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芎羌术陈化痰汤治疗偏头痛的疗效及对大脑血流速度的影响 被引量:7

Effects of Migraine Treated with Xiongqiang Zhuchen Huatan Decoction and Impact on Cerebral Blood Flow Velocity
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摘要 目的:观察芎羌术陈化痰汤对偏头痛的疗效及对大脑血流速度的影响。方法:选取2012年5月至2015年5月80例偏头痛患者作为研究对象,随机分为两组,每组40例。对照组行常规西医治疗,观察组在西医治疗基础上加用芎羌术陈化痰汤治疗,治疗结束后观察两组治疗效果、疼痛改善情况及治疗前后大脑血流速度变化。结果:观察组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05)。根据视觉模拟评分法(VAS),观察组治疗结束后2周疼痛评分显著低于对照组,差异有统计学意义(P<0.05)。观察组治疗后大脑中动脉(MCA)、大脑前动脉(ACA)、大脑后动脉(PCA)及基底动脉(BA)血流速度显著低于对照组,差异有统计学意义(P<0.05)。结论:芎羌术陈化痰汤治疗偏头痛疗效显著,能显著降低大脑血流速度,纠正血管痉挛状态,改善患者疼痛程度。 Objective: To study the effects of Xiongqiang Zhuchen Huatan Decoction on cerebral blood flow velocity and outcomes in patients with migraine. Methods: 80 patients with migraine treated in our hospital from May 2012 to May 2015 were selected as the study objects and were randomly divided into two groups,40 cases in each. The controlled group was treated with western medicine. Based on the treatment of western medicine,the observation group was treated with Xiongqiang Zhuchen Huatan Decoction. After treatment,the therapeutic effects,remission of pain and changes of cerebral blood flow velocity before and after treatment in the two groups were observed. Results: The total effective rate in the observation group was significantly higher than that in the controlled group( P 0. 05). According to the visual analogue scale( VAS),the pain score of the observation group2 weeks after treatment was significantly lower than that of the controlled group( P0. 05). After treatment,the blood flow velocities of middle cerebral artery( MCA),anterior cerebral artery( ACA),posterior cerebral artery( PCA) and basilar artery( BA)in the observation group were significantly lower than those in the controlled group( P0. 05). Conclusion: The curative effect of Xiongqiang Zhuchen Huatan Decoction is significant. It can significantly reduce cerebral blood flow velocity,correct state of vascular spasm and relieve pain degree.
出处 《四川中医》 2016年第8期141-143,共3页 Journal of Sichuan of Traditional Chinese Medicine
关键词 偏头痛 芎羌术陈化痰汤 血流速度 转归 Migraine Xiongqiang Zhuchen Huatan Decoction Blood flow velocity Outcome
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