摘要
目的观察中医综合方案治疗气滞血瘀痰阻型偏头痛的临床效果。方法将80例气滞血瘀痰阻型偏头痛患者随机分为西药组39例(脱落1例),中医综合组40例;西药组给予盐酸氟桂利嗪胶囊治疗,中医综合组在西药组基础上给予通窍蠲痛汤+针刺+穴位贴敷治疗。观察2组治疗4周及停药3个月后的临床效果及焦虑自评量表(SAS)、头痛影响测试问卷(HIT-6)、偏头痛残疾程度评估问卷(MIDAS)评分情况。结果中医综合组治疗4周后总有效率为95.00%(38/40),高于西药组的74.36%(29/39),差异均有统计学意义(P<0.05);中医综合组停药3个月后随访的总有效率为92.50%(37/40),高于西药组的58.97%(23/39),差异均有统计学意义(P<0.05)。中医综合组治疗后及停药3个月后随访的临床症状和SAS、HIT-6、MIDAS评分改善情况较西药组好,差异均有统计学意义(P<0.05)。中医综合组停药3个月后随访的临床症状、SAS、HIT-6、MIDAS评分与本组治疗4周后的对比,差异无统计学意义(P>0.05);西药组停药3个月后随访的临床症状、SAS、MIDAS评分与本组治疗4周后的对比,差异有统计学意义(P<0.05)。结论中医综合治疗方案对气滞血瘀痰阻型偏头痛效果显著,同时也有较好的远期预防效果。
Objective To observe the clinical effect of comprehensive program of traditional Chinese medicine in treating migraine of qi stagnation,blood stasis and phlegm obstruction type.Methods Eighty patients with migraine of qi stagnation,blood stasis and phlegm ob⁃struction type were randomly divided into Western medicine group(39 cases,1 case fell off)and TCM comprehensive group(40 cases).The Western medicine group was treated with flunarizine hydrochloride capsule,and the TCM comprehensive group was treated with Tongqiao Juantong decoction,acupuncture and acupoint application based on the Western medicine group.The clinical effects and scores of self-rating Anxiety Scale(SAS),Headache Impact Test Questionnaire(HIT-6)and Migraine Disability Assessment Question⁃naire(MIDAS)were observed in 2 groups after 4 weeks of treatment and 3 months of discontinuation.Results After 4 weeks of treatment,the total effective rate of TCM comprehensive group was 95.00%(38/40),which was higher than that of western medicine group(74.36%,29/39),and the difference was statistical significance(P<0.05).The total effective rate of TCM comprehensive group was 92.50%(37/40)after 3 months of withdrawal,which was higher than that of western medicine group(58.97%,23/39),and the differences were statisti⁃cally significant(P<0.05).The clinical symptoms and the improvement of SAS,HIT-6 and MIDAS scores in TCM comprehensive group after treatment and 3 months after withdrawal were better than those in western medicine group,and the differences were statistically sig⁃nificant(P<0.05).There was no significant difference in clinical symptoms,SAS,HIT-6 and MIDAS scores in the TCM comprehensive group after 3 months of discontinuation compared with that after 4 weeks of treatment(P>0.05).The clinical symptoms,SAS and MIDAS scores of the western medicine group after 3 months of withdrawal were compared with those of the Western medicine group after 4 weeks of treatment,and the differences were statistically significant(P<0.05).Conclusion The comprehen
作者
薛伟伟
刘强
XUE Weiwei;LIU Qiang(Emergency Department,Taian Hospital of Traditional Chinese Medicine,Shandong Province,Taian 271000,China;Encephalopathy Department,Taian Hospital of Traditional Chinese Medicine,Shandong Province,Taian 271000,China)
出处
《中国中医药现代远程教育》
2023年第24期119-122,共4页
Chinese Medicine Modern Distance Education of China
关键词
头风
偏头痛
气滞血瘀痰阻证
中医综合方案
intermittent headache
migraine
syndrome of qi stagnation,blood stasis and phlegm obstruction
comprehensive program of traditional Chinese medicine
