摘要:
目的:观察眩晕灵治疗气虚血瘀型后循环缺血性眩晕的临床疗效。方法:将入选的90例病例随机分为对照组、治疗组和西药组,每组均30例,对照组口服阿司匹林肠溶片,100 m g/d ,并予灯盏细辛注射液静滴,治疗组在对照组基础上服用眩晕灵(黄芪、当归、川芎、赤芍、天麻、白术、半夏、川牛膝等),西药组对照组基础上服用盐酸氟桂利嗪胶囊,每次1粒,1 d1次。结果:治疗前3组之间西医体征量表积分、中医症状分级量化积分、Barthel Index积分、眼震电图积分之间比较均无差异。治疗后,对照组西医体征量表积分、中医症状分级量化积分、Barthel Index积分、眼震电图积分均值较治疗前好转,但无差异(P>0.05)。治疗组、西药组治疗后西医体征量表积分、中医症状分级量化积分、Barthel Index积分、眼震电图积分均值较治疗前好转,有差异(P<0.05)。治疗组、西药组治疗后上述各指标较对照组治疗后有差异(P<0.05),治疗组、西药组治疗后各指标之间无差异(P>0.05)。结论:本方法治疗本病安全、有效。%Objective:To evaluate Xuanyunling in the treatment of Qi deficiency and blood stasis of the effectiveness and safety of posterior circulation ischemia vertigo .Methods:According to the (random) sequence random grouping principle the diagnostic criteria ,included 90 patients with Qi deficiency and iblood stasis type ,excluded stand‐ard ,excluded standard ,Chinese Constitution selected posterior circulationischemic vertigo patients ,randomly divided into control group of 30 cases ,30 cases in the treatment group ,the western medicine group of 30 cases .All selected patients taking preventive dose Aspirin Enteric‐coated tablets 100mg/d ,and salvia injection intravenous drip ,on the basis of the treatment group taking vertigo Ling ,5 capsules each time ,3 times a day ;the control group treated with Flunarizine Hydrochloride capsules ,5 capsules each time ,3 times a day .The symptoms of 3 groups of patients ,symptom integral , integral medicine ,blood routine ,liver and kidney function of Eng ,blood coagulation monitoring ,to evaluate the efficacy and safety of vertigo Ling in the treatment of posterior circulation ischemia vertigo .Results:Through the 90 cases of pos‐terior circulation in patients with ischemic vertigo symptom integral of traditional Chinese medicine ,western medicine taking monitoring signs integral ,Eng ,Basel index ,blood routine ,liver and kidney function ,blood coagulation before and after drug ,vertigo Ling group compared with the control group ,taking vertigo Ling and Flunarizine Hydrochloride Cap‐sules and Flunarizine Hydrochloride Capsules group and blank control group with western medicine ,TCM symptom sign integral ,Eng ,Basel index was significant (P 0 .05) , three patients with blood ,liver and kidney function ,blood coagulation index was not significantly different than before . Conclusion:After the treatment of Xuanyunling in the treatment of Qi deficiency and blood stasis type of posterior circula‐tion ischemic vertigo and has obvious curative effect ,safety ,no toxic side effect .