| 引用本文:毛燕，李立华，张福磊，释涤凡，赵晓丹.芍药木瓜汤配合针刺治疗后循环缺血性单发性眩晕的临床观察[J].世界中医药,2021,(13):. |
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| 芍药木瓜汤配合针刺治疗后循环缺血性单发性眩晕的临床观察 |
| Clinical Effects of the Evaluation of Shaoyao Mugua Decoction Combined with Acupuncture for Treatment of Posterior Circulation Ischemic Vertigo |
| 投稿时间：2019-12-02 |
| DOI：10.3969/j.issn.1673-7202.2021.13.016 |
| 中文关键词: 芍药木瓜汤 针灸疗法 后循环缺血性单发性眩晕 疗效 中医证候积分 眩晕障碍量表评分 无创多普勒超声 临床症状 |
| English Keywords:Shaoyao Mugua Decoction Acupuncture and moxibustion therapy Posterior circulatory ischemic vertigo Curative effects Traditional Chinese medicine syndrome score DHI score TCD Clinical symptoms |
| 基金项目:第六批全国老中医药专家学术经验继承项目（国中医药人教发[2017]15号） |
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| 中文摘要: |
| 目的：观察芍药木瓜汤配合针刺治疗后循环缺血性单发性眩晕（PCIV）的临床疗效。方法：选取2018年3月至2019年6月在北京中医医院顺义医院就诊的PCIV患者98例作为研究对象，按照随机数字表法分为对照组与观察组，每组49例。对照组采用甲磺酸倍他司汀治疗；观察组在对照组基础上加用芍药木瓜汤配合针刺治疗。比较2组治疗前后中医证候积分、眩晕障碍量表（DHI）、无创多普勒超声（TCD）指标和纤维蛋白原（FIB）的变化，并评价2组临床疗效。结果：2组患者治疗前中医证候评分、DHI评分、TCD指标、FIB比较，差异无统计学意义(P>0.05)；治疗后，2组中医证候评分、DHI评分、TCD指标和FIB均较治疗前显著下降（P<0.05)；观察组中医症状有效率为89.36%（42/47），明显高于对照组67.67%（33/48），2组比较差异有统计学意义（P<0.05）。结论：运用芍药木瓜汤配合针刺治疗PCIV，能够提高临床总疗效，缓解临床症状，降低患者的痛苦，加快患者康复，具有明显优势，值得推广应用。 |
| English Summary: |
| To observe the clinical effects of Shaoyao Mugua Decoction in treatment of posterior circulation ischemia vertigo(PCIV).Methods:A total of 98 patients with PCIV admitted to Shunyi Hospital of Beijing Hospital of Traditional Chinese Medicine from March 2018 to June 2019 were selected as the research objects and were randomly divided into a control group and an observation group in accordance with the random number table，with 49 cases in each group.The control group was given betahistine mesylate，and the observation group was given Shaoyao Mugua Decoction combined with acupuncture on the basis of the control group.The changes of traditional Chinese medicine syndrome score，DHI scale，TCD index and FIB before and after treatment were compared between the 2 groups，and the clinical efficacy of the 2 groups was evaluated.Results:There was no significant difference in TCM syndrome score，DHI score，TCD index and FIB between the 2 groups，compared with those before treatment(P>0.05).After treatment，the TCM syndrome score，DHI score，TCD index and FIB of the 2 groups were significantly lower than before treatment(P<0.05).The total effective rate in the observation group was 89.36%(42/47)，significantly higher than that in the control group(67.67%，33/48)，with statistically significant difference(P<0.05).Conclusion:Shaoyao Mugua Decoction combined with acupuncture for the treatment of PCIV patients can significantly increase clinical efficacy，relieve clinical symptoms，reduce the pain，promote patients' recovery，which has obvious advantages and is worthy of application. |
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