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1、临床医学论文•丹参粉针治疗急症眩晕及病因分析【摘要】口的釆用丹参粉针治疗急症眩晕,观察分析急症眩晕病种、年龄、性别、伴随症状发生率及相关因素的检查,从中揭示有规律性的发病病I大I,以利于治疗。方法117例各种类型的急症眩晕者随机分为两组,其中治疗组62例(男34例、女28例,年龄67±2岁)和对照组55例(男29例、女26例,年龄65±2岁)。治疗组给予丹参粉针(冻干精制)0.8g+50g/LGS250ml静滴,每日1次。对照组用维脑路通0・8g+50g/LGS250ml静点,毎日1次。同时口服脑益嗪25mg,每FI3次。均3天为1个疗程。结果治疗组有效率为93.55%,对照组冇效
2、率为80%(PV0.05)。结论丹参粉针治疗急症眩晕有良好疗效。【关键词】眩晕;病因;丹参粉针[Abstract!ObjectiveUsingintravenousinjectionofDanshenpowdcrtotrcatacutedizzinessandobservationandanalysisonthevariouskindsofsuchdiseaseatdifferentageandgenderofpatientsandsomeothersicknessoccuredwiththemwi11helpustofindoutthecausesofthediseaseanda
3、patternofsuchdiseasedevelopment・Thiswi11improvetheeffectofthetreatment.Methods117patientsparticipatedinaclinicaltrialandtheyweredividedintotwogroupsbychance.Thefirstgroup,34male,and26femalepatientsatageof67+2.0,receivedIVinjectionofDanshenpowderandsecond,29male,26femalepatientsatageof65±2.0rec
4、eivedadifferentkindsmedicinetreatment.Thepatientsoffirstgroupweregiven0.8g+50g/LGS250ml,IVinjection,onceaday.ThepatientsofsecondgroupweregivenmedicineWeinaolutong0.8g+50g/LGS250mlTVinjection,onceaday.sametime,thesecondgrouppatientsalsotookoralmedicineofNaoyiqing,25mg,threetimesaday.Bothgroupto
5、okatherapyineverythreedays.ResultsTherateofcuredpatientsis:firstgroup,93.55%,andsecondgroup,80%(P<0.05).ConclusionTheIVinjectionDanshenpowderreceivedbringagoodresultforacutevertigointhetria1.【Keywords]vertigo;etiology;Danshenpowderinjection3年来我科对62例主诉以眩晕急症病人应用了丹参粉针治疗,取得了满意的疗效,现将结果、病因特征、诊断简述如下。
6、1临床资料1.1性别与年龄117例中男63例,女54例;年龄15〜85岁,平均67.5±2岁。急性发病66例,缓慢发病51例。首次眩晕73例,既往有眩晕史44例。临床除给常规检查外,12例行颈椎片检查,43例行颈血管多普勒彩超,38例行颅脑CT检查。不同病因的眩晕屮性别、年龄有差异,43例双侧颈动脉硬化性眩晕,男28例,女15例,平均年龄66.5岁。38例脑及脑血管性眩晕,男22例,女16例,平均年龄67岁,其中周围性脑晕9例,男2例,女7例。梅尼埃病4例均为女性,上感5例,男2例,女3例。药源性眩晕3例,男1例,女2例。12例颈性眩晕,男5例,女7例。高血压病14例,男5例,女9
7、例,平均年龄67岁。心律失常2例,男1例,女1例。冠心病1例均为男性。糖尿病2例均为女性。不明原因眩晕2例,男1例,女1例。眩晕在病种与发病年龄上有一定差异(表1)。表1病种与发病年龄1.2伴随症状发生率伴有耳鸣31例,胃肠道反应26例,眼球震颤7例,感觉障碍24例,共济失调31例。1.3颈椎X线片检查12例X线片检查,颈椎病3例,颈椎退行变7例,正常2例。1.4CT检查38例行头颅CT扫描,脑软化1例,脑萎缩4例,退行性改变10例,脑梗死11例,脑出血4例,出血伴梗