本文關(guān)鍵詞： 良性陣發(fā)性位置性眩暈(BPPV) 管石復(fù)位法 五運(yùn)六氣理論 佐金平木法　出處：《中華中醫(yī)藥學(xué)刊》2017年01期 　論文類型：期刊論文

【摘要】：目的:觀察使用基于運(yùn)氣理論的佐金平木法,煎服紫柴湯,聯(lián)合顆粒管石復(fù)位法治療后半規(guī)管良性位置性眩暈的臨床療效及安全性.方法:將62例單側(cè)后半規(guī)管良性位置性眩暈肝火上炎證患者隨機(jī)分為治療組和對(duì)照組各31例,治療組予以顆粒管石復(fù)位法聯(lián)合紫柴湯煎服,對(duì)照組予以顆粒管石復(fù)位法聯(lián)合強(qiáng)力定眩片治療。觀察兩組患者的臨床療效,中醫(yī)肝火上炎癥候的改善情況和安全性結(jié)果:治療后2周的臨床療效比較及弦暈程度和生活質(zhì)量評(píng)估治療組優(yōu)于對(duì)照組(P0.05);治療組2周后中醫(yī)癥狀癥候得到改善,與治療前比較,差異有顯著性意義(P0.05),治療組明顯優(yōu)于對(duì)照組(P0.05);治療后4周弦暈程度和生活質(zhì)量評(píng)估(DHI評(píng)分),兩者療效接近,差異無(wú)統(tǒng)計(jì)學(xué)差異(P0.05)。治療后兩組患者均未見(jiàn)明顯的不良反應(yīng),血常規(guī)、肝腎功能均未見(jiàn)明顯改變。結(jié)論:基于運(yùn)氣學(xué)說(shuō)的佐金平木法合并顆粒管石復(fù)位法治療后半規(guī)管BPPV療效突出、安全。
[Abstract]:Objective: to observe the use of Zaojin Pingmu method based on luck theory and decoction of Zichai decoction. Clinical efficacy and safety of combined pellet reduction in the treatment of posterior semicircular canal benign positional vertigo. Methods:. Sixty-two patients with unilateral posterior semicircular canal benign positional vertigo liver-fire syndrome were randomly divided into treatment group (n = 31) and control group (n = 31). The treatment group was treated with granule tube stone reduction method combined with Zichai decoction decoction, the control group was treated with granule tube stone reduction method combined with Qiangdingxuan tablet. The clinical efficacy of the two groups was observed. The improvement and safety of inflammation on liver fire in traditional Chinese medicine: 2 weeks after treatment, the curative effect and the degree of halo and quality of life in the treatment group were better than those in the control group (P 0.05); The symptoms of traditional Chinese medicine were improved in the treatment group after 2 weeks, the difference was significant compared with that before treatment, and the treatment group was obviously better than the control group. Four weeks after treatment, the degree of string halo and the evaluation of quality of life were evaluated with DHI score. There was no significant difference in the curative effect between the two groups (P 0.05). No significant adverse reactions were observed in the two groups. Conclusion: it is safe and effective to treat posterior semicircular canal BPPV with Zaojin Pingmu method combined with pellet reduction based on the theory of luck.
【作者單位】： 青島市黃島區(qū)第二中醫(yī)醫(yī)院;
【基金】：山東省中醫(yī)藥科技發(fā)展計(jì)劃項(xiàng)目(2015-380) 青島市醫(yī)療衛(wèi)生優(yōu)秀青年人才基金項(xiàng)目(青衛(wèi)中醫(yī)字[2015]7號(hào))
【分類號(hào)】：R276.1
【正文快照】： 1952年Hallpike提出了良性陣發(fā)性位置性眩暈(Be-nign paroxysm malposit-ional vertigo,BPPV)這一醫(yī)學(xué)概念[1]。BPPV是指某一特定頭位時(shí)誘發(fā)的短暫陣發(fā)性眩暈,是一種常見(jiàn)的和特定體位相關(guān)的外周性眩暈,臨床研究發(fā)現(xiàn),BPPV是導(dǎo)致眩暈的常見(jiàn)疾病之一,常見(jiàn)頻繁的緩解和復(fù)發(fā),其復(fù)發(fā)

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