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目的:观察中药眩晕灵治疗颈源性眩晕的临床疗效.方法:将86例符合纳入标准的患者随机分为治疗组和对照组,治疗组42例,给予眩晕灵;对照组44例,给予盐酸氟桂利嗪胶囊.观察比较两组临床症状体征、椎动脉血流速度、血液流变学变化,并评价两组疗效.结果:治疗组总有效率为92.9％,对照组有效率为54.5％,治疗组优于对照组,差异有统计学意义(P＜0.05).治疗组治疗后颈椎动脉的收缩峰血流速度(Vs)、平均血流速度(Vm)、舒张末期血流速度(Vd)均高于治疗前,差异有统计学意义(P＜0.05);两组治疗后比较,治疗组优于对照组,差异均有统计学意义(P＜0.05).治疗组治疗后全血黏度、血浆比黏度、红细胞压积、红细胞聚集指数和纤维蛋白原含量均低于治疗前,差异均有统计学意义(P＜0.05);两组治疗后比较,治疗组全血黏度、血浆比黏度、红细胞压积、红细胞聚集指数和纤维蛋白原含量均低于对照组,差异均有统计学意义(P＜0.05).结论:中药汤剂眩晕灵治疗颈源性眩晕有较好疗效.“,”Objective:To observe the clinical curative effect of Jinyunling on cervical vertigo.Methods:The 86 cases of patients were randomly divided for treatment and control groups;The 42 cases in treatment group were given orally Jinyunling,and the 44 cases in control group were treated with administration of flunarizine hydrochloride capsules.The clinical symptoms,signs,vertebral artery blood flow velocity and blood rheology changes were compared between the two groups before and after treatment.The curative effects of the two groups were evaluated.Results:The effective rate was 92.9％ in the treatment group,and 54.5％ in the control group;The treatment group showed better effect than the control group,and the difference was statistically significant (P＜0.05).Compared with before treatment,the blood flow velocity (Vs),average blood flow velocity (Vm),end diastolic blood flow velocity (Vd) were significantly increased in the treatment group after treatment,and the difference was statistically significant (P＜0.05);The treatment group showed better indexes than the control group,and the difference was statistically significant (P＜0.05).Compared with before treatment,whole blood viscosity,Plasma viscosity,erythrocyte aggregation index and fibrinogcn were decreased in the treatment group (P＜0.05),and the whole blood viscosity,plasma viscosity,erythrocyte aggregation index and fibrinogen in the treatment group were lower than those in the control group (P＜0.05).Conclusion:Jinyunling showed good clinical efficacy on cervical vertigo.