中医辨证治疗前庭性偏头痛性眩晕患者的临床效果研究  

Study on Clinical Effect of TCM Syndrome Differentiation in Treatment of Patients with Vestibular Migraine Vertigo

作　　者：高燕 王晓东[1] GAO Yan;WANG Xiaodong(The Second Department of Stroke,the Second Hospital of Traditional Chinese Medicine,Tai'an,Shandong Province,271002 China)

机构地区：[1]泰安市中医二院中风二科,山东泰安271002

出　　处：《世界复合医学》2021年第11期82-86,共5页World Journal of Complex Medicine

摘　　要：目的研究中医辨证治疗前庭性偏头痛性眩晕患者的临床效果。方法选取该院2018年3月—2021年3月收治的80例前庭性偏头痛眩晕患者,通过乱数表法将其分为对照组(n=40)和治疗组(n=40)。对照组患者给予盐酸氟桂利嗪胶囊,治疗组患者在此基础上以中医辨证疗法加用自拟汤剂,两组患者均持续治疗4周。比较两组患者治疗后的中医证候疗效,治疗前后眩晕程度,治疗后眩晕情况,治疗前后的平衡筛查评分,治疗期间不良反应发生情况。结果治疗后治疗组的总有效率为85.00%,高于对照组的65.00%,差异有统计学意义(χ^(2)=4.276,P<0.05);两组治疗后DHI及头痛评分比治疗前低,且治疗后治疗组的DHI评分与头痛评分分别为(24.10±1.48)分、(3.38±1.05)分,均低于对照组的(44.00±8.39)分、(5.03±1.09)分,治疗组的健康状况量表评分为(85.80±6.48)分,高于对照组的(64.46±6.27)分,差异有统计学意义(t=14.773、6.895、14.968,P<0.05);治疗后治疗组患者眩晕复发次数与眩晕复发持续时间分别为(2.36±1.10)次/月、(2.24±1.40)h,均低于对照组的(3.44±1.22)次/月、(3.26±2.25)h,治疗组平衡筛查中闭眼无软垫、闭眼有软垫、睁眼无软垫、睁眼有软垫评分分别为(25.34±1.56)分、(38.24±1.32)分、(15.05±1.11)分、(28.94±1.24)分,均低于对照组的(28.91±1.03)分、(44.71±1.56)分、(18.84±1.03)分、(32.14±1.06)分,差异有统计学意义(t=4.158、2.434、12.078、20.024、15.829、12.406,P<0.05);治疗期间治疗组的不良反应发生率为12.50%,低于对照组的32.50%,差异有统计学意义(χ^(2)=4.588,P<0.05)。结论前庭性偏头痛眩晕患者以中医辨证进行治疗,能有效改善患者眩晕程度,减少眩晕复发次数,缩短眩晕复发时间,改善平衡功能,降低不良反应发生概率,临床疗效显著。Objective To study the clinical effect of TCM syndrome differentiation on patients with vestibular migraine vertigo.Methods The 80 patients with vestibular migraine vertigo admitted to the hospital from March 2018 to March 2021 were divided into a control group(n=40)and a treatment group(n=40)by the random number table method.Patients in the control group were given flunarizine hydrochloride capsules,and patients in the treatment group were treated with TCM syndrome differentiation therapy plus self-made decoction on this basis.Both groups of patients continued treatment for 4 weeks.The efficacy of TCM syndromes after treatment,the degree of dizziness before and after treatment,the dizziness after treatment,the balance screening score before and after treatment,and the occurrence of adverse reactions during treatment were compared between the two groups of patients.Results After treatment,the total effective rate of the treatment group was 85.00%,which was higher than 65.00%of the control group,and the difference was statistically significant(χ^(2)=4.276,P<0.05).The DHI and headache scores of the two groups after treatment were lower than before treatment,and the DHI score and headache score of the treatment group after treatment were(24.10±1.48)points and(3.38±1.05)points,respectively,all lower than the(44.00±8.39)points and(5.03±1.09)points of the control group,the score of the health status scale of the treatment group was(85.80±6.48)points,which was higher than the(64.46±6.27)points of the control group,and the difference was statistically significant(t=14.773,6.895,14.968,P<0.05).After treatment,the number of vertigo recurrences and the duration of vertigo recurrence in the treatment group were(2.36±1.10)times/month and(2.24±1.40)h,respectively,which were lower than those in the control group(3.44±1.22)times/month and(3.26±2.25)h.In the balance screening of the treatment group,the scores of closed eyes without soft pads,closed eyes with soft pads,open eyes without soft pads,and open eyes with soft

关 键 词：前庭性偏头痛眩晕 盐酸氟桂利嗪 中医辨证 眩晕 平衡功能 

分 类 号：R24[医药卫生—中医临床基础]