中药辨证治疗不同证型眩晕的临床疗效分析  

Effective Analysis of Chinese Medicine on Vertigo with Different Syndrome

作　　者：刘红梅[1] 杨霞 司维[1] 鲁碞[1] 洪霞[1] 宁侠[1] 陈冬[1] 吴小明[1] 李涛[1] 毛丽军[1] 

机构地区：[1]中国中医科学院西苑医院 [2]北京市通州区于家务社区卫生服务中心

出　　处：《中西医结合心脑血管病杂志》2011年第5期547-549,共3页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：中国中医科学院中医优势病种临床研究项目(No.CACMS05Y006)

摘　　要：目的观察中医辨证治疗不同证型眩晕的临床疗效。方法以尼莫地平为对照,随机分为中药组、西药组和中药加西药组,以头晕残障调查表(DHI)减分值为评价指标,观察不同证型3组患者的症状改善情况。结果阴虚型3组间疗效无统计学意义(P>0.05);痰浊型中药组疗效优于中药加西药组,有统计学意义(P<0.05);气虚型中药加西药组疗效优于西药组(P<0.05)。结论中药辨证治疗眩晕具有良好效果,在不同证型的眩晕中临床疗效存在差异,痰浊型和气虚型的中药疗效相对较好。Objective To study the clinical effect of Chinese medicine on vertigo with different syndrome.Methods Two hundreds and fifty-six patients（pts） with vertigo were randomly divided into three groups：Traditional Chinese medicine（TCM） group,west medicine group and TCM plus west medicine group.The score of Dizziness Handicap Inventory（DHI） was observed.Results DHI in pts with yin deficiency syndrome was no significantly different in three groups（P0.05）.The effect in pts with phlegm syndrome in TCM group was better than that in TCM plus west medicine group（P0.05）.The effect in pts with qi deficiency in TCM plus west medicine group was better than that in west medicine group（P0.05）.Conclusion TCM treatment was effective for vertigo pts with phlegm syndrome and qi deficiency.

关 键 词：辨证论治 眩晕 头晕残障调查表 痰浊证 气虚证 

分 类 号：R255.3[医药卫生—中医内科学]