-04-15 【基金项目】广西壮族自治区教育厅科研资助项目（200103YB086）。 【作者简介】黄选华，女，广西中医药大学第一附属医院副教授，副主任医师，硕士，硕士研究生导师，第四批全国名老 中医药专家董少龙教授的学术经验继承人，研究方向为中医药治疗脑血管病。
更新日期/Last Update: 1900-01-01