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目的:观察中西医结合治疗椎基底动脉供血不足性眩晕的疗效。方法:将120例患者随机分为两组。对照组60例,给予0.9%氯化钠注射液500mL,加曲克芦丁300mg,静脉滴注,每日1次;盐酸氟桂利嗪胶囊5mg,睡前口服,每日1次。治疗组60例,在对照组基础上加服清痰祛眩汤合补阳还五汤。疗程20天。结果:治疗组痊愈30例、显效19例、有效8例、无效3例、总有效率95%;对照组痊愈21例、显效16例、有效12例、无效11例、总有效率81.67%。治疗组临床疗效明显优于对照组(P<0.05)。结论:中西医结合治疗椎基底动脉供血不足性眩晕疗效显著,清痰祛眩汤与补阳还五汤合用是治疗本病的有效方药,值得进一步研究。
Objective: To observe the curative effect of integrated traditional Chinese and western medicine on Vertebrobasilar insufficiency vertigo. Methods: 120 patients were randomly divided into two groups. The control group of 60 patients, given 0.9% sodium chloride injection 500mL, add troxerutin 300mg, intravenous infusion, once daily; flunarizine hydrochloride capsule 5mg, bedtime oral administration once daily. The treatment group of 60 cases, on the basis of the control group plus service Qingfangdishen Tang and Buyang Huanwu Tang. Treatment for 20 days. Results: The treatment group cured 30 cases, markedly effective in 19 cases, effective in 8 cases, ineffective in 3 cases, the total effective rate was 95%; 21 cases cured in the control group, markedly effective in 16 cases, effective in 12 cases, ineffective in 11 cases, the total effective rate was 81.67%. The clinical efficacy of the treatment group was significantly better than that of the control group (P <0.05). Conclusion: Integrative treatment of vertebrobasilar insufficiency vertigo has significant curative effect. The combination of Qinggan Decoction and Buyang Huanwu Decoction is an effective prescription for the treatment of this disease, which deserves further study.