目的探讨定眩颗粒联合盐酸氟桂利嗪治疗椎-基底动脉供血不足(VBI)眩晕患者的疗效及对血流动力学的影响。方法选取2013年9月至2016年1月我院收治的椎-基底动脉供血不足眩晕患者160例,采用随机数字表法分为对照组与研究组,每组80例。对照组患者应用盐酸氟桂利嗪治疗,研究组患者采用定眩颗粒联合盐酸氟桂利嗪治疗,比较两组患者的临床治疗效果及血流动力学、血液流变学指标的变化情况。结果对照组患者治疗总有效率为70.0%,研究组为90.0%,研究组患者临床疗效显著优于对照组(P<0.01)。治疗后两组患者LVA、RVA、BA水平均显著提高,研究组患者显著高于对照组(P<0.05或0.01);治疗后研究组患者血浆黏度、纤维蛋白原等水平显著低于对照组(P<0.05或0.01)。结论与单用盐酸氟桂利嗪治疗比较,盐酸氟桂利嗪联合定眩颗粒治疗VBI眩晕患者,能更显著地降低血浆黏度、纤维蛋白原等水平,改善患者血流动力学状态,显著提高临床治疗效果。
ObjectiveTo explore the clinical effects of dingxuan granules combined with flunarizine hydrochloride in patients with vertebrobasilar insufficiency vertigo and its hemodynamic changes. MethodsA total of 160 cases of patients with vertebrobasilar insufficiency vertigo treated in our hospital from September 2013 to January 2016 were selected and divided into control group and study group according to the random number table method, with 80 cases in each group. The control group were treated with flunarizine hydrochloride, while the study group received dingxuan granules on the basis of flunarizine hydrochloride, clinical effects, hemodynamic indexes and hemorheology indexes were compared between the two groups. ResultsThe clinical effect of the study group (90.00%) was significantly higher than that of the control group (70.00%), the curative effect of the study group was significantly superior to that of the control group (P<0.01). After treatment, the levels of LVA, RVA and BA in the two groups were significantly increased compared with those before treatment(P<0.05), and the increased in the study group was more significant (P<0.05 or P<0.01); the levels of plasmic viscosity and fibrinogen of the study group were significantly lower than those of the control group (P<0.05or P<0.01). ConclusionsCompare to flunarizine hydrochloride, dingxuan granules combined with flunarizine hydrochloride on patients with vertebrobasilar insufficiency vertigo, can decrease the level of plasmic viscosity and fibrinogen significantly, and effectively improve hemodynamics and the curative effect.