半夏白术天麻汤加减联合针刺治疗颈性眩晕临床观察  

作　　者：陈涛[1] 代景娜[1] 郭六玲 张士金[1] 

机构地区：[1]河南省郑州人民医院健康医学中心,河南郑州450003 [2]河南省郑州市惠济区人民医院中医科,河南郑州450003

出　　处：《实用中医药杂志》2023年第2期229-231,共3页Journal of Practical Traditional Chinese Medicine

基　　金：河南省中医药青苗人才培养项目资助[豫卫中医(2021)-16]。

摘　　要：目的:观察半夏白术天麻汤加减联合针刺治疗颈性眩晕的效果。方法:62例依据随机数字表法分为观察组及对照组,两组均用针刺治疗,观察组加用半夏白术天麻汤治疗。结果:总有效率观察组高于对照组(P<0.05)。观察组D二聚体及EF-1水平低于治疗前及对照组(P<0.05)。两组CGRP水平均高于治疗前,且观察组高于对照组(P<0.05)。治疗后两组ACA及MCA的Vm与Vs均高于治疗前,且观察组脑血流灌注各项指标均高于对照组(P<0.05)。两组不良反应发生率比较差异无统计学意义(P>0.05)。结论:半夏白术天麻汤加减联合针刺治疗颈性眩晕可提高临床疗效,且不增加不良反应。Objective:To observe the effect of Banxia Baizhu Tianma Decoction combined with acupuncture in the treatment of cervical vertigo. Methods: Sixty-two cases were divided into the observation group and the control group according to the random number table method. Both groups were treated with acupuncture, and the observation group were treated with Banxia Baizhu Tianma Decoction. Results: The total effective rate of the observation group was higher than that of the control group(P<0.05). The levels of D-dimer and EF-1 in the observation group were lower than those before treatment and those of the control group(P<0.05). The CGRP levels of the two groups were higher than those before treatment, and the observation group was higher than the control group(P<0.05). After treatment, the Vm and Vs of ACA and MCA in the two groups were higher than those before treatment, and the indexes of cerebral blood perfusion in the observation group were higher than those in the control group(P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups(P<0.05). Conclusion: Banxia Baizhu Tianma Decoction combined with acupuncture in the treatment of cervical vertigo could improve the clinical efficacy without increasing adverse reactions.

关 键 词：颈性眩晕 半夏白术天麻汤 针刺 

分 类 号：R255.312[医药卫生—中医内科学]