健脾养胃活血类中药配合西药治疗老年人椎-基底动脉供血不足性眩晕的临床疗效分析

摘要

Objective To study the spleen and nourishing the stomach qi and kind of traditional Chinese medicine with western medicine to treat the elderly vertebral - basilar artery insufficiency vertigo clinical curative effect. Methods This study selected the object of study for April 2014 — April 2015 treated in our hospital during the period of elderly vertebral - basilar artery insufficiency vertigo patients, will be simple 80 patients were randomly divided into 2 groups, 40 cases of elderly vertebral-basilar artery insufficiency vertigo patients as a set. Among them, the two groups are us-ing the sodium ozagrel sodium chloride injection intravenous drip, and a set of implementation of betahistine mesylate tablets treatment (control group), another group of the spleen and nourishing the stomach huoxue soup for combination of Chinese and western medicine treatment (observation group). Comparison of two groups of elderly vertebral -basilar artery insufficiency vertigo patients clinical curative effect and TCD test results. Results to give key data observation (58.34 ±5.42)cm/s group in elderly patients with vertebro basilar artery insufficiency vertigo patients clinical efficacy (92.50%) and results of TCD vertebral artery mean blood flow velocity (55.03±5.28)cm/s in the and basilar artery mean blood flow velocity were superior to the control group of patients with clinical curative effect (55.00%) and results of TCD vertebral artery mean blood flow velocity (48.04±4.65)cm/s and basal artery mean blood flow velocity (49.37±4.32) cm/s(P< 0.05)]. Conclusion For the elderly vertebral - basilar artery insufficiency vertigo patients using the method of combination of Chinese and western medicine treatment, the effect is remarkable.%目的：研究健脾养胃活血类中药配合西药治疗老年人椎-基底动脉供血不足性眩晕的临床疗效。方法此次研究选取的研究对象为2014年4月—2015年4月期间在该院进行治疗的老年椎-基底动脉供血不足性眩晕患者,将80例患者简单随机分为2组,40例老年椎-基底动脉供血不足性眩晕患者为一组。其中,两组均使用奥扎格雷钠氯化钠注射液静脉滴注,且一组患者实施甲磺酸倍他司汀片治疗(对照组),另一组采用健脾养胃活血汤进行中西结合用药治疗(观察组)。对比两组老年椎-基底动脉供血不足性眩晕患者的临床疗效和TCD检测结果。结果观察组老年椎-基底动脉供血不足性眩晕患者的临床疗效(92.50%)和TCD检测结果,椎动脉平均血流速度(55.03±5.28)cm/s和基底动脉平均血流速度(58.34±5.42)cm/s均优于对照组患者的临床疗效(55.00%)和TCD检测结果,椎动脉平均血流速度(48.04±4.65)cm/s和基底动脉平均血流速度(49.37±4.32)cm/s(P<0.05)。结论为老年椎-基底动脉供血不足性眩晕患者使用中西结合用药的方法治疗,其效果显著。