银杏叶提取物联合耳穴压丸对后循环缺血性眩晕的疗效分析

摘要/Abstract

摘要： 目的研究银杏叶提取物联合耳穴压丸对后循环缺血性眩晕的疗效。方法选择2022年1月—2022年12月甘肃省庆阳市人民医院收治的80例后循环缺血性眩晕患者作为研究对象,采取随机数表法将其分为对照组与观察组,各40例。对照组采用银杏叶提取物治疗,观察组采用银杏叶提取物联合耳穴压丸治疗。评估两组症状评分,检测临界压力（CP）、脉搏波数（Wv）、最小血流量（Qmin）、动态阻抗（DR）、脑血管外周阻力（R）和颈动脉最小血流速度（Vmin）,且检测血清一氧化氮合酶（NOS）、血小板衍生生长因子-BB（PDGF-BB）水平。结果治疗前,两组头晕、头身困重、站立不稳和目眩评分比较,差异无统计学意义（P>0.05）;治疗后,两组头晕、头身困重、站立不稳和目眩评分较治疗前均明显降低,差异有统计学意义（P<0.05）,且观察组头晕、头身困重、站立不稳和目眩评分显著低于对照组,差异有统计学意义（P<0.05）。治疗前,两组CP、Wv、Qmin、DR、R和Vmin比较,差异无统计学意义（P>0.05）;治疗后,两组CP、Wv、Qmin、DR、R和Vmin均较治疗前明显改善,差异有统计学意义（P<0.05）,且观察组CP、Wv、Qmin、DR、R和Vmin明显优于对照组,差异有统计学意义（P<0.05）。治疗前,两组PDGF-BB和NOS水平比较,差异无统计学意义（P>0.05）;治疗后,两组PDGF-BB和NOS 水平均较治疗前明显降低,且观察组PDGF-BB和NOS 水平显著低于对照组,差异有统计学意义（P<0.05）。结论银杏叶提取物联合耳穴压丸对后循环缺血性眩晕有显著的疗效,能明显减轻症状,改善脑血流动力学。

关键词: 银杏叶提取物, 耳穴压丸, 后循环缺血性眩晕

Abstract: Objective To investigate the effect of ginkgo biloba extract combined with ear acupoint pressing pills on posterior circulation ischemic dizziness. Methods Selected 80 cases of patients with posterior circulation ischemic dizziness in Qingyang People's Hospital from January 2022 to December 2022, divided into two groups randomly. The control group was treated with Ginkgo biloba extract, while the observation group was treated with Ginkgo biloba extract combined with ear acupoint pressing pills. Evaluate the symptom scores of both groups, detect critical pressure (CP), pulse wave number (Wv), minimum blood flow (Qmin), dynamic impedance (DR), cerebrovascular peripheral resistance (R), and carotid minimum blood flow velocity (Vmin). Serum levels of Nitric oxide synthase (NOS), Platelet-derived growth factor BB (PDGF-BB) were measured. Results Before treatment, there was no significant difference in the scores of dizziness, head and body fatigue, standing instability, and dizziness between the two groups (P>0.05). After treatment, the scores of dizziness, head and body fatigue, standing instability, and dizziness in the two groups were significantly reduced, and the scores of dizziness, head and body fatigue, standing instability, and dizziness in the observation group were lower (P<0.05). Before treatment, there was no significant difference in CP, Wv, Qmin, DR, R, and Vmin between the two groups (P>0.05). After treatment, the CP, Wv, Qmin, DR, R, and Vmin of the two groups were significantly improved, and the CP, Wv, Qmin, DR, R, and Vmin of the observation group were significantly better (P<0.05). Before treatment, there was no significant difference in the levels of PDGF-BB, and NOS between the two groups (P>0.05). After treatment, the levels of PDGF-BB, and NOS in both groups were significantly reduced, and the levels of PDGF-BB, and NOS in the observation group were lower (P<0.05). Conclusion Ginkgo biloba extract combined with ear acupoint pressing pills has significant therapeutic effects on posterior circulation ischemic dizziness, can significantly alleviate symptoms, improve cerebral hemodynamics.

Key words: ginkgo biloba extract, ear acupoint pressing pills, ischemic dizziness in the posterior circulation

中图分类号:

R764.43

曹瑞, 刘亮亮. 银杏叶提取物联合耳穴压丸对后循环缺血性眩晕的疗效分析[J]. 中华养生保健, 2024, 42(18): 18-21.

CAO Rui, LIU Liang-liang. Analysis of the Therapeutic Effect of Ginkgo Biloba Extract Combined with Ear Acupoint Pressing Pills on Posterior Circulation Ischemic Vertigo[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(18): 18-21.

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