目的观察小柴胡汤加味结合针刺治疗围绝经期肝气郁结型颈性眩晕的临床疗效。方法将180例符合颈性眩晕患者按就诊顺序使用半随机方法分为3组每组各60例，治疗1组予小柴胡汤治疗；治疗2组予小柴胡汤加味和常规针刺治疗；治疗3组单纯给予常规针刺；治疗20d后进行临床疗效评定。结果治疗1组有效率为85.00%，治疗2组有效率为91.67%，治疗3组有效率为58.33%，3组临床疗效组内有效率比较，治疗1组和治疗3组，两组疗效差异有显著性意义P<0.01；治疗2组和治疗3组，两组疗效差异有显著性意义P<0.01；治疗1组和治疗2组，两组疗效有统计学意义P<0.05。结论小柴胡汤加味结合针刺治疗围绝经期肝气郁结型颈性眩晕的临床疗效优于单纯服用小柴胡汤或单纯针刺。%Objective To observe the clinical effect of Minor Decoction of Bupleurum (Xiaochaihu Tang)Combined with acupuncture for treatment of perimenopausal women syndrome of stagnation of Liver-qi type of cervical vertigo. Methods 180 patients were randomly divided into 3 groups with 60 cases in each group,the treatment group 1 for Minor Bupleurum Decoction treatment;treatment group 2 received Minor Bupleurum Decoction and routine acupuncture therapy;the control group was treated with conventional acupuncture;observe for a period of 20 days,then the clinical curative effect evaluation. Results Comparison of the clinical efficacy of the three groups,the treatment group and 1 in the control group,there was significant difference between the two groups of curative effect of P<0.01;the 2 group and the control group,there was significant difference between the two groups of curative effect of treatment of P<0.01;the 1 group and the treatment group 2,a difference of P<0.05 two groups of curative effect. Conclusion Minor Decoction of Bupleurum Combined with acupuncture for treatment of perimenopausal women syndrome of stagnation of Liver-qi type cervical vertigo has obvious curative effect in clinic.
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