基于五运六气理论的佐金平木法治疗后半规管良性位置性眩晕临床观察

发布时间：2018-01-25 08:07

本文关键词： 良性阵发性位置性眩晕(BPPV) 管石复位法五运六气理论佐金平木法　出处：《中华中医药学刊》2017年01期 　论文类型：期刊论文

【摘要】：目的:观察使用基于运气理论的佐金平木法,煎服紫柴汤,联合颗粒管石复位法治疗后半规管良性位置性眩晕的临床疗效及安全性.方法:将62例单侧后半规管良性位置性眩晕肝火上炎证患者随机分为治疗组和对照组各31例,治疗组予以颗粒管石复位法联合紫柴汤煎服,对照组予以颗粒管石复位法联合强力定眩片治疗。观察两组患者的临床疗效,中医肝火上炎症候的改善情况和安全性结果:治疗后2周的临床疗效比较及弦晕程度和生活质量评估治疗组优于对照组(P0.05);治疗组2周后中医症状症候得到改善,与治疗前比较,差异有显著性意义(P0.05),治疗组明显优于对照组(P0.05);治疗后4周弦晕程度和生活质量评估(DHI评分),两者疗效接近,差异无统计学差异(P0.05)。治疗后两组患者均未见明显的不良反应,血常规、肝肾功能均未见明显改变。结论:基于运气学说的佐金平木法合并颗粒管石复位法治疗后半规管BPPV疗效突出、安全。
[Abstract]:Objective: to observe the use of Zaojin Pingmu method based on luck theory and decoction of Zichai decoction. Clinical efficacy and safety of combined pellet reduction in the treatment of posterior semicircular canal benign positional vertigo. Methods:. Sixty-two patients with unilateral posterior semicircular canal benign positional vertigo liver-fire syndrome were randomly divided into treatment group (n = 31) and control group (n = 31). The treatment group was treated with granule tube stone reduction method combined with Zichai decoction decoction, the control group was treated with granule tube stone reduction method combined with Qiangdingxuan tablet. The clinical efficacy of the two groups was observed. The improvement and safety of inflammation on liver fire in traditional Chinese medicine: 2 weeks after treatment, the curative effect and the degree of halo and quality of life in the treatment group were better than those in the control group (P 0.05); The symptoms of traditional Chinese medicine were improved in the treatment group after 2 weeks, the difference was significant compared with that before treatment, and the treatment group was obviously better than the control group. Four weeks after treatment, the degree of string halo and the evaluation of quality of life were evaluated with DHI score. There was no significant difference in the curative effect between the two groups (P 0.05). No significant adverse reactions were observed in the two groups. Conclusion: it is safe and effective to treat posterior semicircular canal BPPV with Zaojin Pingmu method combined with pellet reduction based on the theory of luck.
【作者单位】：青岛市黄岛区第二中医医院;
【基金】：山东省中医药科技发展计划项目(2015-380) 青岛市医疗卫生优秀青年人才基金项目(青卫中医字[2015]7号)
【分类号】：R276.1
【正文快照】： 1952年Hallpike提出了良性阵发性位置性眩晕(Be-nign paroxysm malposit-ional vertigo,BPPV)这一医学概念[1]。BPPV是指某一特定头位时诱发的短暂阵发性眩晕,是一种常见的和特定体位相关的外周性眩晕,临床研究发现,BPPV是导致眩晕的常见疾病之一,常见频繁的缓解和复发,其复发

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