针灸配合半夏白术天麻汤治疗风痰上扰型眩晕临床观察

目的:研究针灸疗法联合中药汤剂半夏白术天麻汤治疗风痰上扰型眩晕的临床疗效。方法:选取2012年1月至2016年12月南京医科大学附属脑科医院收治的风痰上扰型眩晕患者80例,随机分为对照组和观察组,每组40例,对照组给予常规西医治疗,观察组在对照组基础上增加针灸联合半夏白术天麻汤治疗,2组均连续治疗15 d。比较观察2组患者的经颅多普勒超声(TCD)各指标参数值、中医证候积分、临床疗效。结果:治疗15 d后,观察组患者的TCD各项指标参数值均优于对照组(P 0. 05),观察组患者的中医证候积分(10. 35±0. 98)低于对照组(20. 52±1. 75)(P 0. 05)。观察组患者的临床疗效95. 00%(38/40)优于对照组的67. 50%(27/40)(P 0. 05)。结论:针灸联合半夏白术天麻汤治疗眩晕效果显著,能有效改善患者血流动力学,减轻患者症状。

Clinical Observation on Acupuncture Combined with Banxia Baizhu Tianma Decoction in Treatment of Vertigo Due to Wind Phlegm

To investigate the clinical efficacy of acupuncture combined with Chinese medicine decoction Banxia Baizhu Tianma Decoction in the treatment of vertigo due to wind phlegm.Methods:A total of 80 cases of vertigo patients due to wind phlegm from January 2012 to December 2016 in Brain Hospital Affiliated to Nanjing Medical University were selected and divided into control group (n=40) and observation group (n=40).Both groups were treated with routine western medicine treatment and observation group received acupuncture treatment combined with Banxia Baizhu Tianma Decoction on the basis of routine treatment.After 15 days of treatment,the parameters of TCD (TCD),Traditional Chinese Medicine (TCM) syndrome score and clinical efficacy were observed and compared between the two groups.Results:The TCD indexes of patients in the treatment group after 15 days of treatment were better than those of control group (P<0.05).TCM syndrome score of patients in the observation group (10.35±0.98) was lower than that of control group (20.52±1.75) (P<0.05).The clinical efficacy of the observation group was 95% (38/40),which was better than that of the control group 67.50% (27/40) (P<0.05).Conclusion:Acupuncture therapy combined with Banxia Baizhu Tianma Decoction can effectively improve the hemodynamic changes in patients with vertigo,alleviate the symptoms of patients,and have good clinical efficacy for vertigo patients.