Xie Qian, Li Yuan-Yuan, Xie Yan-Ming, Yang Wei, Zhao Wei, Zhuang Yan, Wang Yong-Yan
Zhongguo Zhong Yao Za Zhi. 2014 Sep;39(18):3514-8.
To explore the characteristics and influenced factors associated with the onset of vertigo disease, analysis of 3 719 cases of hospitalized patients with vertigo disease from the real world. Analysis the date of patients diagnosed with vertigo disease from the hospital information system of 19 grade-III class-A hospital from 2004 to 2011, include general information, the doctor's advice, other diseases combined, diagnostic information and the relationship with the onset of 24 solar terms, and the treatment drugs. The median age of hospitalized patients with vertigo disease was 59, the number of women (65.91%) was more than men (34.09%), manual workers (85.32%) were the majority career, most patients (81.63%) condition were general by the time they were hospital admission, patients more like admitted to neurologist (70.34%) when they first time to outpatient serves, hospitalization days were in 8-14 days (46.65%), 46.04% of the patients in the hospital total cost is in 5 000 RMB to 10 000 RMB, 73.86% of patients paid by National Health Medical Insurance. Hypertension (20.79%) was the most common underlying health problems, The most common syndromes was deficiency of liver-Yin and kidney-Yin(44. 21%) , followed by hyperactivity of liver-yang, disease of phlegm turbidity in mongolia and deficiency of Qi and blood. There were more deficiency syndrome and less excess syndrome. The highest rate of hospital admission solar terms in 2009 was the insects awaken throttle (5.21%), In 2010, the highest rate solar terms of hospital admission was the rain throttle (6.14%). The most frequently used traditional Chinese medicine was gastrodine injection (20.55%), the most frequently used western medicine for betahistine (10.19%), gastrodine injection was the most traditional Chinese medicine that combination with other western medicine. Hypertension was the most underlying health problems in the patients with vertigo disease in the real world, although the mental factors should also be attention. Liver was the most closely internal organs with vertigo, and solar terms in spring was the highest-frequency time. Gastrodine injection was the most commonly used traditional Chinese medicin in clinical to treat vertigo diserse, the therapeutic regimen combining with traditional Chinese and western medicine has more advantages. We should pay more attention to the guidance of Chinese medicine "syncretism between heaven and man", to keep up with the rhythm of change, adapt to the changes in the human body growth and decline of the Yin and Yang, by adopting the method of syndrome differentiation in traditional Chinese medicine to prevention and treatment vertigo disease.
为探讨眩晕病发病的特点及相关影响因素,对来自真实世界的3719例眩晕病住院患者进行分析。分析19家三级甲等医院2004年至2011年医院信息系统中诊断为眩晕病患者的资料,包括一般信息、医嘱、合并的其他疾病、诊断信息以及与二十四节气发病的关系,还有治疗用药情况。眩晕病住院患者的中位年龄为59岁,女性人数(65.91%)多于男性(34.09%),职业以体力劳动者居多(85.32%),大多数患者(81.63%)入院时病情一般,首次到门诊就诊时更倾向于看神经内科(70.34%),住院天数为8 - 14天(46.65%),46.04%的患者住院总费用在5000元至10000元之间,73.86%的患者由国家医保支付。高血压(20.79%)是最常见的基础健康问题,最常见的证型为肝肾阴虚证(44.21%),其次为肝阳上亢、痰浊中阻证和气血亏虚证。虚证较多,实证较少。2009年入院节气发生率最高的是惊蛰(5.21%),2010年入院节气发生率最高的是雨水(6.14%)。最常用的中药是天麻素注射液(20.55%),最常用的西药是倍他司汀(10.19%),天麻素注射液是与其他西药联用最多的中药。高血压是真实世界中眩晕病患者最主要的基础健康问题,尽管精神因素也应予以关注。肝是与眩晕关系最密切的内在脏腑,春季节气是发病频次最高的时期。天麻素注射液是临床治疗眩晕病最常用的中药,中西医结合的治疗方案更具优势。我们应更加重视中医“天人合一”的指导思想,跟上变化节奏,适应人体阴阳消长的变化,采用中医辨证论治的方法防治眩晕病。