2020 年第 4 期 第 15 卷

眩晕症蒙医证候相关因素分析

Relevant factors of Mongolian medicine treating vertigo

作者：那仁满都拉1季雪莲2甄瑾2聂童3宋洪涛4姜清秀5王小岩5

英文作者：Narenmandula1 Ji Xuelian2 Zhen Jin2 Nie Tong3 Song Hongtao4 Jiang Qingxiu5 Wang Xiaoyan5

单位：1内蒙古自治区人民医院蒙医科，呼和浩特010017；2内蒙古自治区人民医院神经内科，呼和浩特010017；3内蒙古自治区人民医院中西医结合科，呼和浩特010017；4内蒙古自治区人民医院中医科，呼和浩特010017；5内蒙古医科大学蒙医药学院，呼和浩特010010

英文单位：1Department of Mongolian Medicine Inner Mongolia People′s Hospital Hohhot 010017 China; 2Department of Neurology Inner Mongolia People′s Hospital Hohhot 010017 China; 3Department of Integrated Traditional Chinese and Western Medicine Inner Mongolia People′s Hospital Hohhot 010017 China; 4Department of Traditional Chinese Medicine Inner Mongolia People′s Hospital Hohhot 010017 China; 5College of Mongolian Medicine Inner Mongolia Medical University Hohhot 010010 China

关键词：眩晕症；蒙医证候；相关因素

英文关键词：Vertigo；Mongolianmedicinesyndrome；Relevantfactors

• 摘要：

• 【摘要】目的    探讨影响眩晕症蒙医证候的相关因素。方法    纳入2017年1月至2019年3月于内蒙古自治区人民医院就诊的眩晕症患者600例。所有患者填写统一的病例报告表，收集一般资料、蒙医证候、合并疾病、眩晕病因等。比较不同蒙医分型患者相关因素的差异。结果    600例患者中脱落23例，剔除7例，共570例患者纳入分析，其中蒙医辩证分型协日型122例、肝源型93例、肾源型87例、巴达干型82例、白脉型82例、赫依型54例、心源型50例。不同证型患者的男女比例比较差异无统计学意义（P＞0.05），白脉型患者的发病年龄明显高于赫依型、巴达干型、肾源型、肝源型患者［（62±8）岁比（57±7）、（58±7）、（57±8）、（58±9）岁］（均P＜0.05）。协日型和肝源型合并高血压比例高于赫依型、心源型、肾源型（均P＜0.05）；心源型合并冠状动脉粥样硬化性心脏病（冠心病）、缺血性心脏病比例高于其他6种证型（均P＜0.05）；白脉型合并颈椎病比例高于赫依型、协日型、心源型、肝源型［17.1%(14/82)比9.3%(5/54)、3.3%(4/122)、4.0%(2/50)、2.2%(2/93)］（均P＜0.05）；巴达干型合并脑血管病比例高于赫依型、协日型、心源型、肾源型、肝源型［13.4%(11/82)比5.6%(3/54)、4.9%(6/122)、2.0%(1/50)、8.0%(7/87)、2.2%(2/93)］（均P＜0.05）。肝源型后循环缺血比例高于赫依型、协日型、巴达干型、肾源型和白脉型［67.7%（63/93）比16.7%(9/54)、52.5%(64/122)、50.0%(41/82)、51.7%(45/87)、11.0%(9/82)］（均P＜0.05），白脉型前庭周围性眩晕、脑梗死比例高于其他6种证型，赫依型良性发作性位置性眩晕比例高于其他6种证型（均P＜0.05）。赫依型和白脉型患者的眩晕严重程度量表评分均明显高于其他5种证型患者，赫依型、心源型患者的头晕残障量表评分均明显高于其他证型，肝源型患者的头晕残障量表评分均明显低于其他证型（均P＜0.05）。结论    眩晕症蒙医证候可能与患者年龄，合并高血压、冠心病、颈椎病、脑血管病、缺血性心脏病，后循环缺血、前庭周围性眩晕、良性发作性位置性眩晕、脑梗死及眩晕严重程度量表评分和头晕残障量表评分有较密切的关系。

• 【Abstract】Objective    To investigate the relevant factors affecting Mongolian medicine in treatment of vertigo. Methods    Totally 600 patients with vertigo were admitted to Inner Mongolia People′s Hospital from January 2017 to March 2019. General information, Mongolian medicine syndromes, comorbidities and causes of vertigo were analyzed and compared among patients with different syndrome types. Results    Among 600 patients, 23 were lost and 7 were excluded, finally 570 cases were included in this study, including 122 cases of Xieri type, 93 cases of liver type, 87 cases of kidney type, 82 cases of Badagan type,82 cases of Baimai type,54 cases of Heyi type and 50 cases of heart type. There was no significant difference in gender diversity among different syndrome types(all P＞0.05). Onset age of Baimai type was higher than that of Heyi, Badagan, kidney and liver types［（62±8）years vs （57±7）,（58±7）,（57±8）,（58±9）years］（all P＜0.05）. Xieri and liver types were associated with higher rates of hypertension than Heyi, heart and kidney types(all P＜0.05). Heart type showed higher rates of coronary heart disease and ischemic heart disease than the other 6 types(all P＜0.05). Baimai type showed a higher rate of cervical spondylosis than Heyi, Xieri, heart and liver types［17.1%(14/82) vs 9.3%(5/54), 3.3%(4/122), 4.0%(2/50), 2.2%(2/93)］(all P＜0.05). Badagan type showed a higher rate of cerebrovascular disease than Heyi, Xieri, heart, kidney and liver types［13.4%(11/82) vs 5.6%(3/54), 4.9%(6/122), 2.0%(1/50), 8.0%(7/87), 2.2%(2/93)］(all P＜0.05). Liver type showed a higher rate of posterior circulation ischemia than Heyi, Xieri, Badagan, kidney and Baimai types［67.7%（63/93） vs 16.7%(9/54), 52.5%(64/122), 50.0%(41/82), 51.7%(45/87), 11.0%(9/82)］(all P＜0.05). Baimai type showed higher rates of perivestibular vertigo and cerebral infarction than the other 6 syndrome types(all P＜0.05). Heyi type showed a higher rate of benign paroxysmal positional vertigo than the other 6 syndrome types(all P＜0.05). Scores of vertigo severity scale in Heyi type and Baimai type were significantly higher than those in the other 5 types(all P＜0.05). Scores of dizziness and disability scale in Heyi and heart type were significantly higher than those in the others; liver type showed lower dizziness and disability score than the others(all P＜0.05). Conclusion    Mongolian medicine syndrome of vertigo may be related with age, hypertension, coronary heart disease, cervical spondylosis, cerebrovascular disease, ischemic heart disease, posterior circulation ischemia, periventricular vertigo, benign paroxysmal positional vertigo, cerebral infarction, vertigo severity scor, dizziness and disability score.