本文關鍵詞： 良性陣發(fā)性位置性眩暈(BPPV) 管石復位法 五運六氣理論 佐金平木法　出處：《中華中醫(yī)藥學刊》2017年01期 　論文類型：期刊論文

【摘要】：目的:觀察使用基于運氣理論的佐金平木法,煎服紫柴湯,聯(lián)合顆粒管石復位法治療后半規(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分為治療組和對照組各31例,治療組予以顆粒管石復位法聯(lián)合紫柴湯煎服,對照組予以顆粒管石復位法聯(lián)合強力定眩片治療。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)量評估治療組優(yōu)于對照組(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)于對照組(P0.05);治療后4周弦暈程度和生活質(zhì)量評估(DHI評分),兩者療效接近,差異無統(tǒng)計學差異(P0.05)。治療后兩組患者均未見明顯的不良反應,血常規(guī)、肝腎功能均未見明顯改變。結(jié)論:基于運氣學說的佐金平木法合并顆粒管石復位法治療后半規(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)展計劃項目(2015-380) 青島市醫(yī)療衛(wèi)生優(yōu)秀青年人才基金項目(青衛(wèi)中醫(yī)字[2015]7號)
【分類號】：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)學概念[1]。BPPV是指某一特定頭位時誘發(fā)的短暫陣發(fā)性眩暈,是一種常見的和特定體位相關的外周性眩暈,臨床研究發(fā)現(xiàn),BPPV是導致眩暈的常見疾病之一,常見頻繁的緩解和復發(fā),其復發(fā)

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