中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
5期
58-59
,共2页
血管性头痛%自拟川芪止痛汤%阿是穴%盐酸氟桂利嗪胶囊
血管性頭痛%自擬川芪止痛湯%阿是穴%鹽痠氟桂利嗪膠囊
혈관성두통%자의천기지통탕%아시혈%염산불계리진효낭
Vascular headache%Self-made Chuanqi Zhitong decoction%Ashi%Flunarizine hydrochloride capsules
目的：观察自拟川芪止痛汤配合阿是穴针灸联合氟桂利嗪的临床疗效。方法：将68例风寒型血管性头痛患者随机分为两组。治疗组35例予自拟川芪止痛汤配合阿是穴针灸联合氟桂利嗪治疗，川芪止痛汤，1剂/d，水煎取汁200ml，复渣再煎，再取200ml，早晚各服200ml；另加针灸疼痛时阿是穴，补泻兼施，留针30min，盐酸氟桂利嗪胶囊10mg，每晚1次口服。对照组33例予盐酸氟桂利嗪胶囊10mg，1次/晚口服。两组均以1个月为1个疗程，1个疗程后观察两组临床疗效、治疗前后大脑前、中、后动脉血流速度和搏动指数变化情况。结果：治疗组总有效率89.7%，对照组总有效率61.0%，两组比较差异有统计学意义（P<0.05）；治疗组治疗后双侧大脑前、中、后动脉的平均血流速度和搏动指数均明显改善，与对照组治疗后比较差异均有统计学意义（P<0.01）。结论：川芪止痛汤配合阿是穴针灸联合氟桂利嗪治疗血管性头痛，可改善临床症状，具有调整脑血管的不稳定性，促进脑血管弹性和改善脑血流供应的作用。
目的：觀察自擬川芪止痛湯配閤阿是穴針灸聯閤氟桂利嗪的臨床療效。方法：將68例風寒型血管性頭痛患者隨機分為兩組。治療組35例予自擬川芪止痛湯配閤阿是穴針灸聯閤氟桂利嗪治療，川芪止痛湯，1劑/d，水煎取汁200ml，複渣再煎，再取200ml，早晚各服200ml；另加針灸疼痛時阿是穴，補瀉兼施，留針30min，鹽痠氟桂利嗪膠囊10mg，每晚1次口服。對照組33例予鹽痠氟桂利嗪膠囊10mg，1次/晚口服。兩組均以1箇月為1箇療程，1箇療程後觀察兩組臨床療效、治療前後大腦前、中、後動脈血流速度和搏動指數變化情況。結果：治療組總有效率89.7%，對照組總有效率61.0%，兩組比較差異有統計學意義（P<0.05）；治療組治療後雙側大腦前、中、後動脈的平均血流速度和搏動指數均明顯改善，與對照組治療後比較差異均有統計學意義（P<0.01）。結論：川芪止痛湯配閤阿是穴針灸聯閤氟桂利嗪治療血管性頭痛，可改善臨床癥狀，具有調整腦血管的不穩定性，促進腦血管彈性和改善腦血流供應的作用。
목적：관찰자의천기지통탕배합아시혈침구연합불계리진적림상료효。방법：장68례풍한형혈관성두통환자수궤분위량조。치료조35례여자의천기지통탕배합아시혈침구연합불계리진치료，천기지통탕，1제/d，수전취즙200ml，복사재전，재취200ml，조만각복200ml；령가침구동통시아시혈，보사겸시，류침30min，염산불계리진효낭10mg，매만1차구복。대조조33례여염산불계리진효낭10mg，1차/만구복。량조균이1개월위1개료정，1개료정후관찰량조림상료효、치료전후대뇌전、중、후동맥혈류속도화박동지수변화정황。결과：치료조총유효솔89.7%，대조조총유효솔61.0%，량조비교차이유통계학의의（P<0.05）；치료조치료후쌍측대뇌전、중、후동맥적평균혈류속도화박동지수균명현개선，여대조조치료후비교차이균유통계학의의（P<0.01）。결론：천기지통탕배합아시혈침구연합불계리진치료혈관성두통，가개선림상증상，구유조정뇌혈관적불은정성，촉진뇌혈관탄성화개선뇌혈류공응적작용。
Objective: To observe the clinical efficacy of self-made Chuanqi Zhitong decoction with Ashi acupuncture plus flunarizine. Methods:68 cases of cold-type vascular headache were randomly divided into 2 groups. 35 cases in treated group were given Chuanqi Zhitong decoction with Ashi acupuncture plus flunarizine treatment, Chuanqi Zhitong decoction, once daily, decoction juice 200ml, frying again, then took 200ml, morning and evening, took 200ml; while plus Ashi acupuncture, for 30 minutes, flunarizine hydrochloride capsules 10mg, once at night orally. The control group 33 cases were given flunarizine hydrochloride capsules 10mg, once at night orally. One month as a course of treatment in 2 groups. After a course, clinical efficacy, artery blood flow velocity and pulsatility index changes before and after treatment were observed. Results:The total efficiency was 89.7%in the treated group, the control group was 61.0%, the difference was statistically significant (P<0.05). After treatment, in the treated group, bilateral anterior brain, the average flow velocity of the arteries and pulsatility index were significantly improved, the difference was statistically significant (P<0.01) after treatment compared with the control group. Conclusion: Chuanqi Zhitong decoction with Ashi acupuncture plus flunarizine treatment of vascular headaches, can improve clinical symptoms, adjust cerebral vascular instability, promote brain blood vessel elasticity and improve cerebral blood supply.
