[1]汤永全,黄 潭△.芍药木瓜汤结合颈椎稳定性训练对颈性眩晕患者颈部血流速度和血液流变学的影响*[J].陕西中医,2019,(10):1348-1350.
 TANG Yongquan,HUANG Tan..Effect of Shaoyao Mugua decoction and cervical stability training on cervical blood flow velocity and hemorheological index in patients with cervical vertigo[J].,2019,(10):1348-1350.
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芍药木瓜汤结合颈椎稳定性训练对颈性眩晕患者颈部血流速度和血液流变学的影响*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年10期
页码:
1348-1350
栏目:
临床研究
出版日期:
2019-10-05

文章信息/Info

Title:
Effect of Shaoyao Mugua decoction and cervical stability training on cervical blood flow velocity and hemorheological index in patients with cervical vertigo
文章编号:
DOI:10.3969/j.issn.10007369.2019.10.008
作者:
汤永全黄 潭△
空军军医大学唐都医院(西安710038)
Author(s):
TANG YongquanHUANG Tan.
Tangdu Hospital,Air Force Military Medical University (Xi’an 710038)
关键词:
颈性眩晕芍药木瓜汤颈椎稳定性训练血流速度血液流变学C反应蛋白
Keywords:
Key words 〖HT5”SS〗Cervical vertigoShaoyao Mugua decoctionCervical stability trainingBlood flow velocityHemorheology Creactive protein
分类号:
R255.2
文献标志码:
A
摘要:
摘 要 目的:分析芍药木瓜汤结合颈椎稳定性训练对颈性眩晕患者颈部血流速度和血液流变学的影响。方法:随机128例颈性眩晕患者作为研究对象,并随机分成两组各64例。 对照组患者给予维生素B6注射液100 mg及胞二磷胆碱注射液0.5 g静脉滴注;研究组给予芍药木瓜汤结合颈椎稳定性训练,治疗时间为2个月。比较两组患者血清降钙素基因相关肽(CGRP)、内皮素1(ET1)、C反应蛋白(CRP)水平和多普勒检测结果及血液流变学结果,并比较两组患者临床疗效及并发症发生情况。结果:治疗2个月后,研究组患者的总有效率较对照组明显升高(P<0.05);研究组患者椎基底动脉(VB)、右侧椎动脉(RVA)、左侧椎动脉(LVA)平均血流速度较对照组明显升高(P<0.05)。研究组患者CGRP较对照组明显升高(P<0.05),CRP、ET1水平较对照组明显降低(P<0.05)。结论:芍药木瓜汤结合颈椎稳定性训练对颈性眩晕患者的临床疗效确切,其作用机制可能与增加颈部血流速度及减少血液黏度密切相关。
Abstract:
Abstract 〖HT5”SS〗Objective:To analyze the effect of Shaoyao Mugua decoction combined with cervical stability training on cervical blood flow velocity and hemorheological indexes in patients with cervical vertigo. Methods:128 patients with cervical vertigo were randomly divided into study group and control group with 64 cases each. Among them,the control group was given vitamin B6 injection 100 mg and citicoline injection 0.5 g intravenous drip;the study group was given Shaoyao Mugua decoction combined with cervical stability training,treatment time was 2 months. The serum levels of calcitonin generelated peptide (CGRP),endothelin1 (ET1),Creactive protein (CRP) and Doppler blood rheology were compared between the two groups,and the clinical efficacy and complications were compared between the two groups. Results:After 2 months of treatment,the total effective rate of the study group was significantly higher than that of the control group (P<0.05);the average blood flow velocity of the vertebralbasilar artery (VB),right vertebral artery (RVA) and left vertebral artery (LVA) in the study group was significantly higher than that of the control group (P<0.05). CGRP in the study group was significantly higher than that in the control group (P <0.05),CRP and ET1 levels were significantly lower than those in the control group (P<0.05). Conclusion:Shaoyao Mugua decoction combined with cervical stability training has a definite clinical effect on cervical vertigo,and its mechanism may be closely related to increasing cervical blood flow velocity and reducing blood viscosity.

参考文献/References:

[1] 来炳岩.眩晕60例颈部椎动脉彩色多普勒超声显像分析[J].陕西医学杂志,2014,43(3):376376.
[2] 董远蔚,杨 斐,钟 磊,等. 杵针配合牵引治疗颈性眩晕[J].吉林中医药,2016,36(4):417418.
[3] 尹乐峻,曹正喜.芍药木瓜葛根汤治疗后循环缺血性单发性眩晕临床研究[J].光明中医,2018,33(20):29972999.
[4] 马奎云. 颈源性疾病诊断治疗学[M]. 郑州:河南科学技术出版社,2005.
[5] 《中医病证诊断疗效标准》中医内科病证诊断疗效标准(一)[J].湖北中医杂志,2002,24(2):封3.
[6] 刁鸿辉,邓 聪,张泽胜. 针推配合中频治疗颈性眩晕性颈椎病120例临床疗效观察[J]. 内蒙古中医药,2016,35(1):8182.
[7] 戴 兵,郝德强,张 浩,等. 经皮激光椎间盘减压术治疗颈性眩晕的中期疗效分析[J]. 河北医药,2015,29(4):510512.
[8] 蒋 珂. 灯盏花注射液联合耳穴压豆治疗颈性眩晕的效果分析[J]. 中医临床研究,2015,7 (11):57.
[9] 汪 磊,陈 锋.陈锋教授治疗痰湿阻络型颈性眩晕的经验介绍[J].中医药导报,2017,23(24):102103.
[10] 江淑红,祝明浩,韩 杰,等. 针刀闭合性松解术联合手法治疗颈性眩晕的临床疗效及对椎基底动脉血流速度的影响[J]. 针灸临床杂志,2015,31(3):811.
[11] 周 明,刘志军,常 峥,等. 针灸联合加味益气聪明汤治疗气血亏虚型颈性眩晕的临床观察[J]. 湖南中医药大学学报,2014,34(3):5053.
[12] 毛 燕.芍药木瓜葛根汤治疗后循环缺血性单发性眩晕临床研究[J].中医学报,2017,32(12):24602463.
[13] 马建功.颈复汤联合针灸治疗颈性眩晕疗效及对患者ET1水平和血液流变学指标的影响[J].陕西中医,2019,40(1):4345.

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备注/Memo

备注/Memo:
*国家自然科学基金资助项目(81700026)
更新日期/Last Update: 2019-10-23