定眩汤治疗颈性眩晕的临床视察.pdfVIP

提 要 目的：观察定眩汤治疗脾气亏虚，痰浊内蕴型颈性眩晕(CV)的临床疗效，并探讨 健脾益气，祛痰化湿，升清降浊法治疗颈性眩晕的理论，为进一步推广该治法提供科 学依据。方法：将符合纳入标准的CV患者70例，随机分为定眩汤组（治疗组）和西 比灵组（对照组），疗程 3 周。治疗前后分别对患者进行《颈性眩晕患者症状体征及 生活质量评估量表》（ESCV）的问卷调查和 TCD 检测，观察治疗前后患者症状、体征 和生活质量改善情况，以及双椎动脉（VA）和基底动脉（BA）的血供情况。结果：治 疗组总有效率为 94.59%，对照组总有效率为 84.85%，两组临床总疗效之间有显著性 差异（P＜0.05）；两组均能明显改善 CV 患者的眩晕症状（P＜0.01），治疗组在改善 某些兼症（如颈肩痛等）、体征（舌脉象）及生活质量（心理及社会适应能力）方面 优于对照组（P＜0.01 或 P＜0.05）；治疗组还可改善双椎动脉及基底动脉血流（P＜ 0.01）。结论：定眩汤不仅能有效改善 CV 患者的临床症状、体征，提高患者生活质 量，而且可以改善患者的VA和BA血供状况；验证了用健脾益气，祛痰化湿，升清降 浊法治疗颈性眩晕的正确性和可行性。 关键词 颈性眩晕；定眩汤；TCD ；临床观察 The Clinical Research of Treating Cervice Vertigo by the Dingxuan Decoction Speciality: Internal Medicine of TCM Author: Shao Lin Tutor: Professor Xiang Xiuping Abstract Object: To observe the clinical curative effect of Dingxuan decoction on Cervical Vertigo (CV) of Spleen qi deficiency and phlegm Retention type, and to discuss on the theory of strengthening the spleen and replenishing qi, dispelling phlegm and resolving dampness, ascending the clear and descending the turbid method, so as to provide scientific basis for the further application. Methods ：70 subjects suffering CV were selected in the research. They were randomly divided into two different categories: the Treatment Group (Dingxuan decoction-group 37 subjects) and the Control Group (Flunarizine-group 33 subjects).The 70 subjects in the two groups were all treated for three weeks. The subjects were detected by Trans Cranial Doppler (TCD) and asked to fill in the “Cervical Vertigo Symptoms, Physical signs and Function Evaluation Scale” (ESCV) questionnair