眩晕症患者80例应用不同方法治疗的疗效研究

郑玉明

[摘要] 目的 針对眩晕症患者实施不同方法治疗的效果进行比较和分析。方法 便利选择该院收治的眩晕症患者80例作为该次研究的纳入对象，选取时间段为2018年4月—2019年4月，按照患者病历单双号将其划分为常规治疗组和天麻素治疗组，每组40例。分别采用不同方式对两组患者进行治疗，在治疗结束后，对两组患者的治疗效果进行比较和分析。 结果 常规治疗组中有17例显效，12例有效，11例无效，共计达到了72.5%的总有效率，天麻素治疗组中有24例显效，14例有效，2例无效，共计达到了95.0%的总有效率。在总有效率方面，天麻素治疗组与常规治疗组相比明显更高，差异有统计学意义（χ2=8.726，P<0.05）。常规治疗组治疗前的脑血流速为（35.1±6.4））cm/s，治疗后的脑血流速为（40.1±4.9）cm/s，天麻素治疗组治疗前的脑血流速为（35.2±6.1）cm/s，治疗后的脑血流速为（47.5±5.3）cm/s。常规治疗组和天麻素治疗组治疗前的脑血流速相比差异无统计学意义（χ2=0.043，P>0.05）;治疗后，天麻素治疗组的脑血流速明显高于常规治疗组，差异有统计学意义（t=3.781，P<0.05）。结论 针对眩晕症患者采用天麻素进行治疗效果显著，可以有效缓解患者的临床症状，并且能够使其脑血流速度得到改善。

[关键词] 眩晕症;天麻素;常规治疗;疗效;脑血流速;评价

[Abstract] Objective To compare and analyze the effects of different treatment methods for patients with vertigo. Methods 80 patients with vertigo treated in the hospital were selected as the subjects of this study. The period of time was convenient from April 2018 to April 2019. They were divided into conventional treatment groups and gastrodin treatment according to the patient's medical records. There were 40 cases in each group. The two groups of patients were treated in different ways， and after the treatment was completed， the treatment effects of the two groups were compared and analyzed. Results In the conventional treatment group， 17 cases were markedly effective， 12 cases were effective， and 11 cases were ineffective， reaching a total effective rate of 72.5%. The gastrodin treatment group had 24 cases being significantly effective， 14 cases were effective， and 2 cases were ineffective， totaling 95.0% of the total effectiveness. In terms of total effectiveness， the gastrodin treatment group was significantly higher than the conventional treatment group， and the difference was statistically significant（χ2=8.726， P<0.05）. The cerebral blood flow rate before treatment in the conventional treatment group was （35.1±6.4））cm/s， the cerebral blood flow rate after treatment was （40.1±4.9）cm/s， and the cerebral blood flow rate before treatment in the gastrodin group was （35.2±6.1）cm/s. The subsequent cerebral blood flow rate was （47.5±5.3）cm/s. The cerebral blood flow rate before treatment was not statistically significantly different between the conventional treatment group and the gastrodin treatment group（t=0.043， P>0.05）; after treatment， the cerebral blood flow rate of the gastrodin treatment group was significantly higher than that of the conventional treatment. Group， the difference was statistically significant（t=3.781， P<0.05）. Conclusion Gastrodin is effective for patients with vertigo， which can effectively alleviate the clinical symptoms of patients and improve their cerebral blood flow velocity.

[Key words] Vertigo; Gastrodin; Conventional treatment; Efficacy; Cerebral blood flow; Evaluation

作为一种临床感觉障碍综合征 ，眩晕是处于静止状态下的人发生的一种运动错觉，该病的发病率在近年来开始变得越来越高。患者在发病之后会发生恶心、头晕的症状，如果程度较重，在看静止事物时患者也会感受到其处于运动状态，通常只有卧床休息才能够缓解这些症状[1]。此外，眩晕患者还常常具有颈部活动困难、神志不清、容易跌倒、耳鸣、听力障碍、畏光等症状，极大地影响到了患者的正常生活和工作。天麻素本身具有非常显著的血管扩张、镇静和镇痛的作用，可以很好地改善眩晕患者的临床症状，因此在眩晕症的临床治疗中得到了广泛应用[2]。……