伏志强

【摘 要】目的：探讨小柴胡汤加减治疗中风后眩晕的临床效果。方法：90例中风后眩晕患者均是我院接收的且符合本研究的要求，患者入院时间是2018年7月至2021年3月，采用随机抽样法均分为两组，各45例，对照组患者接受常规西药治疗，研究组患者接受小柴胡汤加减治疗，比较两组患者的治疗总有效率及血液流变学指标变化。结果：研究组患者治疗总有效率（95.56%）显著高于对照组（80.00%），比较分析发现有统计意义（P<0.05）；治疗前，两组的各血液流变学指标仅有很小的差距，没有统计性（P>0.05），治疗后研究组的各血液流变学指标比对照组有显著的减少（P<0.05）。结论：使用小柴胡汤加减能够有效的改善患者的血液流变学水平，缓解眩晕症状，值得在中风后眩晕治疗中应用推广。

【关键词】小柴胡汤；中风；眩晕；血液流变学

Observation on the Effect of Modified Xiaochaihu Decoction in Treating Vertigo after Apoplexy

FU Zhiqiang

Infirmary of Huishi Junior High School， Huining County， Gansu Province， Baiyin， Gansu 730799， China

【Abstract】Objective： To explore the clinical effect of Xiaochaihu Decoction in the treatment of vertigo after stroke. Methods： 90 patients with post-stroke vertigo were received by our hospital and met the requirements of this study. The admission time of patients was from July 2018 to March 2021. They were divided into two groups by random sampling method， each with 45 cases. The control group received conventional western medicine treatment， and the study group The patients received modified Xiao Chaihu Decoction， and the total effective rate of treatment and changes in hemorheological indexes of the two groups were compared. Results： The total effective rate of treatment in the study group （95.56%） was significantly higher than that of the control group （80.00%）， and the comparative analysis found that there was statistical significance（P<0.05）； before treatment， there was only a small difference between the two groups（P>0.05）. After treatment， the hemorheological indexes in the study group were significantly lower than those in the control group （P<0.05）. Conclusion： The addition and subtraction of Xiaochaihu Decoction can effectively improve the hemorheology level of patients and relieve the symptoms of vertigo. It is worthy of application and promotion in the treatment of vertigo after stroke.

【Key？Words】Xiaochaihu Decoction； stroke； dizziness； hemorheology

眩晕是中风后患者的常见症状，主要是因大脑长时间缺血、缺氧所致，病情轻微者患者休息后便可缓解，病情严重者患者则伴有持续性恶心呕吐、耳鸣、听力下降等，严重影响患者的生活质量[1]。针对中风后眩晕西医临床主要采用盐酸地芬尼多片进行对症治疗，但停药后易反复发作。祖国医学认为，中风后眩晕主要因经气不利、胆火上逆、枢机不运所致，因此应以疏风泄热为主治[2]。本研究以我院2018年7月至2021年3月收治的90例中风后眩晕患者为研究对象，采用随机抽样法均分为两组，各45例，对照组患者接受常规西药治疗，研究组患者接受小柴胡汤加减治疗，明确小柴胡汤加减的疗效情况。……