补气活血通络法治疗椎-基底动脉供血不足临床观察

发布时间：2018-05-13 07:16

本文选题：椎-基底动脉供血不足(VBI) + 气虚血瘀证　；参考：《新中医》2017年05期

【摘要】：目的:观察补气活血通络法治疗椎-基底动脉供血不足的临床疗效。方法:纳入70例椎-基底动脉供血不足患者,按照随机双盲法分为治疗组与对照组各35例,治疗组给予中医补气活血通络法治疗,对照组给予尼莫地平片治疗,2组均以7天为1疗程,连续治疗2~3疗程。检测2组患者治疗前后右椎动脉(RVA)、左椎动脉(LVA)、基底动脉(BA)的血流速度与血液流变学指标,统计2组患者治疗后的临床疗效。结果:治疗后,治疗组与对照组总有效率分别为94.29%、68.57%,2组比较,差异有统计学意义(P0.05)。2组RVA、LVA、BA的血流速度与血浆黏度、全血黏度、纤维蛋白原、血细胞比容等血液流变学指标均较治疗前有一定程度的改善,治疗组各指标的改善情况均优于对照组,差异均有统计学意义(P0.05)。结论:采用中医补气活血通络法治疗椎-基底动脉供血不足的疗效优于单纯西药治疗,可有效改善患者RVA、LVA、BA的血流速度及血液流变学指标,有效缓解症状。
[Abstract]:Objective: to observe the clinical effect of tonifying qi and activating blood circulation and dredging collaterals in treating vertebrobasilar artery insufficiency. Methods: seventy patients with vertebrobasilar artery insufficiency were randomly divided into treatment group (n = 35) and control group (n = 35). The control group was treated with nimodipine tablets for 7 days as a course of treatment, continuous treatment for 2 courses. The blood flow velocity and hemorheological parameters of right vertebral artery (RV), left vertebral artery (LVA) and basilar artery (BA) were measured before and after treatment. Results: after treatment, the total effective rates of the treatment group and the control group were 94.29 and 68.57, respectively. The difference was statistically significant. The blood flow velocity, plasma viscosity, whole blood viscosity, fibrinogen were significantly different between the two groups. The hemorheological indexes such as blood cell volume were improved to some extent compared with those before treatment. The improvement of each index in the treatment group was better than that in the control group, and the difference was statistically significant (P 0.05). Conclusion: the treatment of vertebrobasilar artery insufficiency with traditional Chinese medicine is better than that of western medicine alone. It can effectively improve the blood flow velocity and hemorheology index of RVAV LVABA, and relieve symptoms effectively.
【作者单位】：嘉峪关市第一人民医院中医科;
【分类号】：R277.7

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