[1]肖丁,顾兆一,韩晓丹.苓桂术甘汤合泽泻汤治疗痰湿中阻型持续性姿势-感知性头晕临床观察[J].西部中医药,2025,38(01):136-139.[doi:10.12174/j.issn.2096-9600.2025.01.27]
　XIAO Ding,GU Zhaoyi,HAN Xiaodan.Clinical Observation on Linggui Zhugan Tang and Zexie Tang in the Treatment of Persistent Postural-Perceptual Dizziness of Phlegm-Dampness Obstruction Pattern[J].Western Journal of Traditional Chinese Medicine,2025,38(01):136-139.[doi:10.12174/j.issn.2096-9600.2025.01.27]
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苓桂术甘汤合泽泻汤治疗痰湿中阻型持续性姿势-感知性头晕临床观察()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年01期
页码:
136-139
栏目:
临床研究
出版日期:
2025-01-15

文章信息/Info

Title:
Clinical Observation on Linggui Zhugan Tang and Zexie Tang in the Treatment of Persistent Postural-Perceptual Dizziness of Phlegm-Dampness Obstruction Pattern
作者:
肖丁, 顾兆一, 韩晓丹
北京中医医院平谷医院，北京 平谷101200
Author(s):
XIAO Ding, GU Zhaoyi, HAN Xiaodan
Pinggu Hospital of Beijing Hospital of TCM, Pinggu101200, China
关键词:
持续性姿势-感知性头晕; 苓桂术甘汤; 泽泻汤; 前庭康复训练; 痰湿中阻
Keywords:
persistent postural-perceptual dizziness; vestibular rehabilitation; phlegm-damp obstructing pattern
分类号:
R255.3
DOI:
10.12174/j.issn.2096-9600.2025.01.27
文献标志码:
B
摘要:
目的观察苓桂术甘汤合泽泻汤治疗持续性姿势-感知性头晕（persistent postural-perceptual dizziness，PPPD）的临床疗效。 方法将52例PPPD痰湿中阻型患者完全随机分组后，以1∶1的比例系统随机分为治疗组26例，对照组26例，因不能配合随访工作，治疗组脱落2例，对照组脱落3例，最终治疗组24例，对照组23例。对照组采用前庭康复训练治疗，治疗组在前庭康复训练基础上联合苓桂术甘汤合泽泻汤治疗。其中中药治疗2周，前庭康复训练治疗12周，比较两组治疗前后眩晕残障程度评定量表（dizziness handicap inventory，DHI）评分、眩晕程度分级评分、中医证候评分量表和医院焦虑抑郁量表（hospital anxiety and depression scale，HADS）评分变化情况。 结果两组治疗后DHI、眩晕程度分级和HADS评分与本组治疗前比较均降低（P＜0.05），且治疗组降低更明显（P＜0.05）；总有效率治疗组［87.5%（21/24）］高于对照组［60.9%（14/23）］（P＜0.05）。 结论苓桂术甘汤合泽泻汤联合前庭康复训练治疗痰湿中阻型PPPD疗效确切，可减轻临床症状和精神症状。
Abstract:
ObjectiveTo observe clinical effects of Linggui Zhugan Tang combined with Zexie Tang in the treatment of persistent postural-perceptual dizziness (PPPD). MethodsAfter completely randomized grouping, 52 PPPD patients were randomized into 26 cases in the treatment group and 26 cases in the control group in the ratio of 1:1, consequently 24 cases were left in the treatment group and 23 in the control group as two cases in the treatment group and three cases in the control group dropped out due to inability to co-operate with follow-up. The control group adopted vestibular rehabilitation training, and the treatment group orally took Linggui Zhugan Tang combined with Zexie Tang. Among them, the patients took two weeks of herbs and accepted 12 weeks of vestibular rehabilitation training, to compare the changes of dizziness handicap inventory (DHI) scores, TCM vertigo grading scores, TCM syndrome score scale,hospital anxiety and depression scale (HADS) between two groups before and after the treatment. ResultsDHI scores, TCM vertigo grading scores and HADS scores after the treatment in the two groups were lower than the groups before the treatment (P<0.05), and the decrease of the treatment group was more noticeable (P<0.05). Total effective rate of the treatment group was [87.5%(21/24)], higher than [60.9%(14/23)] of the control group (P<0.05). Conclusion Linggui Zhugan Tang, Zexie Tang and vestibular rehabilitation could gain definite effects in the treatment of PPPD, and it could improve clinical symptoms and psychological symptoms.

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备注/Memo

备注/Memo:
肖丁（1988—），男，硕士学位，主治医师。研究方向：脑病的中西医结合治疗。Email：xiaoding06020328@163.com。北京中医医院平谷医院院级课题（pgzyy2020-03）。
更新日期/Last Update: 2025-01-15