小柴胡汤加减治疗气机失调型眩晕的效果及安全性研究  

Effect and Safety of Xiaochaihu Decoction Modified in Treatment of Vertigo of Disorder of Qi Activity Type

作　　者：赵蕊[1] 宋海燕[1] ZHAO Rui;SONG Haiyan(Tai’an Hospital of Traditional Chinese Medicine,Tai’an 271000,China;不详)

机构地区：[1]泰安市中医医院,山东泰安271000

出　　处：《中外医学研究》2023年第19期168-171,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探析小柴胡汤加减治疗气机失调型眩晕的效果及安全性。方法:选择2021年1月—2022年10月在泰安市中医医院接受治疗的90例气机失调型眩晕患者为研究对象,经红蓝球法分为对照组和研究组,各45例。对照组采用静脉滴注倍他司汀治疗,研究组在对照组的基础上予以小柴胡汤加减治疗,两组均连续治疗14 d。比较两组治疗有效率、中医症候积分、眩晕症状评分、血脂指标水平及不良反应发生率。结果:治疗后,研究组头晕目眩、乏力自汗、少气懒言的中医症候积分均低于对照组,差异有统计学意义(P<0.05)。治疗后,研究组眩晕症状评分低于对照组,差异有统计学意义(P<0.05)。治疗后,研究组总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)水平均低于对照组,差异有统计学意义(P<0.05)。研究组治疗总有效率为93.33%,高于对照组的77.78%,差异有统计学意义(P<0.05)。研究组不良反应发生率为8.89%,低于对照组的24.44%,差异有统计学意义(P<0.05)。结论:针对气机失调型眩晕患者,采用小柴胡汤加减治疗具有良好的效果,不仅在改善患者眩晕症状和血脂指标方面具有积极意义,还能减少不良反应,用药安全性较高。Objective:To explore the effect and safety of Xiaochaihu Decoction modified in treating vertigo of disorder of Qi activity type.Method:A total of 90 cases of vertigo patients with disorder of Qi activity type who received treatment in Tai’an Hospital of Traditional Chinese Medicine from January 2021 to October 2022 were selected as subjects and divided into control group and study group by red and blue ball method,with 45 cases in each group.The control group was treated with Betahistine intravenously,and the study group was treated with Xiaochaihu Decoction modified on the basis of the control group,both groups were treated continuously for 14 d.The treatment effective rate,traditional Chinese medicine syndrome score,vertigo symptom score,lipid index level and adverse reaction rate of the two groups were compared.Result:After treatment,the scores of traditional Chinese medicine symptoms of dizziness,fatigue and self-sweating,lack of Qi and lazy talk in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the score of dizziness symptoms in the study group was lower than that in the control group,with a statistically significant difference(P<0.05).After treatment,the levels of total cholesterol(TC),triglycerides(TG),and low-density lipoprotein cholesterol(LDL-C)in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the study group was 93.33%,which was higher than 77.78%in the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the study group was 8.89%,which was lower than 24.44%in the control group,the difference was statistically significant(P<0.05).Conclusion:For vertigo patients with disorder of Qi activity type,Xiaochaihu Decoction modified has a good effect.It is not only of positive significance in improving vertigo symptoms and blood lipid indicators,but also can reduce a

关 键 词：小柴胡汤加减 倍他司汀 气机失调型 眩晕 中医症候 血脂指标 

分 类 号：R255.3[医药卫生—中医内科学]