摘要
目的:观察天麻钩藤饮联合西药治疗前庭性偏头痛肝阳上亢证的临床疗效。方法:采取随机数字表法,将42例肝阳上亢型前庭性偏头痛患者分为两组各21例。对照组予西药治疗,治疗组在对照组基础上予天麻钩藤饮治疗,均治疗4周。比较两组治疗前后中医证候积分、视觉模拟(VAS)评分、头痛影响测评量表-6 (HIT-6)评分、眩晕障碍量表(DHI)评分、前庭性偏头痛患者评估工具和障碍量表(VM-PATHI)评分。结果:治疗组总有效率95.2%明显高于对照组的71.4%,两组比较差异有统计学意义(P<0.05);治疗组中医证候积分、VAS评分、HIT-6评分、DHI评分、VM-PATHI评分均明显低于对照组(P<0.05)。结论:天麻钩藤饮联合西药治疗肝阳上亢型前庭性偏头痛疗效较好,可改善患者临床症状。
Objective:To observe the clinical efficacy of Tianma Gouteng yin and western medicine on vestibular migraine with syndrome of hyperactivity of liver yang.Methods:42 cases of patients with vestibular migraine with syndrome of hyperactivity of liver yang were divided into two groups by random number table method,21 cases in each group.The control group was treated with western medicine,while the treatment group was treated plus with Tianma Gouteng yin on the basis of control group,and both groups were treated for 4 weeks.TCM syndrome score,Visual Analog Scale(VAS)score,Headache Impact Test-6(HIT-6)score,Dizziness Handicap Inventory(DHI)score,Vestibular Migraine Patient Assessment Tool and Handicap Inventory(VM-PATHI)score were compared between two groups before and after treatment.Results:The total effective rate of treatment group was 95.2%,which was significantly higher than 71.4%of control group,and the comparative difference between two groups was statistically significant(P<0.05).TCM syndrome score,VAS score,HIT-6 score,DHI score and VM-PATHI score of treatment group were significantly lower than those of control group(P<0.05).Conclusion:The clinical efficacy of Tianma Gouteng yin and western medicine on vestibular migraine with syndrome of hyperactivity of liver yang is better,which can improve the clinical symptoms of patients.
作者
陈思宇
徐磊
王慧
李润泽
王宏
CHEN Si-yu;Xu Lei;WANG Hui(The First Clinical Medical School of Anhui University of Traditional Chinese Medicine,Hefei 230000,China;不详)
出处
《山西中医》
2024年第3期25-27,共3页
Shanxi Journal of Traditional Chinese Medicine
基金
安徽中医药大学新安医学教育部重点实验室开放基金项目(编号:No.2020xayx12)。
关键词
前庭性偏头痛
肝阳上亢
天麻钩藤饮
中西医结合疗法
vestibular migraine
syndrome of hyperactivity of liver yang
Tianma Gouteng yin
integrated therapy of traditional Chinese and western medicine
