葛仙汤治疗椎动脉型颈椎病眩晕患者33例  

GeXian Tang in Treating 33 Vertigo Patients Induced by Cervical Spondylosis of Vertebral Arterial Type

作　　者：于继岗 王明怀[1] 林强[1] 李向阳[1] 刘东钱 

机构地区：[1]宝鸡市中医医院,陕西宝鸡721001

出　　处：《西部中医药》2015年第12期81-83,共3页Western Journal of Traditional Chinese Medicine

基　　金：陕西省中医药管理局资助项目(编号LC100)

摘　　要：目的:观察葛仙汤治疗椎动脉型颈椎病(cervical spondylosis of vertebral arterial type,CSA)的临床疗效。方法:将63例患者随机分为2组,观察组33例给予陕西名中医王明怀经验方葛仙汤治疗,1剂/d,水煎分服。对照组给予西药常规治疗:尼莫地平,20 mg/次,3次/d,口服;西比灵,5 mg/次,1次/d,每日晚服用。2组患者治疗期间均给予颈围制动和颈椎牵引,避免肩颈部活动。2组均以连续治疗2周为1个疗程,治疗2个疗程后观察疗效。结果:眩晕症状评分2组治疗前比较,差异无统计学意义(P>0.05),治疗后2组均较治疗前有所改善(P<0.05),观察组改善更明显(P<0.05)。椎动脉收缩期血流速度(systolic phase velocity,Vs)及舒张期血流速度(diastotic phase velocity,Vd)2组治疗前比较,差异无统计学意义(P>0.05),治疗后2组均较治疗前有所改善(P<0.05),观察组改善更明显(P<0.05)。结论:葛仙汤治疗CSA所致CV患者疗效肯定。Objective： To observe clinical effects of GeXian Tang in treating cervical spondylosis of vertebral arterial type（CSA） induced cervical vertigo（CV）. Methods： Sixty-three patients were randomized into two groups.33 cases of the observation group were treated by GeXian Tang, water decocted, one dose per day. The control group received routine treatment of western medicine： nimodipine, 20 mg each time, three times per day, oral administration; fluriarizine, 5 mg each time, once per day, taking in the evening. During therapeutic period, both groups accepted neck circumference and cervical traction, avoiding the activity of shoulder and neck. One course of the treatment was two weeks consecutively, clinical effects were observed after two courses of the treatment.Results： The difference had no statistical meaning（P〉0.05） in the comparison of vertigo symptoms scales before treating between both groups, vertigo symptoms scales improved after treating compared with these before treating（P〈0.05）, the improvements of the observation group was more obvious（P〈0.05）. The difference had no statistical meaning in the comparison between both groups before treating in systolic phase velocity（Vs） and diastolic phase velocity（Vd） of vertebral artery（P〉0.05）, the indexes after treating improved compared with these before treating in both groups（P〈0.05）, the improvements of the observation group were more obvious（P〈0.05）. Conclusion： GeXian Tang could obtain definite effects in treating CSA-induced CV patients.

关 键 词：颈性眩晕 椎动脉型颈椎病 葛仙汤 

分 类 号：R441.2[医药卫生—诊断学]