| 王晓霞,贺阿利,刘国强,杨田静,高 丽.苓桂术甘汤联合电针风池供血穴治疗椎基底动脉供血不足性眩晕的临床研究[J].,2021,(3):515-519 |
| 苓桂术甘汤联合电针风池供血穴治疗椎基底动脉供血不足性眩晕的临床研究 |
| Clinical Study on Lingguizhugan Decoction Combined with Electroacupuncture at Fengchi Blood Supply Point for Vertebrobasilar Insufficiency Vertigo |
| 投稿时间：2020-05-10 修订日期：2020-05-31 |
| DOI：10.13241/j.cnki.pmb.2021.03.024 |
| 中文关键词: 椎基底动脉供血不足 眩晕 苓桂术甘汤 电针 风池穴 供血穴 疗效 |
| 英文关键词: Vertebrobasilar insufficiency Vertigo Lingguizhugan decoction Electroacupuncture Fengchi point Blood supply point Curative effect |
| 基金项目:陕西省中医药管理局科研项目（2019-ZZ-JC008) |
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| 中文摘要: |
| 摘要 目的：探讨苓桂术甘汤联合电针风池供血穴治疗椎基底动脉供血不足（VBI）性眩晕的临床疗效。方法：选择2017年11月-2019年8月我院收治的VBI性眩晕患者145例为研究对象，采用随机数字表法分成联合组（75例）和对照组（70例）。在基础治疗的前提下，联合组采用苓桂术甘汤联合电针风池供血穴治疗，对照组采用西比灵治疗。比较两组临床疗效、眩晕改善情况、脑动脉血流速度指标、动脉硬化指数（AI）以及血液流变学指标。结果：治疗后联合组总有效率为89.33%，高于对照组的75.71%（P<0.05）；治疗后联合组眩晕症状积分、欧洲眩晕评分量表（EEV）评分和眩晕障碍量表（DHI）评分低于对照组（P<0.05）；联合组治疗后左侧动脉、基底动脉峰值流速（Vp）、左右侧动脉、基底动脉平均血流速度（Vm）均高于对照组，左侧动脉、基底动脉血管搏动指数（PI）、右侧动脉血管阻力指数（RI）、AI、高切全血黏度、中切全血黏度、低切全血黏度、血浆黏度、红细胞压积均低于对照组（P<0.05）。结论：苓桂术甘汤联合电针风池供血穴治疗VBI性眩晕，能够缓解患者的眩晕状况，疗效确切，改善脑动脉血流速度和脑动脉硬化程度，降低血液黏度。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical effect of Lingguizhugan decoction combined with electroacupuncture at Fengchi blood supply point on vertebrobasilar insufficiency (VBI) vertigo. Methods: 145 patients with VBI vertigo who were admitted to our hospital from November 2017 to August 2019 were selected as the study subjects. They were randomly divided into combined group (75 cases) and control group (70 cases). On the premise of basic treatment, the combined group was treated with Lingguizhugan decoction combined with electroacupuncture at Fengchi blood supply point, while the control group was treated with sibelium. The clinical efficacy, improvement of vertigo, cerebral artery blood flow velocity, atheroscle index (AI) and hemorheology were compared between the two groups. Results: After treatment, the total effective rate of the combined group was 89.33%, which was higher than 75.71% of the control group (P<0.05). After treatment, the vertigo symptom scores, european vertigo scale (EEV) scores and dizziness handicap inventory (DHI) scores of the combined group were lower than those of the control group (P<0.05). After treatment, the peak velocity (VP) of left artery and basilar artery, the mean velocity (VM) of left and right artery and basilar artery in the combined group were higher than that in the control group, the pulsatility index (PI) of left artery and basilar artery, resitance index (RI) of right artery, AI, high cut whole blood viscosity, medium cut whole blood viscosity, low cut whole blood viscosity, plasma viscosity, hematocrit were lower than those of control group (P<0.05). Conclusion: Lingguizhugan decoction combined with electroacupuncture at Fengchi blood supply Point is effective in the treatment of VBI vertigo. It can relieve the vertigo of patients, improve the cerebral artery blood flow velocity and the degree of cerebral arteriosclerosis, and reduce blood viscosity. |
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