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后循环缺血性眩晕中西医临床发病机制及治疗研究进展
Research Progress on the Pathogenesis and Treatment of Posterior Circulation Is-chemic Vertigo in Traditional Chinese Medi-cine and Western Medicine Clinical Practice

DOI: 10.12677/ACM.2023.13112493, PP. 17780-17787

Keywords: 后循环缺血性眩晕,发病机制,病因病机,中西医治疗
Posterior Circulation Ischemia Vertigo
, Pathogenesis, Etiology and Mechanism of Disease, Chinese and Western Medicine

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Abstract:

后循环缺血性眩晕(Posterior Circulation Ischemia Vertigo)属于椎–基底动脉系统疾病,主要为脑干、小脑以眩晕为主要的临床表现,占缺血性脑血管病的20%~25%,,后循环相关病死率为20%~30%,往往高于前循环。PCIV是一种常见的眩晕疾病,具有突发性、旋转性、持续性眩晕,眩晕发作时常伴恶心、呕吐、耳鸣、听力减退等症状,常由头部姿势改变、快速转动、劳累、情绪波动等诱发。此研究通过检索中国知网、万方、维普、Pubmed等数据库近年来纳入的相关文献,输入以下关键词:后循环缺血性眩晕、后循环缺血、椎–基底动脉供血不足、中医治疗、西医治疗,从西医的解剖学、病因病理、手术、药物及中医病因病机、脏腑气血理论、中药、中医特色疗法等方面归纳论述,为进一步临床应用及深入研究PCIV提供参考。
Posterior circulation ischaemia vertigo (PCIV) belongs to the vertebrobasilar system diseases, mainly for the brain stem, cerebellum to vertigo as the main clinical manifestations, accounting for 20%~25% of ischaemic cerebrovascular disease, the posterior circulation-related mortality rate of 20% to 30%, often higher than the anterior circulation. PCIV is a common disease. PCIV is a common vertigo disorder with sudden, rotatory and persistent vertigo. Attacks of vertigo are often accompa-nied by nausea, vomiting, tinnitus and hearing loss, and are often triggered by changes in head po-sition, rapid rotation, exertion and emotional fluctuations. In this study, we searched the relevant literature published in recent years in China Knowledge, Wanfang, Wipro, Pubmed and other data-bases, using the following keywords posterior circulation ischaemic vertigo, Posterior circulation ischaemia, vertebrobasilar artery blood supply insufficiency, Chinese medicine treatment, Western medicine treatment, and summarised the anatomical, etiological and pathological aspects in West-ern medicine, surgery, drugs and Chinese medicine etiology and pathology, visceral organs and qi and blood theories, traditional Chinese medicine, Chinese medicine characteristic therapies and so on. It provides a reference for further clinical application and in-depth study of PCIV.

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