氟桂利嗪联合倍他司汀治疗颈性眩晕的临床疗效

Clinical effect of flunarizine combined with betastatin in the treatment of cervical vertigo

  • 摘要: 目的 探讨氟桂利嗪联合倍他司汀治疗颈性眩晕的临床效果及对患者血管内皮素-1(ET-1)、降钙素基因相关肽(CGRP)水平的影响。 方法 选取本院收治的颈性眩晕患者120例为研究对象,按随机投掷法分为对照组和研究组。2组在基础治疗的基础上均实施中医实按灸治疗。对照组给予氟桂利嗪口服,研究组加用倍他司汀口服治疗。对比2组治疗前后眩晕障碍量表(DHI)评分、临床疗效及药物不良反应情况,同时,对比2组治疗前后ET-1、CGRP指标水平。 结果 治疗前, 2组DHI评分无显著差异(P>0.05); 研究组治疗后2、4周DHI评分显著低于对照组(P<0.05); 研究组治疗有效率为95.00%, 显著高于对照组的81.67%(P<0.05); 2组治疗前ET-1、CGRP指标水平无显著差异(P>0.05); 治疗后,研究组ET-1水平低于对照组、CGRP指标水平高于对照组,差异有统计学意义(P<0.05); 研究组不良反应发生率为16.67%, 高于对照组的11.67%, 但差异无统计学意义(P>0.05)。 结论 氟桂利嗪联合倍他司汀治疗颈性眩晕的临床效果显著,可改善颈性眩晕患者血清ET-1、CGRP指标水平。

     

    Abstract: Objective To investigate the clinical effect of flunarizine combined with betastatin in the treatment of cervical vertigo and its effects on vascular endothelin-1(ET-1)and calcitonin gene related peptide(CGRP)levels in patients. Methods A total of 120 patients with cervical vertigo admitted to our hospital were selected, and were divided into two groups according to random throwing method. The patients in two groups were all given pushing moxibustion therapy of traditional Chinese medicine based on basic treatment. Control group orally administrated flunarizine, while the study group was additionally given oral administration of betastatin. Dizziness Handicap Inventory(DHI)score, clinical curative effect and drug-related adverse reactions of two groups before and after treatment were compared, and ET-1, CGRP levels in the two groups before and after treatment were compared. Results There was no significant difference in DHI score between the two groups before treatment(P>0.05). DHI scores at 2 and 4 weeks after treatment in the study group were lower than those in the control group(P<0.05). The effective rate of treatment in the study group was 95.00%, which was significantly higher than 81.67% in the control group(P<0.05). There were no significant differences in the levels of ET-1 and CGRP before treatment between the two groups(P>0.05). After treatment, the level of ET-1 in the study group was lower, and the level of CGRP was significantly higher than those in the control group(P<0.05). The incidence of adverse reactions in the study group was 16.67%, which was significantly higher than 11.67% in the control group, but no significant difference was found in two groups(P>0.05). Conclusion Flunarizine combined with betastatin in the treatment of cervical vertigo has a significant clinical effect for patients with cervical vertigo, and it can improve the serum ET-1 and CGRP levels.

     

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