中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2015年
24期
58-60
,共3页
中药%三氧疗法%椎基底动脉供血不足%眩晕
中藥%三氧療法%椎基底動脈供血不足%眩暈
중약%삼양요법%추기저동맥공혈불족%현훈
Chinese herbal%Triple oxygen therapy%Vertebral basilar artery insufficiency%Vertigo
目的：探讨中药联合三氧疗法治疗椎基底动脉供血不足性眩晕的临床疗效；方法：将符合纳入标准的86例患者随机分为治疗组（43例）和对照组（43例），治疗组予自拟中药方联合三氧疗法治疗，对照组予甲磺酸倍他司汀片治疗，治疗10 d后观察两组治疗前后有效率、血黏度指标及椎基底动脉血流速度变化情况。结果：治疗组有效率为81.4%，与对照组相比差异有统计学意义（P＜0.05）；治疗后治疗组左右椎动脉及基底动脉血流速度指标：RVA（36.28±2.01）cm/s，LVA（35.62±1.87）cm/s， BA（44.25±1.29）m/s，与治疗前及对照组治疗后对比差异有统计学意义（P＜0.05）；治疗后治疗组血黏度指标分别为：全血黏度高切（4.21±0.71）mPa·s，全血黏度低切（9.02±0.91）mPa·s，血浆黏度（1.53±0.82）mPa·s，红细胞聚集指数(2.28±0.36)，与治疗前及对照组治疗后对比差异有统计学意义（P＜0.05）。结论：中药联合三氧疗法治疗椎基底动脉供血不足性眩晕疗效明显，可改善患者血黏度及椎基底动脉血流速度。
目的：探討中藥聯閤三氧療法治療椎基底動脈供血不足性眩暈的臨床療效；方法：將符閤納入標準的86例患者隨機分為治療組（43例）和對照組（43例），治療組予自擬中藥方聯閤三氧療法治療，對照組予甲磺痠倍他司汀片治療，治療10 d後觀察兩組治療前後有效率、血黏度指標及椎基底動脈血流速度變化情況。結果：治療組有效率為81.4%，與對照組相比差異有統計學意義（P＜0.05）；治療後治療組左右椎動脈及基底動脈血流速度指標：RVA（36.28±2.01）cm/s，LVA（35.62±1.87）cm/s， BA（44.25±1.29）m/s，與治療前及對照組治療後對比差異有統計學意義（P＜0.05）；治療後治療組血黏度指標分彆為：全血黏度高切（4.21±0.71）mPa·s，全血黏度低切（9.02±0.91）mPa·s，血漿黏度（1.53±0.82）mPa·s，紅細胞聚集指數(2.28±0.36)，與治療前及對照組治療後對比差異有統計學意義（P＜0.05）。結論：中藥聯閤三氧療法治療椎基底動脈供血不足性眩暈療效明顯，可改善患者血黏度及椎基底動脈血流速度。
목적：탐토중약연합삼양요법치료추기저동맥공혈불족성현훈적림상료효；방법：장부합납입표준적86례환자수궤분위치료조（43례）화대조조（43례），치료조여자의중약방연합삼양요법치료，대조조여갑광산배타사정편치료，치료10 d후관찰량조치료전후유효솔、혈점도지표급추기저동맥혈류속도변화정황。결과：치료조유효솔위81.4%，여대조조상비차이유통계학의의（P＜0.05）；치료후치료조좌우추동맥급기저동맥혈류속도지표：RVA（36.28±2.01）cm/s，LVA（35.62±1.87）cm/s， BA（44.25±1.29）m/s，여치료전급대조조치료후대비차이유통계학의의（P＜0.05）；치료후치료조혈점도지표분별위：전혈점도고절（4.21±0.71）mPa·s，전혈점도저절（9.02±0.91）mPa·s，혈장점도（1.53±0.82）mPa·s，홍세포취집지수(2.28±0.36)，여치료전급대조조치료후대비차이유통계학의의（P＜0.05）。결론：중약연합삼양요법치료추기저동맥공혈불족성현훈료효명현，가개선환자혈점도급추기저동맥혈류속도。
Objective: To investigate the clinical curative effect of TCM combined with oxygen therapy in the treatment of vertebral basilar artery insufficiency vertigo.Methods: 86 cases were randomly divided into the treatment group (43 cases) and control group (43 cases), the treatment group treated with the prescription combined with oxygen therapy, while the control group was treated with imatinib mesylate times betahistine tablets, the treatment of 10d after observation before and after treatment, index of blood viscosity and vertebral basilar artery blood flow velocity changes of the two groups were observed. Results: The effective rate of the treatment group was 81.4%, compared with the control group the difference was statistically significant (P < 0.05); after treatment, left vertebral artery and basilar artery blood flow velocity index: RVA (36.28±2.01) cm/s, LVA (35.62±1.87) cm/s, BA (44.25±1.29) m/s, there was statistical significance and the differences between before treatment and control group (P < 0.05); after treatment, the blood viscosity index respectively: whole blood viscosity at high shear rate (4.21±0.71) mPa-s, low shear whole blood viscosity (9.02±0.91) mPa, s, plasma viscosity (1.53±0.82) - mPa s, red blood cell aggregation index (2.28±0.36), and there was significant difference between before treatment and control group (P<0.05). Conclusion: Traditional Chinese medicine combined with triple oxygen therapy has significant effect on vertebral basilar artery insufficiency vertigo, which can improve the blood viscosity and vertebral basilar artery blood flow velocity.
