發(fā)布時(shí)間：2018-05-11 19:35

  本文選題：慢性主觀性頭暈 + 大補(bǔ)腎湯��； 參考：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本研究旨在探討慢性主觀性頭暈?zāi)I精不足證的病因病機(jī),分析大補(bǔ)腎湯的組方規(guī)律,觀察慢性主觀性頭暈?zāi)I精不足證給予大補(bǔ)腎湯治療后頭暈、焦慮抑郁癥狀、中醫(yī)證候的改善情況,評(píng)價(jià)大補(bǔ)腎湯治療慢性主觀性頭暈的可行性和有效性。方法:以中醫(yī)經(jīng)典著作為理論基礎(chǔ),分析慢性主觀性頭暈的中醫(yī)病因病機(jī),收集符合納入標(biāo)準(zhǔn)的慢性主觀性頭暈患者72例,隨機(jī)分為兩組,其中治療組36例,給予中藥大補(bǔ)腎湯聯(lián)合鹽酸帕羅西汀片(樂(lè)友)治療;對(duì)照組36例,給予鹽酸帕羅西汀片(樂(lè)友)治療。兩組均以均為7天一療程,連續(xù)治療4個(gè)療程。觀察兩組患者治療前后眩暈障礙評(píng)定量表(DHI)、醫(yī)院焦慮抑郁量表(HADS)、中醫(yī)證候積分量表的評(píng)分變化情況。結(jié)果:1.按眩暈障礙評(píng)定量表療效比較,治療組總有效率93.55%,對(duì)照組總有效率63.33%,治療組改善頭暈癥狀療效明顯優(yōu)于對(duì)照組(P0.01)。2.按醫(yī)院焦慮抑郁量表療效比較,治療組總有效率93.55%,對(duì)照組總有效率80.00%,治療組改善焦慮抑郁程度療效優(yōu)于對(duì)照組(P0.05)。3.按中醫(yī)證候積分量表療效比較,治療組總有效率87.10%,對(duì)照組總有效率56.67%,治療組改善中醫(yī)臨床癥狀的作用明顯優(yōu)于對(duì)照組(P0.01)。結(jié)論:臨床研究結(jié)果表明,大補(bǔ)腎湯在改善屬腎精不足證的慢性主觀性頭暈患者的頭暈、頭昏沉或不穩(wěn)定感癥狀,焦慮抑郁癥狀、中醫(yī)證候方面具有顯著療效。
[Abstract]:Objective: the purpose of this study was to investigate the etiology and pathogenesis of chronic subjective dizziness and kidney essence deficiency syndrome, to analyze the prescription rule of Da Bushen decoction, and to observe the symptoms of dizziness and anxiety depression after the treatment of chronic subjective dizziness kidney essence deficiency syndrome. To evaluate the feasibility and effectiveness of Da Bushen decoction in treating chronic subjective dizziness. Methods: based on the classical works of TCM, the etiology and pathogenesis of chronic subjective dizziness in TCM were analyzed. 72 cases of chronic subjective dizziness were collected and randomly divided into two groups: treatment group (36 cases), treatment group (36 cases). 36 cases in control group were treated with paroxetine hydrochloride (Le you). Both groups were treated for 7 days and 4 consecutive courses. The changes of dizziness scale, hospital anxiety and depression scale and TCM syndrome integral scale were observed before and after treatment. The result is 1: 1. The total effective rate of the treatment group was 93.555.The total effective rate of the control group was 63.33. The curative effect of the treatment group on improving dizziness symptoms was obviously better than that of the control group (P 0.01). According to the hospital anxiety and depression scale, the total effective rate of the treatment group was 93.555.The total effective rate of the control group was 80.00. the curative effect of the treatment group on improving the degree of anxiety and depression was better than that of the control group (P 0.05). The total effective rate of the treatment group was 87.100.The total effective rate of the control group was 56.67. the effect of the treatment group on improving the clinical symptoms of traditional Chinese medicine was obviously better than that of the control group (P 0.01). Conclusion: the results of clinical study show that DBSD has a remarkable effect on improving dizziness, dizziness or instability, anxiety and depression, and TCM syndrome of chronic subjective dizziness patients with deficiency of kidney essence.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R277.5

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1 刁哲明;大補(bǔ)腎湯治療慢性主觀性頭暈?zāi)I精不足證的理論探討和療效觀察[D];山東中醫(yī)藥大學(xué);2016年

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本文編號(hào)：1875313