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目的探讨天麻素联合异丙嗪治疗急诊眩晕症的临床疗效,为急诊快速救治提供有效理论依据。方法将76例急诊眩晕症患者随机分为治疗组和对照组。治疗组先予异丙嗪注射液25mg肌内注射,再予天麻素注射液800mg加入生理盐水250ml中静脉滴注;对照组予天麻素注射液800mg加入生理盐水250ml中静脉滴注,各1次/d,连用3d,分别比较两组患者治疗2h后的快速疗效和治疗3d后的临床疗效。结果治疗组在治疗2h后有效26例(68.4%),明显好于对照组17例(44.7%),在治疗3d后有效37例(97.4%),明显好于对照组31例(81.6%)。结论异丙嗪快速治疗效果明显,与天麻素有协同作用,联用治疗急诊眩晕症是一种安全有效而又廉价的治疗手段,值得临床推广应用。
Objective To investigate the clinical efficacy of gastrodin combined with promethazine in the treatment of emergency vertigo and to provide an effective theoretical basis for rapid emergency treatment. Methods 76 patients with acute vertigo were randomly divided into treatment group and control group. Treatment group promethazine 25mg intramuscular injection, and then to gastrodin injection 800mg saline 250ml intravenous infusion; control group to gastrodin injection 800mg normal saline 250ml intravenous infusion, each 1 / d, even with 3d, respectively, two groups of patients were compared after 2h rapid treatment and after 3 days of clinical efficacy. Results The effective rate of treatment group was 26 cases (68.4%) after 2 hours of treatment, which was significantly better than that of control group (44.7%), 37 cases (97.4%) after 3 days and 31 cases (81.6% . Conclusion Promethazine has obvious effect of rapid treatment, synergistic effect with gastrodin, and combined treatment of emergency vertigo is a safe, effective and inexpensive treatment, which is worthy of clinical application.