半夏白术天麻汤加减联合倍他司汀治疗痰浊中阻型老年眩晕患者的效果  

Effects of Banxia Baizhu Tianma decoction combined with Betahistine in treatment of elderly patients with Vertigo of phlegm turbid obstruction type

作　　者：尹先根 YIN Xiangen(Traditional Chinese Medicine Department of Nanyang Yuxi Jianhe Hospital,Nanyang 473000 Henan,China)

机构地区：[1]南阳豫西健和医院中医科,河南南阳473000

出　　处：《中国民康医学》2025年第5期93-95,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察半夏白术天麻汤加减联合倍他司汀治疗痰浊中阻型老年眩晕患者的效果。方法:选取2022年6月至2023年12月该院收治的80例痰浊中阻型老年眩晕患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各40例。对照组给予倍他司汀治疗,观察组在对照组基础上联合半夏白术天麻汤加减治疗。比较两组临床疗效,治疗前后中医证候积分、血液流变学指标[血浆黏度(PV)、全血高切黏度(HBV)、全血低切黏度(LBV)]水平、眩晕程度[眩晕障碍量表(DHI)]评分,以及不良反应发生率。结果:观察组治疗总有效率为95.00%(38/40),高于对照组的80.00%(32/40),差异有统计学意义(P<0.05);治疗后,两组眩晕、头重如裹、视物旋转等中医证候积分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组PV、HBV及LBV水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组DHI评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组均未发生明显不良反应。结论:半夏白术天麻汤加减联合倍他司汀治疗痰浊中阻型老年眩晕患者可提高临床疗效,降低中医证候积分和血液黏度,减轻眩晕症状,效果优于单纯倍他司汀治疗。Objective:To observe effects of Banxia Baizhu Tianma decoction combined with Betahistine in treatment of elderly patients with Vertigo of phlegm turbid obstruction type.Methods:A prospective study was conducted on 80 elderly patients with vertigo of phlegm turbid obstruction type admitted to the hospital from June 2022 to December 2023.According to the random number table method,they were divided into control group and observation group,40 cases in each group.The control group was treated with Betahistine,while the observation group was treated with modified Banxia Baizhu Tianma decoction on the basis of that of the control group.The clinical efficacy,the TCM syndrome score,the levels of hemorheology indexes [plasma viscosity(PV),whole blood high shear viscosity(HBV),whole blood low shear viscosity(LBV)],the vertigo degree [dizziness handicap inventory(DHI)] score before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 95.00%(38/40),which was higher than 80.00%(32/40) of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as vertigo,head heavy as if swathed,and visual rotation in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of PV,HBV and LBV in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The DHI scores of the two groups were lower than those before the treatment,that in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).No obvious adverse reactions occurred in the two groups.Conclusions:Modified Banxia Baizhu Tianma decoction combined with Betahistine can improv

关 键 词：眩晕 半夏白术天麻汤加减 倍他司汀 不良反应 痰浊中阻型 

分 类 号：R713.3[医药卫生—妇产科学]