摘要
Abstract
Objective:To observe the clinical efficacy of Banxia Baizhu Tianma Decoction combined with canalith repositioning procedure in treating benign paroxysmal positional vertigo , and to explore the correlation between its pathogenesis and blood lipid metabolic abnormalities .Methods:A total of 53 cases conforming to the diagnostic criteria in department of internal medicine of traditional Chinese medicine of our hospital from January 2013 to January 2015 were selected and divided into two groups under completely random design by PEMS 3.0, with 23 cases in the treatment group and 30 cases in the control group based on sequen-tial order .Patients of the two groups were asked to stay in bed during the stage of attack , being given the persistent low flow oxy-gen therapy .At the same time, improved Epley respositioning procedure was applied to patients in the control group , while those in the treatment group were treated with both modified Epley respositioning procedure and modified Banxia Baizhu Tianma Decoc -tion .Then clinical curative effect of two days , two weeks and three months after treatment in both groups were recorded respective-ly, as well as changes of blood lipid level before and after treatment .Results:The total effective rate of two days in the treatment group was 73.91%, while that in the control group was only 60.00%, showing a significant difference between two groups (χ2 =6.782, P=0.002<0.05);After treatment of two weeks, the treatment group total effective rate was 86.96%, while the control group total effective rate was 73.33%, indicating a statistical difference between two groups (χ2 =7.540, P=0.000<0.05);Af-ter treatment of three months , the treatment group total effective rate was 95.65%, while that in the control group was 83.33%, which showed a statistically significant difference between two groups (χ2 =8.351, P=0.000<0.05); As for changes of blood lipid level , compared with the control group , TG, TC, LDL and Apo-A1 in the treatment group after treatment of three months had a statistically significant difference ( P<0.05 ) , whereas there was no obvious statistical significance in HDL and Apo-B ( P>0.05).Conclusion:Banxia Baizhu Tianma Decoction combined with canalith repositioning procedure has a good clinical efficacy in treating BPPV , and lipid metabolism abnormality is closely associated with CRP , therefore , this scientific method , with high de-pendability , is worthy of clinical popularization and application .关键词
良性阵发性位置性眩晕/半夏白术天麻汤/辨证论治/耳石复位法/临床疗效/血清/血脂代谢Key words
Benign Paroxysmal Positional Vertigo ( BPPV)/Banxia Baizhu Tianma Decoction/Treatment based on syndrome dif-ferentiation/Canalith repositioning procedure/Clinical curative effect/Serum/Blood lipid metabolism分类
医药卫生
