CAJ | 학술논문

目的：观察温阳化痰法治疗痰湿中阻型椎-基底动脉供血不足（VBI）性眩晕患者的临床效果。方法：选取我院自2012年1月至2013年6月收治的90例VBI性眩晕患者为研究对象，按照随机、自愿的原则分为对照组和观察组，每组各45例。对照组给予盐酸氟桂利嗪治疗，观察组采用中医温阳化痰法治疗，疗程14天。比较治疗结束后的临床效果和血流动力学指标。结果：观察组总有效率明显明显高于对照组，差异有统计学意义（95.6%vs 80.0%，P<0.05）；治疗后两组收缩期基底动脉（BA）和椎动脉（VA）血流速度均明显升高，其观察组升高更为明显，差异均有统计学意义（均P<0.05）。结论温阳化痰法治疗VBI性眩晕患者的临床效果显著，值得推广应用。
목적：관찰온양화담법치료담습중조형추-기저동맥공혈불족（VBI）성현훈환자적림상효과。방법：선취아원자2012년1월지2013년6월수치적90례VBI성현훈환자위연구대상，안조수궤、자원적원칙분위대조조화관찰조，매조각45례。대조조급여염산불계리진치료，관찰조채용중의온양화담법치료，료정14천。비교치료결속후적림상효과화혈류동역학지표。결과：관찰조총유효솔명현명현고우대조조，차이유통계학의의（95.6%vs 80.0%，P<0.05）；치료후량조수축기기저동맥（BA）화추동맥（VA）혈류속도균명현승고，기관찰조승고경위명현，차이균유통계학의의（균P<0.05）。결론온양화담법치료VBI성현훈환자적림상효과현저，치득추엄응용。
Objective To observe the clinical effect of warm expectorant treatment for patients with phlegm wet and VBI vertigo.Methods 90 patients with phlegm wet and VBI vertigo admitted at our hospital from January 2012 and June 2013 were randomly and voluntarily divided into control group(n=45) and observation group(n=45).The control group were given flunarizine hydrochloride treatment while the observation group were treated by TCM explored eliminating phlegm method,the period of treatment was 14 days.The clinical effect and hemodynamic indexes were compared after the treatment.Results The total effective rate of the observation group was significantly higher than that of the control group,differences were statistically significant(95.6%vs 80.0%,P<0.05).The systolic basilar artery (BA) and vertebral artery (VA) blood flow velocity were significantly increased after the treatment,and the observation group showed more,differences were statistically significant(all P<0.05).Conclusion The clinical effect of warm expectorant treatment for patients with phlegm wet and VBI vertigo is remarkable and worth popularization and application.