| 摘要: |
| 目的：观察定眩汤联合耳石复位治疗主观性良性阵发性位置性眩晕（S-BPPV） 的效果。方法：选取S-BPPV 患者100 例，按随机数字表法分为对照组和观察组各50 例。对照组采用耳石复位治疗，观察组在对照组基础上给予定眩汤治疗。比较2 组治疗前后眩晕障碍量表（DHI） 评分、中医证候积分，记录2 组患者耳石复位循环次数，评价临床疗效，并记录眩晕复发情况。结果：观察组平均每天耳石复位循环次数低于对照组，差异有统计学意义（P＜0.05）。治疗前，2 组DHI 评分及中医证候积分比较，差异无统计学意义（P＞0.05）。治疗后，2 组DHI 评分及中医证候积分均低于治疗前，且观察组DHI 评分及中医证候积分均低于对照组，差异均有统计学意义（P＜0.05）。治疗后6 个月，观察组复发率为6.38%，低于对照组20.93%，差异有统计学意义（P＜0.05）。对照组总有效率为86.00%，观察组为94.00%，2 组比较，差异无统计学意义（P＞0.05）。结论：采用定眩汤联合耳石复位治疗S-BPPV 患者，能够有效改善患者眩晕症状，减少复位次数和复发率，提高生活质量。 |
| 关键词: 主观性良性阵发性位置性眩晕 痰湿中阻证 定眩汤 耳石复位 眩晕障碍量表 中医证候积分 复发率 |
| DOI： |
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| 基金项目: |
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| Clinical Study on Dingxuan Tang Combined with Otolith-Repositioning for SubjectiveBenign Paroxysmal Positional Vertigo |
| SHEN Haiping |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract： Objective： To observe the effect of the therapy of Dingxuan tang combined with otolith- repositioning for
subjective benign paroxysmal positional vertigo(S-BPPV). Methods：A total of 100 patients with S-BPPV were selected and
divided into the control group and the observation group according to the random number table method. The control group was
treated with otolith- repositioning， and the observation group was additionally treated with Dingxuan tang based on the
treatment of the control group. The score of Dizziness Handicap Inventory(DHI) and Chinese medicine syndrome score in the
two groups were compared before and after treatment，and the number of cycles of otolith-repositioning in the two groups
were recorded；the clinical effect was evaluated and the recurrence of vertigo was recorded. Results：The average number
of cycles of otolith- repositioning per day in the observation group was lower than that in the control group，the difference
being significant(P＜0.05). Before treatment，there was no significant difference in the comparison of DHI score and Chinese
medicine syndrome score between the two groups(P＞0.05). After treatment， DHI score and Chinese medicine syndrome
score in the two groups were lower than those before treatment，and the two scores in the observation group were lower
than those in the control group，differences being significant(P＜0.05). Six months after treatment，the recurrence rate was
6.38% in the observation group，lower than that of 20.93% in the control group，the difference being significant(P＜0.05).
The total effective rate was 86.00% in the control group and 94.00% in the observation group， there being no significant
differences(P＞0.05). Conclusion： The therapy of Dingxuan tang combined with otolith- repositioning for patients with
S-BPPV，can effectively lessen the vertigo symptoms，reduce the repositioning times and recurrence rate，and improve the
quality of life. |
| Key words: Keywords：Subjective benign paroxysmal positional vertigo Syndrome of phlegm-damp obstructing middle energizer Dingxuan tang Otolith-repositioning Dizziness Handicap Inventory Chinese medicine syndrome score Recurrence rate |
