五苓散加减治疗痰浊中阻型梅尼埃病临床观察
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R764.33

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浙江省自然科学基金项目 (Y18H270002)


Clinical Observation on Modified Wuling Powder for Meniere Disease of Turbid Phlegm Obstructing the Middle Jiao Type
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    摘要:

    目的:观察五苓散加减对梅尼埃病(痰浊中阻型)眩晕症状的影响。方法:将126例梅尼埃病(痰浊中阻型)患者随机分为治疗组和对照组,各63例。治疗组予以中药五苓散加减治疗,对照组以银杏达莫注射液及甲磺酸倍他司汀片治疗。2组均在治疗前及治疗7天后应用眩晕残障程度评定量表(DHI)、模拟视觉评分(VAS)对临床症状进行评价。结果:治疗前,2组躯体性、情感性、功能性、眩晕、耳鸣、耳闷胀、听力下降评分比较,差异无统计学意义(P>0.05)。治疗后,2组躯体性、情感性、功能性、眩晕、耳鸣、耳闷胀、听力下降评分较治疗前显著降低(P<0.05);治疗组躯体性、情感性、功能性、眩晕、耳鸣、耳闷胀、听力下降评分低于对照组(P<0.05)。结论:五苓散加减方治疗梅尼埃病(痰浊中阻型)的眩晕症状安全有效,值得推广和应用。

    Abstract:

    Objective:To explore the effect of modified Wuling powder on the dizziness caused by Meniere disease of turbid phlegm obstructing the middle jiao type.Methods:Divided 126 cases of patients with Meniere disease of turbid phlegm obstructing the middle jiao type randomly into the treatment group and the control group,63 cases in each group.The treatment group was treated with modified Wuling powder,while the control group was treated with ginkgo leaf extract and dipyridamole injection,and received Betahistine Mesilate tablets for treatment.The clinical symptoms in the two groups were evaluated by the dizziness handicap inventory(DHI)and the visual analogue scale(VAS)before and seven days after treatment.Results:Before treatment,compared the scores of physical,emotional and functional aspects,and scores of symptoms including dizziness,tinnitus,swollen ear,aural fullness and hearing loss in the two groups,there was no significance in the difference(P>0.05).After treatment,scores of the above indexes were decreased significantly when compared with those before treatment(P<0.05).Scores of the above indexes in the treatment group were lower than those in the control group(P<0.05).Conclusion:Modified Wuling powder is safe and effective in treating dizziness caused by Meniere disease of turbid phlegm obstructing the middle jiao type,which is worthy of promotion and application.

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林书阳,吴志敏,胡万华,朱文宗.五苓散加减治疗痰浊中阻型梅尼埃病临床观察[J].新中医,2018,50(12):169-171

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  • 在线发布日期: 2018-12-09
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