首页|期刊导航|中国医学创新|丹红注射液联合倍他司汀治疗脑动脉供血不足性眩晕的效果

丹红注射液联合倍他司汀治疗脑动脉供血不足性眩晕的效果OA

Effect of Danhong Injection Combined with Betahistine in the Treatment of Vertigo Due to Insufficient Blood Supply to the Cerebral Arteries

中文摘要英文摘要

目的:探讨丹红注射液联合倍他司汀治疗脑动脉供血不足性眩晕的效果.方法:选择2023年2 月—2025 年 7 月于昆山市精神卫生中心接受治疗的 120 例脑动脉供血不足性眩晕患者作为研究对象,采用随机数字表法将其分为两组,各 60 例.对照组予以倍他司汀单药治疗,观察组在对照组基础上联合丹红注射液干预.两组均治疗 14 d.比较两组的脑血管血流动力学指标、眩晕程度、中医证候积分、临床疗效及药物相关不良事件发生率.结果:两组治疗前脑血管血流动力学指标、眩晕程度、中医证候积分比较,差异无统计学意义(P>0.05).治疗后 1 d,观察组左侧椎动脉(LVA)、右侧椎动脉(RVA)及基底动脉(BA)平均血流速度高于对照组,眩晕障碍量表(DHI)评分及头晕、头痛、眩晕评分均低于对照组(P<0.05).观察组治疗总有效率高于对照组(P<0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论:丹红注射液联合倍他司汀治疗脑动脉供血不足性眩晕,可以改善患者的脑血管血流动力学指标,减轻眩晕程度,改善症状,疗效好,安全性高.

Objective:To explore the effect of Danhong Injection combined with Betahistine in the treatment of vertigo due to insufficient blood supply to the cerebral arteries.Method:A total of 120 patients with vertigo due to insufficient blood supply to the cerebral arteries who were treated at Kunshan Mental Health Center from February 2023 to July 2025 were selected as the research subjects.They were divided into two groups by random number table method,with 60 cases in each group.The control group was treated with Betahistine monotherapy,while the observation group was intervened with Danhong Injection on the basis of the control group.Both groups were treated for 14 days.The cerebrovascular hemodynamic indicators,the degree of vertigo,the traditional Chinese medicine syndrome score,the clinical efficacy and the incidence of drug-related adverse events of the two groups were compared.Result:There were no statistically significant differences in cerebrovascular hemodynamic indicators,vertigo degree and traditional Chinese medicine syndrome score before treatment between the two groups(P>0.05).One day after treatment,the average blood flow velocities of the left vertebral artery(LVA),right vertebral artery(RVA),and basilar artery(BA)in the observation group were higher than those in the control group,while the dizziness handicap inventory(DHI)score and the scores of dizziness,headache,and vertigo were all lower than those in the control group(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:Danhong Injection combined with Betahistine in the treatment of vertigo due to insufficient blood supply to the cerebral arteries can improve the cerebrovascular hemodynamic indicators of patients,reduce the degree of vertigo,alleviate symptoms,and has good therapeutic effect and high safety.

陈宜春;王芳

昆山市精神卫生中心内科 江苏 昆山 215311昆山市精神卫生中心内科 江苏 昆山 215311

脑动脉供血不足性眩晕丹红注射液倍他司汀血流动力学

Vertigo due to insufficient blood supply to the cerebral arteriesDanhong InjectionBetahistineHemodynamics

《中国医学创新》 2026 (8)

44-48,5

10.3969/j.issn.1674-4985.2026.08.011

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