慢性紧张型头痛风瘀候中医综合治疗方案研究
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摘要
目的:观察以柔筋方为主方,合用疏风祛瘀方的中药内服法和针刺治疗组合的四种治疗方案对慢性紧张型头痛风瘀候的疗效,筛选制定慢性紧张型头痛风瘀候最佳中医综合治疗方案。
方法:将80例慢性紧张型头痛风瘀候患者随机分为一般治疗组、一般治疗加针刺组、一般治疗加中药组和一般治疗加针刺中药组,治疗28天。观察治疗前后患者的头痛指数、伴随症状、世界卫生组织生存质量测定简表(WHOQOL-BREF)积分、抑郁自评量表(SDS)积分、焦虑自评量表(SAS)积分的变化。
结果:经统计学分析,一般治疗组、一般治疗加针刺组、一般治疗加中药组、一般治疗加针刺中药组总有效率分别为45%、65%、75%和85%,四组比较总有效率有显著性差异(P<0.05)。针刺、中药在改善患者头痛指数、焦虑自评量表(SAS)积分、抑郁自评量表(SDS)积分方面有重要作用(P<0.01),能提高患者的总体生活质量、总体健康、生理领域、心理领域积分(P<0.01),且二者具有交互作用(P<0.05)。各治疗组对生存质量量表的社会关系、环境领域的改善作用不明显。一般治疗组对伴随症状无改善作用(P>0.05),其余三个治疗组对眩晕、口干、耳鸣、失眠等伴随症状均有改善作用(P<0.05)。
结论:针刺中药合用的治疗方案能解除或缓解头痛,降低头痛指数,改善临床伴随症状,并能改善焦虑、抑郁积分,改善患者总体生活质量、总体健康及生活质量的生理、心理领域,二者合用具有交互作用,并能加快起效时间,符合卫生经济学评价的要求,因此针刺中药合用的治疗方案为治疗慢性紧张型头痛风瘀候的最佳中医综合治疗方案,适合更大范围的推广应用。
Object: To observe the therapeutic effect of four treatments on the patients suffering from tension-type headache of feng-yu type,which are combined by acupuncture treatment and traditional Chinese medicine recipe composed of roujin fang and shufengquyu fang,so as to find the best combined therapy of TCM on chronic tension-type headache of feng-yu type.
Methods:80 patients with tension-type headache of feng-yu type were randomly divided into general treatment group(n=20),general treatment and acupuncture group(n=20),general therapy and traditional Chinese medicine group(n=20)and a group using both acupuncture and traditional Chinese medicine(n=20).All were treated for 28 days, and then compared the headache index,accompany symptoms score,WHOQOL-BREF score,SDS score,SAS score before and after treatment.
Results: The statistic analysis revealed that acupuncture treatment and traditional Chinese medicine recipe composed of roujin fang and shufengquyu fang are safe and effective to cure tension-type headache of feng-yu type. The total effective rate of the four groups were 45%,65%,75% and 85%.There was quite significant difference between them(P<0.05).Acupuncture treatment and traditional Chinese medicine recipe improved headache index,SDS score,SAS score and raising the overall quality of life,the overall heath,the physiological status and the psychological status of the QOL(P<0.01),while they have counter change.All accompanied signs and symptoms were not improved in the general treatment group(P>0.05), while other groups were improved(P<0.01).
Conclusion: The combined therapy using both acupuncture and traditional Chinese medicine can evidently reduce the headache by decreasing headache index, appeasing tense and despress emotions and raising the overall quality of life. In addition,it accelerated the effect-acting period and accorded with evaluation of health economics,so it was the best combined therapy of TCM on chronic tension-type headache of feng-yu type.
方法:将80例慢性紧张型头痛风瘀候患者随机分为一般治疗组、一般治疗加针刺组、一般治疗加中药组和一般治疗加针刺中药组,治疗28天。观察治疗前后患者的头痛指数、伴随症状、世界卫生组织生存质量测定简表(WHOQOL-BREF)积分、抑郁自评量表(SDS)积分、焦虑自评量表(SAS)积分的变化。
结果:经统计学分析,一般治疗组、一般治疗加针刺组、一般治疗加中药组、一般治疗加针刺中药组总有效率分别为45%、65%、75%和85%,四组比较总有效率有显著性差异(P<0.05)。针刺、中药在改善患者头痛指数、焦虑自评量表(SAS)积分、抑郁自评量表(SDS)积分方面有重要作用(P<0.01),能提高患者的总体生活质量、总体健康、生理领域、心理领域积分(P<0.01),且二者具有交互作用(P<0.05)。各治疗组对生存质量量表的社会关系、环境领域的改善作用不明显。一般治疗组对伴随症状无改善作用(P>0.05),其余三个治疗组对眩晕、口干、耳鸣、失眠等伴随症状均有改善作用(P<0.05)。
结论:针刺中药合用的治疗方案能解除或缓解头痛,降低头痛指数,改善临床伴随症状,并能改善焦虑、抑郁积分,改善患者总体生活质量、总体健康及生活质量的生理、心理领域,二者合用具有交互作用,并能加快起效时间,符合卫生经济学评价的要求,因此针刺中药合用的治疗方案为治疗慢性紧张型头痛风瘀候的最佳中医综合治疗方案,适合更大范围的推广应用。
Object: To observe the therapeutic effect of four treatments on the patients suffering from tension-type headache of feng-yu type,which are combined by acupuncture treatment and traditional Chinese medicine recipe composed of roujin fang and shufengquyu fang,so as to find the best combined therapy of TCM on chronic tension-type headache of feng-yu type.
Methods:80 patients with tension-type headache of feng-yu type were randomly divided into general treatment group(n=20),general treatment and acupuncture group(n=20),general therapy and traditional Chinese medicine group(n=20)and a group using both acupuncture and traditional Chinese medicine(n=20).All were treated for 28 days, and then compared the headache index,accompany symptoms score,WHOQOL-BREF score,SDS score,SAS score before and after treatment.
Results: The statistic analysis revealed that acupuncture treatment and traditional Chinese medicine recipe composed of roujin fang and shufengquyu fang are safe and effective to cure tension-type headache of feng-yu type. The total effective rate of the four groups were 45%,65%,75% and 85%.There was quite significant difference between them(P<0.05).Acupuncture treatment and traditional Chinese medicine recipe improved headache index,SDS score,SAS score and raising the overall quality of life,the overall heath,the physiological status and the psychological status of the QOL(P<0.01),while they have counter change.All accompanied signs and symptoms were not improved in the general treatment group(P>0.05), while other groups were improved(P<0.01).
Conclusion: The combined therapy using both acupuncture and traditional Chinese medicine can evidently reduce the headache by decreasing headache index, appeasing tense and despress emotions and raising the overall quality of life. In addition,it accelerated the effect-acting period and accorded with evaluation of health economics,so it was the best combined therapy of TCM on chronic tension-type headache of feng-yu type.
引文
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