摘要
目的探讨柴术调神定眩方治疗前庭性偏头痛(vestibular migraine,VM)肝郁脾虚证的疗效。方法选取2024年1月至10月吉林省中医药科学院收治的VM患者72例,根据随机数字表法将其分为治疗组和对照组,每组36例。对照组患者给予盐酸氟桂利嗪胶囊治疗,治疗组患者给予柴术调神定眩方治疗。两组患者均连续治疗4周。比较两组患者的中医证候疗效评分、眩晕视觉模拟评分法(visual analogue scale,VAS)评分、眩晕残障程度评定量表(dizziness handicap inventory,DHI)评分及医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)评分。结果治疗后,两组患者的中医证候疗效评分显著低于本组治疗前(P<0.05),治疗组患者的中医证候疗效评分均显著低于对照组(P<0.05)。治疗后,治疗组患者的眩晕VAS评分、HADS评分、DHI各维度评分及总评分均显著低于治疗前和对照组(P<0.05)。结论柴术调神定眩方可有效缓解VM肝郁脾虚证患者的眩晕症状,并减轻其焦虑、抑郁情绪。
Objective To explore the therapeutic effect of Chaizhu Tiaoshen Dingxuan Fang in the treatment of syndrome of stagnation of liver qi and spleen deficiency in vestibular migraine(VM).Methods A total of 72 VM patients admitted to Jilin Academy of Chinese Medicine Sciences from January to October 2024 were selected and divided into treatment group and control group according to the random number table method,with 36 cases in each group.Patients in control group were treated with flunarizine hydrochloride capsules,while patients in treatment group were treated with Chaizhu Tiaoshen Dingxuan Fang.Both groups of patients were treated continuously for 4 weeks.The therapeutic effect scores of TCM syndromes,visual analogue scale(VAS)scores of vertigo,dizziness handicap inventory(DHI)scores and hospital anxiety and depression scale(HADS)scores of two groups of patients were compared.Results After treatment,the therapeutic effect scores of TCM syndromes in both groups were significantly lower than those before treatment in the same group(P<0.05),and the therapeutic effect scores of TCM syndromes in treatment group were significantly lower than those in control group(P<0.05).After the treatment,VAS score of vertigo,HADS scores,DHI scores of each dimension and the total score in treatment group were significantly lower than those in before treatment and control group(P<0.05).Conclusion Chaizhu Tiaoshen Dingxuan Fang can effectively relieve the dizziness symptoms of patients with syndrome of stagnation of liver qi and spleen deficiency in VM,and reduce their anxiety and depression.
作者
安雨盟
荆涛
刘寅
滕鑫
王思南
孙莉
AN Yumeng;JING Tao;LIU Yin;TENG Xin;WANG Sinan;SUN Li(School of Traditional Chinese Medicine,Changchun University of Traditional Chinese Medicine,Changchun 130117,Jilin,China;Department of Geriatrics,Jilin Academy of Chinese Medicine Sciences,Changchun 130021,Jilin,China)
出处
《中国现代医生》
2025年第22期69-72,共4页
China Modern Doctor
基金
中国中医药科技发展中心联合攻关项目(CXZH202302)。
关键词
前庭性偏头痛
眩晕
焦虑
抑郁
Vestibular migraine
Vertigo
Anxiety
Depression
