摘要
目的:观察针药结合治疗肝阳上亢型血管神经性头痛患者的效果。方法:选取120例肝阳上亢型血管神经性头痛患者为研究对象,采用随机数字表法分为对照组和研究组各60例。两组均口服尼莫地平片,在此基础上,对照组采用针灸治疗,研究组在对照组基础上联合平肝潜阳汤治疗,比较两组临床疗效、治疗前后头痛缓解情况、中医证候积分、血液流变学指标[全血低切黏度(LBV)、全血高切黏度(HBV)和血浆黏度(PV)]水平和不良反应发生率。结果:研究组治疗总有效率为95.00%(57/60),高于对照组的80.00%(48/60),差异有统计学意义(P<0.05);治疗后,研究组视觉模拟评分法评分和中医证候积分均低于对照组,头痛发作次数少于对照组,每次持续时间短于对照组,差异有统计学意义(P<0.05);研究组LBV、HBV和PV均低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:针药结合治疗肝阳上亢型血管神经性头痛患者可提高治疗总有效率,降低血液流变学指标水平和中医证候积分,效果优于单纯针灸治疗。
Objective:To observe effects of acupuncture combined with medicine in treatment of patients with angioneurotic headache of hyperactivity of liver yang type.Methods:120 patients with angioneurotic headache of hyperactivity of liver yang type were selected as the research objects,and were divided into control group and study group by using the random number table method,h 60 cases in each group.Both groups were given oral Nimodipine tablets.On this basis,the control group was treated with acupuncture,while the study group was treated with Pinggan Qianyang decoction on the basis of that of the control group.The clinical efficacy,the headache relief conditions,the TCM syndrome score,the hemorheology index levels[whole blood low shear viscosity(LBV),whole blood high shear viscosity(HBV)and plasma viscosity(PV)]and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:The total effective rate of treatment in the study group was 95.00%(57/60),which was higher than 80.00%(48/60)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the visual analogue scale score and the TCM syndrome score of the study group were lower than those of the control group;the number of headache attacks was less than that of the control group;the duration of each headache was shorter than that of the control group;and the differences were statistically significant(P<0.05).The levels of LBV,HBV and PV in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Acupuncture combined with medicine in treatment of the patients with angioneurotic headache of hyperactivity of liver yang type can improve the total effective rate of treatment and reduce the levels of hemorheology indexes and the TCM syndrome scores.Moreover,it is superior to single acupuncture treatment.
作者
万丽珠
WAN Lizhu(Jiamusi Hospital of Traditional Chinese Medicine,Jiamusi 154002 Heilongjiang,China)
出处
《中国民康医学》
2022年第5期113-116,共4页
Medical Journal of Chinese People’s Health
关键词
血管神经性头痛
肝阳上亢型
平肝潜阳汤
针灸
血液流变学
中医证候积分
不良反应
Angioneurotic headache
Hyperactivity of liver-yang
Pinggan Qianyang decoction
Acupuncture
Hemorheology
TCM syndrome score
Adverse reaction
