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目的:观察和探讨何氏化痰汤防治性治疗前庭性偏头痛的临床疗效.方法:纳入前庭性偏头痛患者共70例,观察组38例,对照组32例,对每组患者均进行登记相关资料、行相关影像学、耳鼻喉专科检查及知识宣教,观察组给予何氏化痰汤加减,日1剂,分早晚两次温服,对照组给予盐酸氟桂利嗪胶囊,日1次,口服,夜间服用,7天为1疗程,连续治疗4周后评定疗效,12周后进行随访.结果:根据治疗前后综合评分情况及主要临床症状方面,观察组在治疗前庭性偏头痛方面明显优于对照组;在临床疗效方面,观察组治疗4周及12周随访后较对照组改善明显,且两组之间比较有统计学意义(P＜0.05);治疗效果方面,治疗4周及12周后随访两组总有效率97.7％、84.4％和89.5％、63.3％,观察组明显优于对照组.结论:何氏化痰汤对于治疗前庭性偏头痛切实有效.“,”Objective To observe and explore the clinical curative effect of He Shi Hua Tan Tang in the preventive treatment of vestibular migraine.Methods:70patients with vestibular migraine were divided into the observation group of 38cases and the control group of 32cases.each group of patients were registered for relevant information,imaging,ENT specialist examination and knowledge.patients in the observation group received He Shi Hua tan Tang,in the morning and evening a dose of TCM decoction with warm water were administered.Patients in the control group was took orally flunarizine hydrochloride 5mg,once a day.Seven days for one course of treatment.Both were observed continuously for about 4weeks.Patients were followinged-up after 12weeks.Results Acording the treatment of the comprehensive score and the main clinical symptoms,he observation group was superior to the control group in the treatment of vestibular migraine.In the treatment effect,treatment of 4weeks and 12weeks after the follow-up of two group total effective rate was 97.7％,84.4％ and 89.5％,63.3％,view The observation group was superior to the control group,and the conclusion was that he was effective in the treatment of vestibular migraine.