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目的 :探讨加味温胆汤联合利多卡因的中西医结合疗法治疗Lermoyez综合征的临床疗效。方法 :20例Lermoyez综合征患者接受利多卡因静脉注射治疗3 d以及加味温胆汤口服治疗2周,随后进行4周的随访。对治疗后的眩晕、耳鸣、耳闷胀感和听力改善情况进行评价。结果 :听力显著好转3例(15%),有效9例(45%),无效8例(40%)。16例(80%)患者的耳闷胀感减轻(好转),4例(20%)无变化。17例(85%)患者的耳鸣减轻(好转),3例(15%)无变化。眩晕治疗有效率为100%,其中65%(13/20)的患者达痊愈,35%(7/20)的患者的眩晕基本得到控制。结论 :加味温胆汤联合利多卡因治疗Lermoyez综合征显示出较好的疗效,为今后进一步开展中西医结合治疗提供了临床依据。
Objective: To investigate the clinical efficacy of Modified Wendan Decoction combined with lidocaine in the treatment of Lermoyez Syndrome. Methods: Twenty patients with Lermoyez syndrome were treated with intravenous injection of lidocaine for 3 days and Jiaweidangan decoction orally for 2 weeks, followed by 4 weeks of follow-up. After treatment of dizziness, tinnitus, ear muffled feeling and hearing improvement were evaluated. Results: Three patients (15%) had significant improvement in hearing, 9 (45%) were effective and 8 (40%) were ineffective. In 16 patients (80%), the sensation of boredom was relieved (improved) and no change was found in 4 patients (20%). Tinnitus was relieved (improved) in 17 (85%) patients and unchanged in 3 (15%). Vertigo treatment was 100% effective, 65% (13/20) of patients recovered, 35% (7/20) of patients with basic control of vertigo. Conclusion: Modified Wendan Decoction combined with lidocaine in the treatment of Lermoyez syndrome shows good curative effect, which will provide a clinical basis for the further development of integrated traditional Chinese and Western medicine in the future.