目的 观察中药穴位贴敷治疗肝阳上亢型眩晕的临床效果.方法 采用随机数字表法将90例肝阳上亢型眩晕患者分为观察组与对照组,研究中共失访10 例.最终纳入并进行数据分析的患者共80例.对照组仅进行常规治疗与护理,观察组在对照组的基础上予穴位外敷中药.观察周期为4周,对比分析治疗前、结束及4周后的血压、中医证候得分、总疗效率、生活质量评分.结果 (1)治疗前两组VSS-C评分偏高,差异有统计学意义(P＜0.05),治疗后两组VSS-C评分降低,差异无统计学意义(P＞0.05),但干预后观察组疗效率明显高于对照组,观察组有效率为60.3%,对照组有效率为36.7%,两组差异有统计学意义(P＜0.05). (2)治疗后眩晕发生率有明显降低,差异有统计学意义(P＜0.05),贴敷前后眩晕症状改善疗效率,两组差异有统计学意义( P＜0.05).结论 中药穴位贴敷治疗肝阳上亢型眩晕有良好的疗效,有助于促进患者恢复,改善患者生活质量.%Objective To evaluated the treatment of liver Yang Hyperactivity vertigo with acupoint application of traditional Chinese medicine .Methods A total of 90 subjects were randomly divided into experimental group and control group (n＝40).Ten cases were lost of follow -up.All subjects received routine treatment and health education , while the subjects in the experimented group received acupoint application of traditional Chinese medicine for 8 h each time, which last 10 consecutive courses of treatment .The scores of vertigo clinical symptom rating scale (VSS-C) and blood pressure were monitored before and after the treatment .Results After treatment, VSS-C score showed a decreasing trend, the difference was statistically significant (P＜0.05).The effective rate was 60.3%in the experimental group and 36.7%in the control group, the difference was statistically significant (P＜0.05).The vertigo recurrence was signifi-cantly lower in the experiment group than that in the control group (P＜0.05).Conclusion Acupoint application of tra-ditional Chinese medicine has a good curative effect on the treatment of liver Yang Hyperactivity type vertigo .
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