CAJ | 학술논문

目的：观察半夏白术天麻汤加减治疗风痰上扰型眩晕的临床疗效。方法：312例眩晕患者分为两组。对照组予以盐酸培他啶、尼莫地平片和西比灵常规治疗，观察组在常规治疗基础上服用半夏白术天麻汤加减。比较临床疗效，治疗前、后椎-基底动脉平均血流速度和血液流变学以及不良反应。结果：观察组总有效率明显优于对照组（P<0.05），两侧椎动脉及基底动脉的平均血流速度和全血黏度、血浆黏度、纤维蛋白原较对照组改善明显（P<0.05），复发率和不良反应少。结论：半夏白术天麻汤加减治疗风痰上扰型眩晕疗效确切，不良反应少，不易复发。
목적：관찰반하백술천마탕가감치료풍담상우형현훈적림상료효。방법：312례현훈환자분위량조。대조조여이염산배타정、니막지평편화서비령상규치료，관찰조재상규치료기출상복용반하백술천마탕가감。비교림상료효，치료전、후추-기저동맥평균혈류속도화혈액류변학이급불량반응。결과：관찰조총유효솔명현우우대조조（P<0.05），량측추동맥급기저동맥적평균혈류속도화전혈점도、혈장점도、섬유단백원교대조조개선명현（P<0.05），복발솔화불량반응소。결론：반하백술천마탕가감치료풍담상우형현훈료효학절，불량반응소，불역복발。
Objective:To observe the clinical effect of the Banxia Baizhu Tianma decoction on treating vertebrobasilar insufficiency vertigo. Methods:312 cases were divided into two groups, the control group was given betahistine hydrochloride, nimodipine tablets and sibelium treatment, the observation group was treated with the Banxia Baizhu Tianma decoction based on the conventional treatment. Compared the clinical efficacy, before and after treatment of vertebral-basilar artery mean flow velocity and blood rheology, and adverse reactions. Results: The total efficiency of the observation group was better than that of the control group (P<0.05), both sides of the vertebral artery and basilar artery mean flow velocity and whole blood viscosity, plasma viscosity, fibrinogen was significantly improved compared with the control group (P<0.05), less recurrence and adverse reactions. Conclusion: The Banxia Baizhu Tianma decoction is effective on treating vertebrobasilar insufficiency vertigo, less adverse reaction and less recurrence.