【摘要】 目的探讨逍遥散加减疏肝理气法配合前庭康复训练.治疗良性阵发性位置性眩晕(BPPV)手法复位后残余头晕(RD)的临床疗效。方法选取2016年1月~2017年7月于成都中医药大学附属医院诊断为后半规管BPPV并经手法成功复位的RD患者62例,按1:1随机分配为治疗组及对照组,分别接受逍遥散加减+前庭康复训练、前庭康复训练,疗程1月。治疗前后以汉密顿焦虑量表(HAMA)、眩晕障碍量表(DHI)评估患者焦虑抑郁状态及眩晕严重程度。统计学分析采用Mann-Whitney U检验、直线相关性分析和两独立样本t检验,P<0.05为具有统计学意义。结果 RD患者普遍存在不同程度焦虑抑郁情绪状态,直线相关性分析示HAMA和DHI评分具有直线相关性。治疗1月后,非参数Wilcoxon秩和检验提示RD患者焦虑程度减轻(P<0.05);两独立样本t检验提组间HAMA评分、DHI评分差异具有统计学意义(P<0.05),治疗组焦虑抑郁情绪及眩晕程度的改善优于对照组。结论于白莉教授以逍遥散为基础方的疏肝理气法能有效通过调节患者紧张焦虑状态而促进RD眩晕症状的改善。更多还原

【Abstract】 Objective To investigate the clinical effect of modifying Rambling Powder based on the traditional method of reliving Qi stagnation in liver combined with vestibular rehabilitation exercise for residual dizziness(RD)after successful treatment in benign paroxysmal positional vertigo(BPPV). Method 62 patients of confirmed PSC-BPPV after successful particle repositioning were randomly divided into treatment group and compare group from January 2016 to July 2017,31 cases with each. The treatment group was given modifying Rambling Powder combined with vestibular rehabilitation exercise. The control group was treated with vestibular rehabilitation exercise alone.The course is one month, respectively.The severity of anxiety and dizziness of the patient was recorded by the scores of Hamilton anxiety scale(HAMA)and Dizziness Handicap Inventory(DHI)before and after the treatment respectively. The nonparametric Wilcoxon rank sum test, linear correlation analysis and two independent samples t-test were used as appropriate for the. A P value less than 0.05 was considered statistically significant. Results Anxiety depression is common in patients with RD with different degree. The scores of HAMA and DHI are linear correlation. After one month treatment,the nonparametric Wilcoxon rank sum test showed that the severity of the anxiety was relieved(P<0.05),and the scores of dizziness assessed by DHI was also alleviated significantly with t test(P<0.05)in the treatment group. Conclusion The traditional method of reliving qi stagnation in liver with modifying rambling powder could effectively improve the dizziness by relieving anxiety and depression emotion of RD patients.更多还原