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[目的]观察半夏白术天麻汤联合西药治疗痰浊中阻型椎基底动脉供血不足疗效。[方法]使用随机平行对照方法,将76例门诊患者按抛硬币法简单随机分为两组。对照组38例阿司匹林,0.1g/次,1次/d;地芬尼多,25mg/次,3次/d。治疗组38例半夏白术天麻汤(茯苓20g,白术15g,炙半夏、天麻、橘红各10g;眩晕、呕吐严重加代赭石30g,胆南星10g,旋覆花15g,竹茄10g;耳鸣重听加石菖蒲、远志各12g;脘腹不畅加三仙、砂仁各10g),1剂/d,水煎200m L,早晚口服;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、基底动脉、右椎动脉、左椎动脉、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈18例,显效14例,有效4例,无效2例,总有效率94.74%。对照组痊愈9例,显效11例,有效8例,无效10例,总有效率73.68%。治疗组疗效优于对照组(P<0.05)。相关指标两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]半夏白术天麻汤联合西药治疗痰浊中阻型椎基底动脉供血不足疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of Banxiabaizhutianma Decoction combined with Western medicine in treating phlegm obstruction type vertebrobasilar insufficiency. [Methods] Using randomized parallel control method, 76 outpatients were randomly divided into two groups according to the coin tossing method. The control group of 38 aspirin, 0.1g / time, 1 / d; to phenidol, 25mg / time, 3 times / d. The treatment group of 38 cases of Pinellia Atractylodes Tianma Decoction (Poria 20g, Atractylodes 15g, Sunburn Pinellia, Gastrodia, orange red 10g each; severe dizziness and vomiting plus ruthenium 30g, gall Southern Star 10g, Inula 15g, bamboo shoots 10g; Plus Shichangpu, Polygala each 12g; abdomen abdominal poor plus San Xian, Amomum 10g), 1 / d, decoction 200m L, morning and evening oral; Western medicine treatment with the control group. Continuous treatment 14d for a course of treatment. Clinical symptoms, basilar artery, right vertebral artery, left vertebral artery, adverse reactions were observed. Treatment of a course of treatment to determine the efficacy. [Result] The treatment group cured 18 cases, 14 cases markedly effective, 4 cases effective, 2 cases ineffective, the total effective rate was 94.74%. The control group recovered in 9 cases, markedly effective in 11 cases, effective in 8 cases, ineffective in 10 cases, the total effective rate was 73.68%. The treatment group was better than the control group (P <0.05). Related indicators improved in both groups (P <0.01), and the treatment group improved better than the control group (P <0.01). [Conclusion] Banxiabaizhu Tianma Decoction combined with western medicine is effective in treating phlegm obstruction type vertebrobasilar insufficiency with no serious side effects and is worth popularizing.