刘禅杰

【摘要】 目的：分析地西泮联合天麻素治疗急诊眩晕的临床效果。方法：选取2019年6月-2020年6月本院80例急诊眩晕患者，按随机数字表法将其分为对照组和治疗组，每组40例。对照组接受苯海拉明联合天麻素治疗，治疗组接受地西泮联合天麻素治疗。比较两组治疗总有效率、治疗前后生活质量评分、临床症状消失时间、不良反应发生情况及治疗前和治疗后15 min、30 min、1 h、3 h 运动敏感度指数（MSQ）评分。结果：研究组治疗总有效率、治疗后生活质量评分均高于对照组（P<0.05）;研究组临床症状消失时间、治疗后15 min、30 min、1 h、3 h的MSQ评分均低于对照组（P<0.05）。治疗组不良反应发生率稍低于对照组（P>0.05）。结论：通过实施地西泮联合天麻素治疗，可提升治疗效果，改善症状，提高生活质量，不增加不良反应，值得在临床上推广应用。

【关键词】 急诊眩晕 地西泮 天麻素

Study of Diazepam Combined with Gastrodin in the Treatment of Emergency Vertigo/LIU Chanjie. //Medical Innovation of China， 2021， 18（13）： 0-039

[Abstract] Objective： To analyze the clinical effect of Diazepam combined with Gastrodin in the treatment of emergency vertigo. Method： A total of 80 cases of emergency vertigo patients in our hospital from June 2019 to June 2020 were selected. According to random number table method， they were divided into control group and treatment group， with 40 cases in each group. The control group received Diphenhydramine combined with Gastrodin treatment， patients in the treatment group received Diazepam combined with Gastrodin treatment. The total effective rate， before and after treatment quality of life scores， disappearance time of clinical symptom， adverse reactions were compared between the two groups， and motion sensitivity questionaire （MSQ） scores before treatment， 15 min， 30 min， 1 h and 3 h after treatment were compared between the two groups. Result： The total effective rate and quality of life score after treatment in the study group were higher than those of the control group （P<0.05）. The disappearance time of clinical symptoms and MSQ scores at 15 min， 30 min， 1 h and 3 h after treatment of the study group were lower than those of the control group （P<0.05）. The incidence of adverse reactions in the study group was slightly lower than that of the control group （P>0.05）. Conclusion： Through the implementation of Diazepam combined with Gastrodin， the treatment effect can be improved， the symptoms can be improved， and the quality of life can be improved without increasing the adverse reactions， which is worthy of clinical promotion and application.

[Key words] Emergency vertigo Diazepam Gastrodia

First-authors address： Yunfu Hospital of Traditional Chinese Medicine， Yunfu 527300， China

doi：10.3969/j.issn.1674-4985.2021.13.009

眩暈疾病是一种运动幻觉或者空间位置我感知错误的疾病，在我国临床上具有较高的发病率[1]。急诊眩晕患者主观感觉自身旋转、外物旋转、摆动、倾斜和升降等，并且会出现站立不稳、平衡失调、指物偏向、眼球震颤、自主神经功能障碍等症状，对患者的身体健康和生活质量造成严重的影响，需要对患者实施合理的治疗，以改善症状，使患者的身体功能得到恢复[2-4]。本文主要研究地西泮联合天麻素治疗急诊眩晕的临床效果，现报道如下。

1 资料与方法

1.1 一般资料 选取2019年6月-2020年6月本院80例急诊眩晕患者。纳入标准：（1）符合急诊眩晕的临床诊断标准;（2）年龄18～80岁;（3）发病15 min～2 h;（4）血压控制在180/100 mm Hg以下。排除标准：（1）严重心、肝、肾功能不全或严重糖尿病史，低血糖状态;（2）精神意识障碍;（3）患者不合作;（4）临床资料不完整。……