梅尼埃病凌晨发作型的中西医结合探究.pdfVIP

提 要 目的：总结关于眩晕中西医治疗的文献，针对梅尼埃病当中的凌晨发作型患者辨 证为肝肾阴虚，痰饮上犯型的，观察在西医规范治疗的基础上，加用中药泽泻平眩饮 的临床疗效，探讨中医中药的参与对疗效的影响。 方法：采用随机分组的方法，将 60 例符合纳入标准的患者分为试验和对照组， 每组 30 人。对照组采用常规西医治疗加安慰剂，试验组在常规西药治疗基础上加用 中药泽泻平眩饮，治疗周期为 14 天，观察随访周期为 1 个月，部分病号做了长期的 跟踪随访。分别记录入院前 1 个月及出院后 1 个月累计发作次数、最长发作时间、症 状积分等指标。 结果：在临床疗效方面，试验组临床控制 16 例，显效 14 例，无效及加重 0 例， 总有效率 100%，对照组临床控制 6 例，显效 20 例，有效 3 例，无效及加重 1 例，总 有效率 96.7% 。不良反应发生率极低，且多为一过性，不影响继续治疗。试验组与对 照组比较都有统计学差异(P0.05) 。 结论：泽泻平眩饮是临床治疗梅尼埃病凌晨发作型的有效方剂，能显著减轻症状、 缩短病程、改善长期预后。 关键词 梅尼埃病；辨时论治；泽泻平眩饮 TITLE Menieres disease early morning attack type of Integrative Medicine Author: Wang Guotao Speciality： Internal medicine of traditional Chinese medicine Tutor: prof. Si Guomin Abstract Objective: Summarizes the existing literature on the treatment of vertigo Chinese medicine, early morning attack which Menieres disease patients, to observe the clinical efficacy on the basis of the Western standard treatment plus Chinese medicine Alismataceae soup together Gastrodia Uncaria decoction sideexplore traditional Chinese medicine to participate in the impact on the efficacy. Methods: Randomization method, 60 cases met the inclusion criteria were divided into experimental and control group, n = 30. Control group using conventional western medicine, decoction group on the basis of conventional western medicine plus Chinese medicine Alisma soup together Tianmagouteng decoction to the treatment cycle is 14 days, follow-up observation period six months. The record before admission, half of six months and after treatment, the cumulative number of episodes, the longest attack time and attack points three indicators. Results: I