半夏化痰定眩胶囊联合针灸对后循环缺血性眩晕风痰上扰证患者眩晕程度的影响  

Effect of Banxia Huatan Dingxuan capsule combined with acupuncture on vertigo severity of postcirculation ischemic vertigo patients with wind phlegm upward invading syndrome

作　　者：刘仁静 LIU Ren-jing(Department 1 of Brain,Penglai Hospital of Traditional Chinese Medicine,Yantai 265600,China)

机构地区：[1]烟台市蓬莱中医医院脑一科,265600

出　　处：《中国现代药物应用》2025年第7期131-134,共4页Chinese Journal of Modern Drug Application

摘　　要：目的研究半夏化痰定眩胶囊联合针灸对后循环缺血性眩晕(PCIV)风痰上扰证患者眩晕程度的影响。方法选取82例PCIV风痰上扰证患者,按随机数字表法分成对照组和研究组,每组41例。对照组采用常规西医治疗,研究组采用中医半夏化痰定眩胶囊联合针灸治疗。比较两组临床疗效、眩晕障碍指标、中医证候积分、基底动脉血流指标。结果研究组治疗总有效率95.12%高于对照组的80.49%(P<0.05)。治疗后,研究组躯体评分(7.19±2.04)分、情绪评分(9.89±2.73)分、功能评分(11.38±4.36)分均低于对照组的(9.87±2.45)、(13.02±3.38)、(15.48±4.93)分(P<0.05)。治疗后,研究组中医证候主症积分(2.01±0.15)、次症积分(5.29±1.14)分均低于对照组的(3.49±0.85)、(8.95±1.73)分(P<0.05)。治疗后,研究组基底动脉血流速度(58.94±5.84)cm/s、右椎动脉血流速度(48.59±5.48)cm/s及左椎动脉血流速度(49.69±5.13)cm/s均高于对照组的(54.17±5.02)、(45.24±4.37)、(45.46±5.04)cm/s(P<0.05)。结论PCIV风痰上扰证患者采用半夏化痰定眩胶囊与针灸治疗,可以有效改善患者椎基底动脉血流变化以及眩晕程度,临床效果显著,值得推荐应用。Objective To study the effect of Banxia Huatan Dingxuan capsule combined with acupuncture on vertigo severity of postcirculation ischemic vertigo(PCIV)patients with wind phlegm upward invading syndrome.Methods A total of 82 PCIV patients with wind phlegm upward invading syndrome were divided into control group and study group according to random numerical table,with 41 cases in each group.The control group was treated with conventional Western medicine,and the study group was treated with Banxia Huatan Dingxuan capsule combined with acupuncture.The clinical efficacy,vertigo disorder index,traditional Chinese medicine syndrome score and basilar artery blood flow index were compared between the two groups.Results The tota,effective rate of 95.12%in the study group was higher than 80.49%in the control group(P<0.05).After treatment,the somatic score was(7.19±2.04)points,the emotional score was(9.89±2.73)points,and the functional score was(11.38±4.36)points,which were lower than(9.87±2.45),(13.02±3.38)and(15.48±4.93)points in the control group(P<0.05).After treatment,the main syndrome score and minor syndrome score were(2.01±0.15)and(5.29±1.14)points in the study group,which were lower than(3.49±0.85)and(8.95±1.73)points in the control group(P<0.05).After treatment,the blood flow velocities of basilar artery,right vertebral artery and left vertebral artery were(58.94±5.84),(48.59±5.48)and(49.69±5.13)cm/s in the study group,which were higher than(54.17±5.02),(45.24±4.37)and(45.46±5.04)cm/s in the control group(P<0.05).Conclusion The combination of Banxia Huatan Dingxuan capsule and acupuncture in the treatment of PCIV patients with wind phlegm upward invading syndrome can effectively improve the blood flow of vertebrobasilar artery and vertigo severity of patients,and the clinical effect is significant,which is worthy of recommendation.

关 键 词：半夏化痰定眩胶囊 针灸 后循环缺血性眩晕 风痰上扰证 眩晕程度 

分 类 号：R255.3[医药卫生—中医内科学]