温阳通脉方辅助治疗恐惧性姿势性眩晕的临床效果分析  

Clinical application of the Wenyang Tongmai decoction in the auxiliary treatment of fearful postural vertigo

作　　者：刘盼 戴艳新 冯声昌 盛祖地 LIU Pan

机构地区：[1]黄石市阳新县中医医院,湖北黄石435000

出　　处：《中医临床研究》2021年第31期101-103,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:研究分析温阳通脉方辅助治疗恐惧性姿势性眩晕患者的临床效果。方法:选取2017年5月-2018年7月于黄石市阳新县中医医院治疗的恐惧性姿势性眩晕患者76例,将其随机分为对照组(38例)和试验组(38例)。对照组行常规抗抑郁治疗,试验组在对照组的基础上行温阳通脉方治疗。分析比较两组患者治疗后的临床效果,治疗前后的眩晕评分(Dizziness handicap inventory,DHI)、认知功能评分(Montreal Cognitive Assessment,MOCA)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评分、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)评分,凝血功能情况及血流动力学改变情况。结果:治疗后,试验组的临床效果显著优于对照组(P<0.05),且试验组的DHI、MOCA、HAMA及HAMD评分均低于对照组(P<0.05),治疗后试验组患者凝血酶原时间(Prothrombin Time,PT)、活化部分凝血酶原时间(Activated Partial Thromboplastin Time,APTT)长于对照组,纤维蛋白原(Fibrinogen,FIB)及D-二聚体(D-Dimer,D-D)水平低于对照组(P<0.05),试验组左、右侧椎动脉颅内段舒张期末血流速度(Diastolic Blood Flow Velocity,Vd)、收缩期末血流速度(Systolic Blood Flow Velocity,Vs)优于对照组(P<0.05)。结论:温阳通脉方辅助治疗恐惧性姿势性眩晕能显著改善患者的焦虑抑郁情绪及认知功能状况,且临床效果较好。Objective:To study the clinical application of the Wenyang Tongmai decoction(温阳通脉方)in adjuvant treatment of patients with fearful postural vertigo.Methods:From May 2017 to July 2018,76 cases were randomly divided into the control group(38 cases)and the test group(38 cases).The control group was given conventional antidepressant treatment,and the test group was treated with the Wenyang Tongmai decoction more.Results:After treatment,the efficiency in the test group was significantly better than the control group(P<0.05),and the DHI,MOCA,HAMA and HAMD scores in the test group were lower than those in the control group(P<0.05).The PT and APTT in the test group were longer than those in the control group;FIB and D-D levels were lower than those in the control group(P<0.05);in the text group,the end-diastolic blood flow velocity and the end-systolic blood flow velocity in the intracranial segment of the left and right vertebral arteries were better than those in the control group(P<0.05).Conclusion:The auxiliary treatment of the Wenyang Tongmai decoction for patients with phobic postural vertigo can significantly ameliorate their anxiety,and depression,improve cognitive function,and the clinical effect is good.

关 键 词：温阳通脉方 眩晕 焦虑 抑郁 

分 类 号：R255.4[医药卫生—中医内科学]