首页|期刊导航|辽宁中医杂志|半夏白术天麻汤加减治疗短暂性脑缺血发作对眩晕、平衡和血脂的影响

半夏白术天麻汤加减治疗短暂性脑缺血发作对眩晕、平衡和血脂的影响OA

Influence of Modified Banxia Baizhu Tianma Decoction(半夏白术天麻汤加减)on Vertigo,Balance and Blood Lipids in Treatment of TIA

中文摘要英文摘要

目的 探究半夏白术天麻汤加减治疗短暂性脑缺血发作(TIA)对眩晕症状、平衡能力和血脂的影响.方法 选取2022年4月—2025年1月于医院进行治疗的118例TIA患者为研究对象,采用随机数字表法将其随机分为研究组及对照组,各59例.对照组采用常规西医治疗,研究组在对照组基础上联合半夏白术天麻汤加减治疗,比较两组患者治疗前后中医症状积分,平衡能力[Fugl-Meyer下肢运动功能评估量表(FMA-LE)、Berg平衡功能量表(BBS)],血脂水平[高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)、总胆固醇(TC)],内皮功能指标[一氧化氮(NO)、内皮素(ET)].结果 治疗后,两组各项中医证候积分评分、LDL-C、TG、TC、ET水平均下降,FMA-LE、BBS、HDL-C、NO评分均上升(P<0.05).结论 半夏白术天麻汤加减治疗TIA能显著改善患者的眩晕症状、平衡能力和血脂水平,优化内皮功能,具有积极的临床意义.

Objective To explore the influence of Modified Banxia Baizhu Tianma Decoction(半夏白术天麻汤加减)on ver-tigo symptoms,balance ability and blood lipids in the treatment of transient ischemic attack(TIA).Methods A total of 118 pa-tients with TIA who were treated in the hospital from April 2022 to January 2025 were selected as research subjects,and were ran-domized into the study group and the control group by random number table method,with 59 cases in each group.The patients in the control group were treated with conventional western medicine,while those in the study group were combined with Modified Banxia Baizhu Tianma Decoction on the basis of the control group.The scores of TCM symptoms,balance ability[Fugl-Meyer lower extremity motor function assessment scale(FMA-LE),Berg balance scale(BBS)],blood lipids[high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),triglyceride(TG),total cholesterol(TC)]and endothelial function indicators[nitric oxide(NO),endothelin(ET)]were compared between the two groups before and after treatment.Re-sults After treatment,the scores of various TCM syndromes and the levels of LDL-C,TG,TC and ET in the two groups were de-creased while the scores of FMA-LE and BBS and the levels of HDL-C and NO were increased(P<0.05).Conclusion Modi-fied Banxia Baizhu Tianma Decoction in the treatment of TIA can significantly improve the vertigo symptoms,the balance ability and the blood lipids,and optimize the endothelial function,and it has positive clinical significance.

陈希源;武文印

唐山市中医医院,河北唐山 063000唐山市中医医院,河北唐山 063000

医药卫生

半夏白术天麻汤短暂性脑缺血发作眩晕症状平衡能力血脂水平内皮功能

Banxia Baizhu Tianma Decoction(半夏白术天麻汤)transient ischemic attackvertigo symptomsbalance abili-tyblood lipids levelsendothelial function

《辽宁中医杂志》 2026 (4)

94-97,4

河北省中医药类科研计划课题(2018309)

10.13192/j.issn.1000-1719.2026.04.023

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