中药联合三氧疗法治疗椎基底动脉

供血不足性眩晕的疗效观察

Clinical observation of Chinese medicinecombined with triple oxygen therapy for vertebral basilar artery insufficiencyvertigo

杨友军 杨晓锋

（宝丰县中医院，河南  平顶山，467400）

中图分类号：R285.6   文献标识码：A    文章编号：1674-7860(2015)24-0058-03   证型：BGA

【摘  要】目的：探讨中药联合三氧疗法治疗椎基底动脉供血不足性眩晕的临床疗效；方法：将符合纳入标准的86例患者随机分为治疗组（43例）和对照组（43例），治疗组予自拟中药方联合三氧疗法治疗，对照组予甲磺酸倍他司汀片治疗，治疗10 d后观察两组治疗前后有效率、血黏度指标及椎基底动脉血流速度变化情况。结果：治疗组有效率为81.4%，与对照组相比差异有统计学意义（P＜0.05）；治疗后治疗组左右椎动脉及基底动脉血流速度指标：RVA（36.28±2.01）cm/s，LVA（35.62±1.87）cm/s，BA（44.25±1.29）m/s，与治疗前及对照组治疗后对比差异有统计学意义（P＜0.05）；治疗后治疗组血黏度指标分别为：全血黏度高切（4.21±0.71）mPa·s，全血黏度低切（9.02±0.91）mPa·s，血浆黏度（1.53±0.82）mPa·s，红细胞聚集指数(2.28±0.36)，与治疗前及对照组治疗后对比差异有统计学意义（P＜0.05）。结论：中药联合三氧疗法治疗椎基底动脉供血不足性眩晕疗效明显，可改善患者血黏度及椎基底动脉血流速度。

【关键词】中药；三氧疗法；椎基底动脉供血不足；眩晕

【Abstract】Objective: To investigate the clinical curativeeffect of TCM combined with oxygen therapy in the treatment of vertebralbasilar artery insufficiency vertigo.Methods: 86 cases were randomly dividedinto the treatment group (43 cases) and control group (43 cases), the treatmentgroup treated with the prescription combined with oxygen therapy, while the controlgroup was treated with imatinib mesylate times betahistine tablets, thetreatment of 10d after observation before and after treatment, index of bloodviscosity and vertebral basilar artery blood flow velocity changes of the twogroups were observed. Results: The effective rate of the treatment group was81.4%, compared with the control group the difference was statistically significant(P < 0.05); after treatment, left vertebral artery and basilar artery bloodflow velocity index: RVA (36.28±2.01) cm/s, LVA (35.62±1.87) cm/s, BA (44.25±1.29) m/s, there was statistical significance and the differencesbetween before treatment and control group (P < 0.05); after treatment, theblood viscosity index respectively: whole blood viscosity at high shear rate(4.21±0.71) mPa-s,low shear whole blood viscosity (9.02±0.91) mPa, s, plasma viscosity (1.53±0.82) - mPa s, redblood cell aggregation index (2.28±0.36), and there was significant differencebetween before treatment and control group (P<0.05).Conclusion: Traditional Chinese medicine combined with triple oxygen therapy hassignificant effect on vertebral basilar artery insufficiency vertigo, which canimprove the blood viscosity and vertebral basilar artery blood flow velocity.

【Keywords】Chinese herbal; Triple oxygen therapy; Vertebral basilar artery insufficiency; Vertigo

doi:10.3969/j.issn.1674-7860.2015.24.027

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