摘要
目的探讨熄风化痰类中药治疗偏头痛的临证心得及对患者头痛强度的影响。方法选取2017年1月—2018年9月收治的98例偏头痛患者为研究对象,根据随机数表法分为观察组(50例)和对照组(48例),观察组给予熄风化痰类中药治疗,对照组给予盐酸氟桂利嗪胶囊治疗。观察2组患者的临床疗效、视觉模拟评分(VAS)、中医症状积分、症状改善情况、头痛影响测定-6(HIT-6)评分以及不良反应。结果治疗后,观察组患者总有效率显著高于对照组,观察组VAS评分和中医症状积分明显低于对照组,观察组头痛发作次数、发作持续时间以及头痛程度明显低于对照组,观察组HIT-6评分明显低于对照组,差异有统计学意义(P <0. 05);观察组总不良反应发生率低于对照组,差异有统计学意义(P <0. 05)。结论应用熄风化痰类中药治疗偏头痛可提高疗效,减轻患者头痛强度,改善生活质量,安全性高,建议在临床广泛推广应用。
Objective To investigate the clinical symptoms of dissipating wind and phlegm herbal medicine in the treatment of migraine and its effect on headache intensity.Methods A retrospective study was conducted on 98 migraine patients admitted from January 2017 to September 2018.According to the treatment method,they were divided into observation group(50 cases)and control group(48 cases).The observation group was given dissipating wind and phlegm herbal medicine.The control group was treated with flunarizine hydrochloride capsules.The clinical efficacy,visual analog scale(VAS)scores,TCM syndrome scores,symptom improvement,headache impact measurement(HIT-6)score,and adverse reactions were observed in both groups.Results After treatment,the total effective rate of the observation group was significantly higher than that of the control group.The VAS score and TCM syndrome score of the observation group were significantly lower than that of the control group.The number of headache attack,duration of attack,and headache degree in the observation group were significantly lower than the control group.The score of HIT-6 in the group was significantly lower than that in the control group(P<0.05).The incidence of total adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The dissipating wind and phlegm herbal medicine in the treatment of migraine and its effect on headache intensity is significant,which can significantly reduce the degree of headache and other related symptoms in patients,and has fewer adverse reactions.The value of clinical popularization and application is higher.
作者
黄纡寰
HUANG Yuhuan(Department of Internal Medicine,Fuzhou Hospital of Traditional Chinese Medicine,Jiangxi Province,Fuzhou 344000,China)
出处
《光明中医》
2019年第5期662-665,共4页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
偏头痛
熄风化痰
中医药疗法
临证心得
头痛强度
migraine
dissipating wind and phlegm
therapy of TCM
clinical experience
headache intensity
