半夏白术天麻汤治疗中青年椎动脉型颈椎病痰热内扰证临床观察
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R681.5+3

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2017年广东省名中医传承工作室建设项目;广州中医药大学第三附属医院科研创新基金课题(sy201603)


Clinical Observation of Banxia Baizhu Tianma Tang for Cervical Spondylosis of Vertebral Artery Type with Syndrome of Phlegm-heat Harassing the Interior in Young and Middle-aged Patients
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    摘要:

    目的:观察半夏白术天麻汤化裁治疗中青年椎动脉型颈椎病痰热内扰证的临床疗效。方法:将收治的80例中青年椎动脉型颈椎病痰热内扰证患者随机分为2组各4 0例。观察组给予半夏白术天麻汤化裁方治疗,对照组予盐酸氟桂利嗪片治疗,均治疗2周。观察比较2组临床疗效,基底动脉及双侧椎动脉的最大流速和平均流速的改善情况。结果:2组临床疗效比较,总有效率观察组9 0.0%,高于对照组7 5.0%,差异有统计学意义(P<0.05)。治疗后,观察组经颅多普勒彩超血流参数左侧椎动脉最大流速(L VA-Vs)、左侧椎动脉平均流速(L VA-Vm)、右侧椎动脉最大流速(R VA-Vs)、右侧椎动脉平均流速(R VA-Vm)、基底动脉平均流速(B A-Vm)分别与治疗前比较,均有升高,差异均有统计学意义(P<0.05);以上各指标分别与对照组比较,差异均有统计学意义(P<0.05)。结论:半夏白术天麻汤化裁治疗中青年椎动脉型颈椎病痰热内扰证具有较好的临床疗效,能改善基底动脉及双侧椎动脉的最大流速和平均流速。

    Abstract:

    Objective:To observe the clinical effect of modified Banxia Baizhu Tianma tang for cervical spondylosis of vertebral artery type with syndrome of phlegm-heat harassing the interior in young and middle-aged patients.M e th o d s:Randomly divided 80 cases of young and middle-aged patients admitted in the hospital with cervical spondylosis of vertebral artery type with syndrome of phlegm-heat harassing the interior into two groups,40 cases in each group.The observation group was treated with modified Banxia Baizhu Tianma tang,while the control group was given flunarizine tablets for treatment.The treatment of the two groups lasted for two weeks.Observed and compared the clinical effect and the improvement of the maximum velocity and average velocity of basilar artery and bilateral vertebral artery in the two groups.Results:Compared the clinical effect in the two groups,the total effective rate was 90.0%in the control group,higher than that of 75.0%in the observation group,the difference being significant(P < 0.05).After treatment,the blood flow parameters of transcranial doppler as the maximum velocity of left vertebral artery(LVA-Vs),the average velocity of left vertebral artery(LVA-Vm),the maximum velocity of right vertebral artery(RVA-Vs),the average velocity of right vertebral artery(RVA-Vm)and the average velocity of basilar artery(BA-Vm)in the observation group were all increased when compared with those before treatment,differences being significant(P < 0.05).Compared the above indexes in the observation group with those in the control group respectively,differences were significant(P < 0.05).Conclusion:Banxia Baizhu Tianma tang has good clinical effect in treating cervical spondylosis of vertebral artery type in young and middle-aged patients,which can improve the maximum velocity and average velocity of basilar artery and bilateral vertebral artery.

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林宏衡,方坚.半夏白术天麻汤治疗中青年椎动脉型颈椎病痰热内扰证临床观察[J].新中医,2018,50(6):109-111

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  • 在线发布日期: 2018-06-05
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