苓桂术甘汤治疗后循环缺血性眩晕的临床效果分析.docxVIP

苓桂术甘汤治疗后循环缺血性眩晕的临床效果分析 　　[摘要]目的分析后循环缺血性眩晕采用苓桂术甘汤治疗效果。方法方便选取46例该院（2017年12月—2019年7月）收治的后循环缺血性眩晕患者开展该次研究，随机分为对照组、观察组。对照组（23例）用常规治疗，基于此，观察组（23例）用苓桂术甘汤治疗，对比实验室相关指标、临床症状评分、椎动脉及基底动脉血流动力学、治疗总有效率、不良反应发生率。结果与对照组比较实验室相关指标，观察组较优（p0.05）;与对照组比较临床症状评分，观察组较低（p0.05）;与对照组比较椎动脉及基底动脉血流动力学，观察组较高（p0.05）;治疗总有效率观察组95.75%高于对照组69.6%（χ2=5.447，p0.05）。两组均出现腹泻、呕吐等不良反应，组间对比差异无统计学意义（p0.05）。结论在后循环缺血性眩晕治疗中，采用苓桂术甘汤治疗，不仅可以改善实验室相关指标、缓解临床症状，又能降低椎动脉及基底动脉血流动力学、提高治疗效果。 　　[关键词]后循环缺血性眩晕;苓桂术甘汤;治疗效果 　　[abstract]objectivetoanalyzetheeffectoflingguizhugandecoctiononpost-circulatoryischemicvertigo.methods46patientswithpost-circulatoryischemicvertigotreatedinthehospital（december2017tojuly2019）wereconvenientselectedforthisstudyandrandomlydividedintocontrolgroupandobservationgroup.thecontrolgroup（23cases）wastreatedwithconventionaltreatment.basedonthis，theobservationgroup（23cases）wastreatedwithlingguizhugandecoction.thelaboratory-relatedindicators，clinicalsymptomscores，vertebralandbasilararteryhemodynamics，andtotaleffectiverateoftreatment，theincidenceofadversereactionswerecompared.resultscomparedwiththecontrolgroup，laboratory-relatedindicatorswerebetterintheobservationgroup（p0.05）;comparedwiththecontrolgroup，theclinicalsymptomscorewaslowerintheobservationgroup（p0.05）;comparedwiththecontrolgroup，thevertebralarteryandbasilararterybloodflowwerecompared，thestudygroupwashigherintheobservationgroup（p0.05）;thetotaleffectiverateintheobservationgroupwas95.75%higherthanthatinthecontrolgroup69.6%（χ2=5.447，p0.05）.adversereactionssuchasdiarrheaandvomitingoccurredinbothgroups，andtherewasnodifferencebetweenthegroups，statisticallysignificant（p0.05）.conclusion6inthetreatmentofposteriorcirculationischemicvertigo，lingguizhugandecoctioncannotonlyimprovelaboratoryrelatedindicatorsandrelieveclinicalsymptoms，butalsoreducethevertebralandbasilararteryhemodynamicsandimprovethetreatmenteffect. 　　[keywords]posteriorcirculationischemicvertigo;lingguizhugandecoction;therapeuticeffect 　　后循環缺血性眩晕是临床最常见的一种脑血管疾病，临床统计，此病症在缺血性脑卒中占据2