加热药枕配合倍他司汀治疗颈性眩晕急性期35例临床观察  

Clinical Observation on 35 Cases of Cervical Vertigo in the Acute Stage Treated by the Heated Medicinal Pillow and Betahistine

作　　者：王进忠[1] 覃小兰[1] 张晓春[1] 

机构地区：[1]广东省中医院芳村分院急诊科

出　　处：《中医杂志》2011年第4期307-309,共3页Journal of Traditional Chinese Medicine

基　　金：广东省科技厅计划项目(2009B030801295)

摘　　要：目的观察自制药枕经过加热后联合倍他司汀对颈性眩晕急性发作期患者的临床疗效。方法将70例颈性眩晕急性发作期患者随机分为两组,治疗组采用静脉滴注倍他司汀+加热药枕治疗,对照组采用单纯静脉滴注倍他司汀治疗。通过眩晕疗效评价标准及前庭症状指数(VSI)评分对两组患者眩晕症状改善情况进行比较。结果眩晕改善情况治疗组痊愈率为17.14%,总有效率为100.00%;对照组分别为8.57%、97.15%,两组痊愈率比较差异有统计学意义(P<0.05),总有效率比较差异无统计学意义(P>0.05)。VSI评分方面,治疗组优于对照组,差异有统计学意义(P<0.05)。结论在颈性眩晕急性发作期治疗方面,加热药枕疗效肯定,其配合倍他司汀优于单纯倍他司汀治疗。Objective To observe the clinical effect of self-made heated medicinal pillow and Betahistine on the acute attack of cervical vertigo.Methods The 70 enrolled patients were randomized into two groups.The treatment group was given Betahistine intravenous infusion and heated medicinal pillow treatment,and the control group was simply given Betahistine intravenous infusion.The symptom improvement of two groups was compared with the effect evaluation criteria and VSI vestibular symptom rating scale for analyzing the effect of heated medicinal pillow.Results The cure rate of the treatment group and the control group was 17.14% and 8.57% respectively,with significant difference（P0.05）;the total effective rate of the treatment and control group was 100% and 97.15% respectively,without significant difference（P0.05）.Th treatment group was also better in the VSI vestibular symptom scale score than the control group,the difference was significant（P0.05）.Conclusion In the treatment of acute stage of cervical vertigo,the effect of heated medicinal pillow and Betahistine is better than that of single use of Betahistine.

关 键 词：药枕 倍他司汀 眩晕 

分 类 号：R681.5[医药卫生—骨科学]