目的观察利多卡因治疗椎基底动脉供血不足性眩晕的临床疗效。方法将120例椎基底动脉供血不足性眩晕患者随机分为观察组60例和对照组60例。对照组:血塞通O.4g加入0.9%氯化钠注射液250ml中静脉滴注,1次/日;西比灵10mg口服1次/日;眩晕停25mg3次/日。疗程20d。观察组:在对照组治疗基础上加用2%利多卡因注射液10ml加入0.9%氯化钠注射液250ml中静脉滴注,1次/日。疗程20d。20d后对两组疗效进行统计学分析。结果观察组总有效率为90.00%(54/60),对照组总有效率为78.33%(47/60),治疗组疗效优于对照组(P<0.05)。结论利多卡因注射液能明显提高治疗椎基底动脉供血不足性眩晕的临床疗效。 Objective To observe the clinical efficacy of lidocaine in treatment of Vertebrobasilar insufficiency vertigo. Methods 120 patients with vertebrobasilar insufficiency vertigo were randomly divided into observation group (60 cases) and control group (60 cases). Control group: Xuesaitong O.4g added 0.9% sodium chloride injection 250ml intravenous infusion, 1 times / day; Xibeilin 10mg orally 1 / day; dizziness stopped 25mg3 times / day. Treatment 20d. Observation group: In the control group based on the treatment plus 2% lidocaine injection 10ml 0.9% sodium chloride injection 250ml intravenous infusion, 1 times / day. Treatment 20d. After 20 days, the two groups were statistically analyzed. Results The total effective rate was 90.00% (54/60) in the observation group and 78.33% (47/60) in the control group. The curative effect in the treatment group was better than that in the control group (P <0.05). Conclusion Lidocaine injection can significantly improve the clinical efficacy of Vertebrobasilar insufficiency vertigo.