于白莉教授逍遥散加减治疗良性阵发性位置性眩晕手法复位后残余头晕  

Discussion on academic thought of Baili Yu for the Treatment of of Autonomic Dysfunction of Residual Dizziness after Successful Treatment in Benign Paroxysmal Positional Vertigo with Xiaoyao San

作　　者：刘洋[1] 李昕蓉[1] 牟月 高洪娇 黄瑶[2] 朱雪霖 张梦妮 Liu Yang;Li Xinrong;Mou Yue;Gao Hongjiao;Huang Yao;ZhuXuelin;Zhang Mengni(Department of Otolaaryngology,Teaching Hospital of Chengdu University of T.C.;Chengdu University of T.C.M,Chengdu,Sichuan,610072,China)

机构地区：[1]成都中医药大学附属医院耳鼻喉科 [2]成都中医药大学,四川成都610072

出　　处：《中国医学文摘（耳鼻咽喉科学）》2018年第4期340-344,共5页Chinese Medical Digest(Otorhinolaryngology)

基　　金：国家自然科学基金(面上项目81774131;81473523;青年基金81603492);四川省科技厅科研课题(2017KZ0038);四川省卫生和计划生育委员会科研课题(普及应用项目16PJ118)

摘　　要：目的探讨逍遥散加减疏肝理气法配合前庭康复训练.治疗良性阵发性位置性眩晕(BPPV)手法复位后残余头晕(RD)的临床疗效。方法选取2016年1月~2017年7月于成都中医药大学附属医院诊断为后半规管BPPV并经手法成功复位的RD患者62例,按1:1随机分配为治疗组及对照组,分别接受逍遥散加减+前庭康复训练、前庭康复训练,疗程1月。治疗前后以汉密顿焦虑量表(HAMA)、眩晕障碍量表(DHI)评估患者焦虑抑郁状态及眩晕严重程度。统计学分析采用Mann-Whitney U检验、直线相关性分析和两独立样本t检验,P<0.05为具有统计学意义。结果 RD患者普遍存在不同程度焦虑抑郁情绪状态,直线相关性分析示HAMA和DHI评分具有直线相关性。治疗1月后,非参数Wilcoxon秩和检验提示RD患者焦虑程度减轻(P<0.05);两独立样本t检验提组间HAMA评分、DHI评分差异具有统计学意义(P<0.05),治疗组焦虑抑郁情绪及眩晕程度的改善优于对照组。结论于白莉教授以逍遥散为基础方的疏肝理气法能有效通过调节患者紧张焦虑状态而促进RD眩晕症状的改善。Objective To investigate the clinical effect of modifying Rambling Powder based on the traditional method of reliving Qi stagnation in liver combined with vestibular rehabilitation exercise for residual dizziness（RD）after successful treatment in benign paroxysmal positional vertigo（BPPV）. Method 62 patients of confirmed PSC-BPPV after successful particle repositioning were randomly divided into treatment group and compare group from January 2016 to July 2017,31 cases with each. The treatment group was given modifying Rambling Powder combined with vestibular rehabilitation exercise. The control group was treated with vestibular rehabilitation exercise alone.The course is one month, respectively.The severity of anxiety and dizziness of the patient was recorded by the scores of Hamilton anxiety scale（HAMA）and Dizziness Handicap Inventory（DHI）before and after the treatment respectively. The nonparametric Wilcoxon rank sum test, linear correlation analysis and two independent samples t-test were used as appropriate for the. A P value less than 0.05 was considered statistically significant. Results Anxiety depression is common in patients with RD with different degree. The scores of HAMA and DHI are linear correlation. After one month treatment,the nonparametric Wilcoxon rank sum test showed that the severity of the anxiety was relieved（P〈0.05）,and the scores of dizziness assessed by DHI was also alleviated significantly with t test（P〈0.05）in the treatment group. Conclusion The traditional method of reliving qi stagnation in liver with modifying rambling powder could effectively improve the dizziness by relieving anxiety and depression emotion of RD patients.

关 键 词：逍遥散 良性阵发性位置性眩晕 残余头晕 手法复位 

分 类 号：R441.2[医药卫生—诊断学]