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[目的]观察辨证联合常规西药治疗眩晕疗效。[方法]使用随机平行对照方法,将60例门诊患者按就诊顺序编号随机分为两组。对照组30例常规西药治疗,倍他司汀,4～8mg/次;美克洛嗪,25mg/次;3次/d,口服。治疗组30例辨证分型治疗,①肾精不足型。②瘀血内阻型。③气血亏虚型。④痰浊中阻型。⑤肝阳上亢型。均水煎服,1剂/d,2次/d,口服。西药治疗同对照组。两组均连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗4疗程,判定疗效。[结果]治疗组显效20例,有效7例,无效3例,总有效率90.00%。对照组显效9例,有效14例,无效7例,总有效率76.70%。治疗组疗效优于对照组(P<0.05)。[结论]辨证分型联合常规西药治疗眩晕具有较好效果,值得推广。
[Objective] To observe the syndrome differentiation combined with conventional western medicine in treating vertigo. [Methods] Using randomized parallel control method, 60 cases of outpatients were randomly divided into two groups according to the order of their visits. The control group of 30 cases of conventional Western medicine, Betatostat, 4 ~ 8mg / time; meclizine, 25mg / times; 3 times / d, orally. Treatment group 30 cases of syndrome differentiation treatment, ① lack of renal essence type. ② blood stasis type. ③ blood deficiency type. ④ phlegm blocking type. ⑤ hyperactivity liver type. Shuijianbi, 1 / d, 2 times / d, orally. Western medicine treatment with the control group. Both groups were treated for 7 days for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 4 courses to determine the efficacy. [Results] The treatment group was effective in 20 cases, effective in 7 cases, ineffective in 3 cases, the total effective rate was 90.00%. In the control group, 9 cases were markedly effective, 14 cases were effective, 7 cases were ineffective, and the total effective rate was 76.70%. The treatment group was better than the control group (P <0.05). [Conclusion] Syndrome differentiation combined with conventional western medicine has a good effect in treating vertigo, which is worth promoting.