中医药学报2026，Vol.54Issue(9)：65-70,6.DOI:10.19664/j.cnki.1002-2392.260182
半夏白术天麻汤治疗恢复期痰浊中阻型耳石症的临床疗效观察
Clinical Efficacy of Banxia Baizhu Tianma Decoction in the Treatment of Phlegm Turbidity Obstruction Type of Otolithiasis in Recovery Phase
摘要
Abstract
Objective:To explore the clinical efficacy of Banxia Baizhu Tianma Decoction on patients with phlegm turbidity obstruction type of otolithiasis in recovery phase.Methods:A total of 135 patients with otolithiasis of phlegm turbidity obstruction type were selected and classified into control group(otolith manipulative reduction treatment,68 cases)and treatment group(otolith manipulative reduction treatment plus Banxia Baizhu Tianma Decoction,67 cases)by random number table method.The number of cumulative occurrences,duration,treatment effective rate,TCM syndromes scores,dizziness handicap inventory(DHI),Hamilton anxiety scale(HAMA)and treatment safety were compared between groups of patients.Results:The number of cumulative occurrences and duration in the control group were(3.18±0.59)times and(30.51±5.16)d and those in the treatment group were(2.59±0.61)times and(25.69±5.39)d,and the two indexes in the control group were higher than those in the treatment group(t=5.712,5.308,<0.001).The effective rate of treatment in the treatment group with 95.52%(64/67)was higher than 82.35%(56/68)in the control group(P<0.05).After treatment,the scores of various TCM syndromes were lower in the treatment group than those in the control group(P<0.05).The scores of items of DHI in the treatment group after treatment were lower than those in the control group(P<0.05).After treatment,the treatment group had lower HAMA scores than the control group(P<0.05).No statistical difference was exhibited in the safety between both groups(P>0.05).Conclusion:Banxia Baizhu Tianma Decoction for phlegm turbidity obstruction type of otolithiasis in recovery phase can effectively reduce the number and time of recurrence,enhance the effective rate of treatment,improve the symptoms,relieve the vertigo degree,and alleviate the anxiety of patients,and it will not increase the risk of treatment.关键词
半夏白术天麻汤/恢复期/痰浊中阻型/耳石症/临床疗效Key words
Banxia Baizhu Tianma Decoction/Recovery phase/Phlegm turbidity obstruction type/Otolithiasis/Clinical efficacy分类
医药卫生引用本文复制引用
涂小红,戴林桐..半夏白术天麻汤治疗恢复期痰浊中阻型耳石症的临床疗效观察[J].中医药学报,2026,54(9):65-70,6.基金项目
攀枝花市医学研究中心医学科研项目(PYYZ-2024-18) （PYYZ-2024-18）
