[1]陈卡红,王燕红,王玉祥.Epley手法复位联合化痰活血、通络开窍法治疗良性阵发性位置性眩晕痰瘀阻窍证40例临床观察[J].甘肃中医药大学学报,2019,36(01):75-78.[doi:10.16841/j.issn1003-8450.2019.01.17]
 CHEN Kahong,WANG Yanhong,WANG Yuxiang.Clinical observation on 40 cases of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom treated by Epley manual reposition combined[J].Journal of Gansu University of Chinese Medicine,2019,36(01):75-78.[doi:10.16841/j.issn1003-8450.2019.01.17]
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Epley手法复位联合化痰活血、通络开窍法治疗良性阵发性位置性眩晕痰瘀阻窍证40例临床观察
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
36卷
期数:
2019年01期
页码:
75-78
栏目:
针灸推拿
出版日期:
2019-02-25

文章信息/Info

Title:
Clinical observation on 40 cases of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom treated by Epley manual reposition combined
作者:
陈卡红 王燕红 王玉祥
广州中医药大学深圳医院(福田)莲花二村社康中心, 广东 深圳 518000
Author(s):
CHEN Kahong WANG Yanhong WANG Yuxiang
(Futian) Lotus Two Village Community Health Center, Shenzhen Hospital of Guangzhou University of TCM, Shenzhen, Guangdong, 518000, China
关键词:
良性阵发性位置性眩晕痰瘀阻窍证Epley手法复位化痰活血通络开窍中医证候积分眩晕分级临床疗效
Keywords:
benign paroxysmal positional vertigophlegm stagnation and obstruction of orifice symptomEpley manual repositionresolving phlegm to activate blooddredging collaterals to open orificeTCM symptom scoresvertigo gradingclinical efficacy
分类号:
R255.3
DOI:
10.16841/j.issn1003-8450.2019.01.17
摘要:
目的 观察Epley手法复位联合化痰活血、通络开窍法治疗良性阵发性位置性眩晕痰瘀阻窍证的临床疗效。方法 将80例良性阵发性位置性眩晕痰瘀阻窍证患者随机分为对照组和治疗组,各40例。对照组予常规西药治疗,治疗组予Epley手法复位联合化痰活血、通络开窍法治疗。连续治疗2周后比较2组的临床疗效、眩晕分级及治疗前后的中医证候积分。结果 对照组总有效率为65.0%,治疗组为97.5%,2组比较差异有统计学意义(P<0.05);总体眩晕分级治疗组低于对照组,2组眩晕分级比较差异有统计学意义(P<0.05);治疗7,14 d后,2组的中医证候积分均明显降低,与同组治疗前比较差异有统计学意义(P<0.05),且治疗组的降低程度明显高于对照组,2组比较差异均有统计学意义(P<0.05)。结论 Epley手法复位联合化痰活血、通络开窍法治疗良性阵发性位置性眩晕痰瘀阻窍证疗效显著,可明显改善患者的临床症状,值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of Epley manual reposition combined with resolving phlegm to activate blood and dredging collaterals to open orifice method in the treatment of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom. Methods Eighty cases of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom were randomly divided into control group and treatment group,with 40 cases in each. The control group was given routine Western medicine treatment,while the treatment group was given Epley manual reposition combined with resolving phlegm to activate blood and dredging collaterals to open orifice method. After consecutive treatment for 2 weeks,the clinical efficacy,vertigo grading,and TCM symptom scores before and after treatment of the two groups were compared. Results The total effective rate of the control group was 65.0%,that of the treatment group was 97.5%,there was statistically significant difference between the two groups(P<0.05). The overall vertigo grading in the treatment group was lower than that in the control group,there was statistically significant difference in vertigo grading between the two groups(P<0.05). After treatment for 7 days and 14 days,the TCM symptom scores of the two groups all significantly decreased,there was statistically significant difference compared with the same group before treatment(P<0.05),moreover,the decrease extent of the treatment group was significantly higher than that of the control group,there was statistically significant difference between the two groups(P<0.05).Conclusion It has significant clinical efficacy to combine Epley manual reposition with resolving phlegm to activate blood and dredging collaterals to open orifice method in the treatment of benign paroxysmal positional vertigo with phlegm stagnation and obstruction of orifice symptom,and it markedly improves the clinical symptoms of the patients,which deserves clinical promotion and application.

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备注/Memo

备注/Memo:
收稿日期:2018-05-02。
作者简介:陈卡红(1979-),女,主治医师,医学学士,主要从事中医内科临床治疗工作。
更新日期/Last Update: 1900-01-01