中西医结合治疗椎—基底动脉供血不足性眩晕临床观察

目的观察定眩活血汤联合天麻素注射液治疗椎—基底动脉供血不足性眩晕临床疗效。方法将116例患者随机分为两组,治疗组60例予以定眩活血汤联合天麻素注射液治疗,对照组56例单用天麻素注射液治疗。结果治疗组总有效率为98.3%,明显优于对照组,两组比较,差异有统计学意义(P0.05)。与治疗前比较,两组在增加脑血流速度、降低血黏度等指标方面均有效(P0.05或P0.01),但治疗组对上述各指标的改善明显优于对照组,两组比较,差异有统计学意义(P0.05或P0.01)。结论定眩活血汤联合天麻素注射液治疗椎—基底动脉供血不足性眩晕,能明显提高治疗眩晕症状的疗效,降低全血黏度及纤维蛋白原,增加脑血流量、改善脑循环,疗效确切。

Clinical Observation of Vertigo due to Vertebrobasilar Insufficiency Treated with Integrated Chinese and Western Medicine

Objective To observe the clinical efficacy on vertigo due to vertebrobasilar insufficiency（VBI）treated with dingxuan huoxue decoction and gastrodin injection.Methods116 cases were randomized into two groups.60 cases in treatment group were treated with dingxuan huoxue decoction and gastrodin injection.56 cases in control group were treated simply with gastrodin injection.ResultsThe total effective rate in treatment group was 98.3% that was superior remarkably to control group,indicating statistical significant difference（P0.05）.As compared with the results before treatment,either of the groups presented the effects on increasing brain blood flow and reducing blood viscosity（P0.05 or P0.01）,but the improvements in the above indexes in treatment group were superior remarkably to control group,indicating statistical significant difference in comparison（P0.05 or P0.01）.ConclusionThe integrated therapy of dingxuan huoxue decoction and gastrodin injection can remarkably improve the efficacy on vertigo,reduce whole blood viscosity and fibrinogen,increase brain blood flow and improve brain circulation and have definite efficacy on VBI-induced vertigo.