本文選題：BPPV　切入點(diǎn)：益氣養(yǎng)血通竅法　出處：《遼寧中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:探討益氣養(yǎng)血通竅法治療良性陣發(fā)性位置性眩暈(BPPV)復(fù)位成功后殘余癥狀的療效。材料與方法:選取2014年4月至2015年4于遼寧中醫(yī)藥大學(xué)附屬醫(yī)院耳鼻喉科住院部就診的BPPV癥患者60例,中醫(yī)辨證為上氣不足型。其中男25例,女35例,男女比例為1:1.4,平均年齡為54.1±15.6歲。管石癥54例(其中后半規(guī)管結(jié)石占42例;水平半規(guī)管結(jié)石12例,上半規(guī)管結(jié)石0例),水平半規(guī)管嵴冒結(jié)石癥患者6例。并將以上患者隨機(jī)分為治療組和對照組,每組30例。治療組與對照組均在SRM-Ⅳ型眩暈診療儀成功復(fù)位后開始服用藥物,療程為2周。治療組采用益氣養(yǎng)血通竅法給予補(bǔ)中益氣湯加減湯劑口服(組成:黃芪30g,人參9g,當(dāng)歸15g,陳皮12g,升麻10g,柴胡10g,白術(shù)15g,石菖蒲10g,炙甘草10g。150ml/次2/d)2周,對照組給予甲磺酸倍他司汀片口服(12mg/次,3次/d)2周。對BPPV患者分別于復(fù)位后和藥物治療后2周,采用眩暈障礙量表(中文版)(DHI)評估患者軀體、情感、功能狀態(tài);采用漢密爾頓焦慮量表(HAMA)評估患者的焦慮狀態(tài);于復(fù)位后及藥物治療后2周采用o VEMP檢查評估治療前后振幅的改變來評價(jià)橢圓囊的功能。從主觀量表及客觀檢查兩方面來評價(jià)益氣活血通竅法治療BPPV復(fù)位后殘余癥狀的作用。結(jié)果:1.治療組和對照組復(fù)位后DHI總評分、軀體(P)、情感(E)、功能(F),各亞組評分相比較差異無統(tǒng)計(jì)學(xué)意義(p0.05);藥物治療2周后治療組和對照組較復(fù)位后DHI總評分、軀體(P)、情感(E)、功能(F),各亞組評分較復(fù)位前均有改善,差異有統(tǒng)計(jì)學(xué)意義(p0.05);藥物治療2周后治療組DHI總評分以軀體(P)、情感(E)、功能(F)亞組的評分均低于對照組(p0.05)。2.治療組和對照組復(fù)位后HAMA評分比較差異無統(tǒng)計(jì)學(xué)意義(p0.05);藥物治療2周后觀察組和對照組HAMA評分均較復(fù)位前有改善(p0.05);藥物治療2周后治療組HAMA評分低于對照組(p0.05)。3.治療組和對照組復(fù)位后o VEMP的振幅均高于標(biāo)準(zhǔn)值,而治療組與對照相比較差異無統(tǒng)計(jì)學(xué)意義(p0.05);藥物治療2周后治療組和對照組前后比較o VEMP振幅略有下降,差異有統(tǒng)計(jì)學(xué)意義(p0.05);藥物治療2周后治療組與對照組o VEMP振幅比較,差異有統(tǒng)計(jì)學(xué)意義(p0.05)。結(jié)論:1.治療組與對照組對上氣不足型BPPV復(fù)位后的的殘余癥狀均有治療作用。2.以益氣養(yǎng)血通竅法為治療原則的治療組療效優(yōu)于西藥干預(yù)的對照組。
[Abstract]:Objective: to investigate the curative effect of tonifying qi and nourishing blood and dredging orifices on residual symptoms after successful reduction of benign paroxysmal positional vertigo (BPPVV). Materials and methods: selected from April 2014 to April 2015, Department of Otorhinolaryngology, affiliated Hospital of Liaoning University of traditional Chinese Medicine. 60 inpatients with BPPV's disease, There were 25 males and 35 females, the ratio of male to female was 1: 1.4, the average age was 54.1 鹵15.6 years. 54 cases of tracheolithiasis (42 cases of posterior semicircular canal stone, 12 cases of horizontal semicircular canal stone), There were 0 cases of upper semicircular canal stones and 6 cases of horizontal semicircular canal crest calculus. The above patients were randomly divided into treatment group and control group with 30 cases in each group. The treatment group and control group were treated with drugs after the successful reduction of SRM- 鈪，

本文編號：1685634