益气升阳法治疗气虚型眩晕45例临床观察

目的 :观察益气升阳法治疗气虚型眩晕的临床疗效。方法 :将90例辨证为气虚型眩晕的患者随机分为治疗组和对照组,每组各45例。治疗组以益气升阳法为则,采用益气聪明汤及补中益气汤加减治疗;对照组予以静脉滴注银杏叶提取物注射液治疗。两组均以7 d为1疗程,连续治疗2疗程。比较两组的临床疗效、中医证候积分及病情改善、复发情况。结果:治疗后两组在临床疗效、中医证候积分方面差异无统计学意义(P>0.05);在椎-基底动脉血流速、血黏度测定方面较治疗前均有改善(P<0.05);在复发率方面,治疗组表现优于对照组(P<0.05)。结论:益气升阳法治疗气虚型眩晕临床疗效确切,在改善实验室检查指标、防止复发方面效果明显。

Clinical Observation on Boosting Qi and Raising Yang Method in Treating 45 Patients with Qi Deficiency Type of Vertigo

Objective:To observe the clinical effects of boosting qi and raising yang method in treating qi deficiency type of vertigo.Methods:Total 90 patients with qi deficiency type of vertigo were randomly divided into the treatment group and control group,45 patients in each group,with no significant difference in gender,age,basic diseases,disease course and distributions.The treatment group was treated with boosting qi and raising yang method by using Yiqi Congming decoction and Buzhong Yiqi decoction.The control group was given intravenous drip treatment of Extract of Ginkgo Biloba Leaves Injection.The two groups were treated 7 days as a course of treatment,for two courses.The changes of clinical efficacy,TCM syndrome scores,improvement and recurrence were compared between the two groups.Results:After the treatment,the clinical effects and TCM syndrome scores in the two groups had no significant differences(P> 0.05).Vertebral basilar artery blood flow velocity and blood viscosity were improved after treatment(P< 0.05).The recurrence rate in the treatment group was better than that in the control group(P< 0.05).Conclusion:The clinical effects of boosting qi and raising yang method in treating qi deficiency type of vertigo were obvious,which can improve the examination index and prevent recurrence.