大补肾汤治疗慢性主观性头晕肾精不足证的理论探讨和疗效观察

发布时间：2018-05-11 19:35

本文选题：慢性主观性头晕 + 大补肾汤　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:本研究旨在探讨慢性主观性头晕肾精不足证的病因病机,分析大补肾汤的组方规律,观察慢性主观性头晕肾精不足证给予大补肾汤治疗后头晕、焦虑抑郁症状、中医证候的改善情况,评价大补肾汤治疗慢性主观性头晕的可行性和有效性。方法:以中医经典著作为理论基础,分析慢性主观性头晕的中医病因病机,收集符合纳入标准的慢性主观性头晕患者72例,随机分为两组,其中治疗组36例,给予中药大补肾汤联合盐酸帕罗西汀片(乐友)治疗;对照组36例,给予盐酸帕罗西汀片(乐友)治疗。两组均以均为7天一疗程,连续治疗4个疗程。观察两组患者治疗前后眩晕障碍评定量表(DHI)、医院焦虑抑郁量表(HADS)、中医证候积分量表的评分变化情况。结果:1.按眩晕障碍评定量表疗效比较,治疗组总有效率93.55%,对照组总有效率63.33%,治疗组改善头晕症状疗效明显优于对照组(P0.01)。2.按医院焦虑抑郁量表疗效比较,治疗组总有效率93.55%,对照组总有效率80.00%,治疗组改善焦虑抑郁程度疗效优于对照组(P0.05)。3.按中医证候积分量表疗效比较,治疗组总有效率87.10%,对照组总有效率56.67%,治疗组改善中医临床症状的作用明显优于对照组(P0.01)。结论:临床研究结果表明,大补肾汤在改善属肾精不足证的慢性主观性头晕患者的头晕、头昏沉或不稳定感症状,焦虑抑郁症状、中医证候方面具有显著疗效。
[Abstract]:Objective: the purpose of this study was to investigate the etiology and pathogenesis of chronic subjective dizziness and kidney essence deficiency syndrome, to analyze the prescription rule of Da Bushen decoction, and to observe the symptoms of dizziness and anxiety depression after the treatment of chronic subjective dizziness kidney essence deficiency syndrome. To evaluate the feasibility and effectiveness of Da Bushen decoction in treating chronic subjective dizziness. Methods: based on the classical works of TCM, the etiology and pathogenesis of chronic subjective dizziness in TCM were analyzed. 72 cases of chronic subjective dizziness were collected and randomly divided into two groups: treatment group (36 cases), treatment group (36 cases). 36 cases in control group were treated with paroxetine hydrochloride (Le you). Both groups were treated for 7 days and 4 consecutive courses. The changes of dizziness scale, hospital anxiety and depression scale and TCM syndrome integral scale were observed before and after treatment. The result is 1: 1. The total effective rate of the treatment group was 93.555.The total effective rate of the control group was 63.33. The curative effect of the treatment group on improving dizziness symptoms was obviously better than that of the control group (P 0.01). According to the hospital anxiety and depression scale, the total effective rate of the treatment group was 93.555.The total effective rate of the control group was 80.00. the curative effect of the treatment group on improving the degree of anxiety and depression was better than that of the control group (P 0.05). The total effective rate of the treatment group was 87.100.The total effective rate of the control group was 56.67. the effect of the treatment group on improving the clinical symptoms of traditional Chinese medicine was obviously better than that of the control group (P 0.01). Conclusion: the results of clinical study show that DBSD has a remarkable effect on improving dizziness, dizziness or instability, anxiety and depression, and TCM syndrome of chronic subjective dizziness patients with deficiency of kidney essence.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.5

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