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[目的]观察半夏白术天麻汤+耳穴压豆联合西药治疗眩晕疗效。[方法]使用随机平行对照方法,将100例门诊患者按就诊顺序号抽签方法简单随机分为两组。对照组50例根据呕吐、恶心、眩晕情况,胞二磷胆碱0.5~1.0g+5%葡萄糖注射液250m L,静滴;地芬尼多,25mg/次,3次/d,口服;尼莫地平20mg/次,3次/d,口服。治疗组50例半夏白术天麻汤+耳穴压豆;半夏白术天麻汤(甘草、水蛭各6g,石菖蒲15g,泽泻30g,川芎15g,葛根30g,丹参20g,陈皮15g,茯苓20g,白术、法半夏、天麻各15g),浸泡1h,水煎200m L,1剂/d,早晚温服;耳穴压豆:用胶布将1粒王不留行籽固定在耳廓相应穴位:额、神门、枕、皮质下、肾上腺等,嘱咐患者用手进行按压刺激,疏通经络,1~2min/次,2~3次/d,2~3更换一次王不留行籽;西药治疗同对照组。连续治疗10d为1疗程。观测临床症状、血栓素B2(TXB2)、血小板活化因子(PAF)、左侧椎动脉(LVA)血流速度、右侧椎动脉(RVA)血流速度、基底动脉(BA)血流速度、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效37例,有效12例,无效1例,总有效率98.00%。对照组显效24例,有效9例,无效17例,总有效率66.00%。治疗组疗效优于对照组(P<0.01)。血栓素B2(TXB2)、血小板活化因子(PAF)及平均血流速度两组均有改善(P<0.05,P<0.01),治疗组改善优于对照组(P<0.01)。[结论]半夏白术天麻汤+耳穴压豆联合西药,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the efficacy of Banxiabaizhu Tianma Decoction + Auricular pressure beans combined with Western medicine in treating vertigo. [Methods] Using randomized parallel control method, 100 cases of outpatients were randomly divided into two groups according to the lottery sequence number. The control group of 50 patients according to vomiting, nausea, dizziness, citicoline 0.5 ~ 1.0g + 5% glucose injection 250m L, intravenous; to phenidol, 25mg / times, 3 times / d, oral; Mopin 20mg / time, 3 times / d, orally. The treatment group of 50 cases of Pinellia Atractylodes Tianma Decoction + ear acupressure beans; Banxiabaizhutianma soup (licorice, leeches 6g, Acorus calamus 15g, Alisma 30g, Chuanxiong 15g, Pueraria 30g, Salvia 20g, dried tangerine peel 15g, Poria 20g, , France Pinellia, Gastrodia each 15g), soak 1h, decoction 200m L, 1 / d, morning and evening warm clothes; ear pressure beans: a tape with a tape to stay in the auriculae Wang points corresponding points: Shenmen, occipital, subcortical, adrenal, etc., asked the patient to press the hand stimulation to clear the meridian, 1 ~ 2min / times, 2 ~ 3 times / d, 2 to 3 to replace a king without leaving seed; Western medicine treatment with the control group. Continuous treatment of 10d for a course of treatment. The clinical symptoms, thromboxane B2 (TXB2), platelet activating factor (PAF), blood flow velocity of left vertebral artery (LVA), blood flow velocity of right vertebral artery (RVA), blood flow velocity of basilar artery (BA) reaction. Continuous treatment of 2 courses to determine the efficacy. [Result] The treatment group was markedly effective in 37 cases, effective in 12 cases, ineffective in 1 case, the total effective rate was 98.00%. In the control group, 24 cases were markedly effective, 9 cases were effective, 17 cases were ineffective, and the total effective rate was 66.00%. The treatment group than the control group (P <0.01). TXB2, PAF and mean blood flow velocity were improved in both groups (P <0.05, P <0.01), and improvement in treatment group was better than that in control group (P <0.01). [Conclusion] Banxiabaizhu Tianma Decoction + ear acupuncture combined with western medicine has satisfactory curative effect and no serious adverse reactions, which deserves promotion.