半夏白术天麻汤加减联合前庭康复训练治疗慢性主观性头晕临床研究  

Clinical Study on Modified Banxia Baizhu Tianma Decoction Combined with VestibularRehabilitation Training for Chronic Subjective Dizziness

作　　者：郑素玉 李艺敏 颜光华 涂燕芬 李雪琴 ZHENG Suyu;LI Yimin;YAN Guanghua;TU Yanfen;LI Xueqin(Zhangzhou Traditional Chinese Medical Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Zhangzhou Fujian 363000,China)

机构地区：[1]福建中医药大学附属漳州中医院,福建漳州363000

出　　处：《新中医》2024年第16期6-10,共5页New Chinese Medicine

基　　金：福建省卫生健康青年科研课题(2020QNB040)。

摘　　要：目的:观察半夏白术天麻汤加减联合前庭康复训练治疗慢性主观性头晕(CSD)痰湿中阻证的临床疗效。方法:选取60例CSD痰湿中阻证患者,按随机数字表法分为对照组和观察组各30例。对照组给予前庭康复训练治疗,观察组在对照组基础上给予半夏白术天麻汤加减治疗,2组均治疗4周。比较2组临床疗效、中医证候积分、眩晕残障程度评定量表(DHI)评分、汉密尔顿焦虑量表(HAMA)评分、匹兹堡睡眠质量指数(PSQI)评分及不良反应发生率。结果:治疗后,观察组总有效率93.33%,高于对照组73.33%,差异有统计学意义(P<0.05)。2组中医证候积分均较治疗前降低,观察组中医证候积分低于对照组,差异均有统计学意义(P<0.05)。2组DHI、HAMA、PSQI评分均较治疗前降低,观察组上述3项评分均低于对照组,差异均有统计学意义(P<0.05)。治疗期间,不良反应发生率观察组3.33%,与对照组6.67%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前庭康复训练治疗CSD痰湿中阻证疗效显著,可有效缓解患者的眩晕程度及焦虑状态,提高其睡眠质量,安全性高。Objective:To observe the clinical effect of modified Banxia Baizhu Tianma Decoction combined with vestibular rehabilitation training for chronic subjective dizziness(CSD)with phlegm-damp obstruction syndrome.Methods:A total of 60 cases of CSD patients with phlegm-damp obstruction syndrome were selected and divided into the control group and the observation group according to the random number table method,with 30 cases in each group.The control group was given vestibular rehabilitation training,and the observation group was additionally treated with modified Banxia Baizhu Tianma Decoction based on the treatment of the control group.Both groups were treated for four weeks.The clinical effects,traditional Chinese medicine(TCM)syndrome scores,Dizziness Handicap Inventory(DHI)scores,Hamilton Anxiety Scale(HAMA)scores,Pittsburgh Sleep Quality Index Scale(PSQI)scores and the incidence of adverse reactions were compared between the two groups.Results:After treatment,the total effective rate was 93.33%in the observation group,higher than that of 73.33%in the control group,the difference being significant(P<0.05).The TCM syndrome scores in the two groups were decreased when compared with those before treatment,and the TCM syndrome score in the observation group was lower than that in the control group,differences being significant(P<0.05).The scores of DHI,HAMA and PSQI in the two groups were decreased when compared with those before treatment,and the above three scores in the observation group were lower than those in the control group,differences being significant(P<0.05).During the treatment period,the incidence of adverse reactions was 3.33%in the observation group,and when compared with that of 6.67%in the control group,there was no significant difference(P>0.05).Conclusion:Modified Banxia Baizhu Tianma Decoction combined with vestibular rehabilitation training has a significant curative effect on CSD with phlegm-damp obstruction syndrome,which can effectively relieve the vertigo degree and anxiety of patients and im

关 键 词：慢性主观性头晕 痰湿中阻证 半夏白术天麻汤 前庭康复训练 焦虑 睡眠质量 

分 类 号：R255.3[医药卫生—中医内科学]