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[目的]观察半夏白术天麻汤联合西药治疗风痰上扰型眩晕疗效。[方法]使用随机平行对照方法,将75例住院患者按病志号抽签方法简单随机分两组。对照组35例维生素C 2.0g+0.9%氯化钠250m L,qd,静滴;异丙嗪25mg,肌注;倍他司汀4mg,tid;氟桂利嗪5mg,qn。治疗组40例半夏白术天麻汤(制半夏、炒白术、天麻、茯苓各15g,生姜10g,橘红15g,大枣3枚,泽泻、菖蒲、郁金、葛根各15g,生甘草6g),1剂/d,水煎300m L,分3次口服;西药治疗同对照组。连续治疗1周为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈23例,好转14例,无效3例,总有效率92.50%。对照组痊愈16例,有效10例,无效9例,总有效率74.29%。治疗组疗效优于对照组(P<0.05)。[结论]半夏白术天麻汤联合西药治疗风痰上扰型眩晕,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the efficacy of Banxiabaizhu Tianma Decoction combined with western medicine in treating wind-phlegm-damp type dizziness. [Methods] Using randomized parallel control method, 75 inpatients were randomly divided into two groups randomly according to the method of lot drawing. The control group 35 cases of vitamin C 2.0g +0.9% sodium chloride 250m L, qd, intravenous; promethazine 25mg, intramuscularly injected; Betatine 4mg, tid; Flunarizine 5mg, qn. In the treatment group, 40 cases of Banxiabaizhu Tianma Decoction (15g for Rhizoma Pinelliae, Rhizoma Atractylodis Macrocephalae, 15g for Rhizoma Atractylodis Macrophylla, , 1 / d, decoction 300m L, 3 times orally; western medicine treatment with the control group. Continuous treatment for 1 week for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 23 cases, 14 cases improved, 3 cases ineffective, the total effective rate 92.50%. The control group recovered 16 cases, 10 cases were effective, 9 cases were ineffective, the total effective rate was 74.29%. The treatment group was better than the control group (P <0.05). [Conclusion] Banxiabaizhutianma Decoction combined with Western medicine in treating phlegm-damp vertigo has satisfactory curative effect and no serious adverse reactions, which is worthy of popularization.