河北中医
河北中醫
하북중의
HEBEI JORNAL OF TRADITIONAL CHINESE MEDICINE
2014年
10期
1458-1460
,共3页
脑梗死%偏头痛%止痛药(中药)%中医药疗法
腦梗死%偏頭痛%止痛藥(中藥)%中醫藥療法
뇌경사%편두통%지통약(중약)%중의약요법
Infarction%Migraine%Analgesics(traditional Chinese medicine)%Therapy of traditional Chinese medicine
目的：观察通窍止痛方治疗单纯型偏头痛性脑梗死的临床疗效。方法采用随机双盲的方法，将94例单纯型偏头痛性脑梗死患者分为2组。对照组45例采用西医常规治疗方法，治疗组49例在西医常规治疗方法的基础上加用通窍止痛方。2周后观察疗效，评价其总有效率及疼痛视觉模拟评分（ VAS）、神经功能缺损程度、Barthel指数评分。结果治疗组总有效率87．76％，对照组总有效率66．67％，2组比较差异有统计学意义（ P ＜0．05），治疗组疗效优于对照组；2组治疗后VAS、神经功能缺损及Barthel指数评分与本组治疗前比较差异均有统计学意义（ P ＜0．05），VAS、神经功能缺损评分降低，Barthel指数评分评分升高，且治疗组治疗后改善均优于对照组（ P ＜0．05）。结论通窍止痛方治疗单纯型偏头痛性脑梗死临床疗效显著，能够明显缓解患者的头痛，改善神经缺损症状，提高生活质量，临床应用安全有效。
目的：觀察通纖止痛方治療單純型偏頭痛性腦梗死的臨床療效。方法採用隨機雙盲的方法，將94例單純型偏頭痛性腦梗死患者分為2組。對照組45例採用西醫常規治療方法，治療組49例在西醫常規治療方法的基礎上加用通纖止痛方。2週後觀察療效，評價其總有效率及疼痛視覺模擬評分（ VAS）、神經功能缺損程度、Barthel指數評分。結果治療組總有效率87．76％，對照組總有效率66．67％，2組比較差異有統計學意義（ P ＜0．05），治療組療效優于對照組；2組治療後VAS、神經功能缺損及Barthel指數評分與本組治療前比較差異均有統計學意義（ P ＜0．05），VAS、神經功能缺損評分降低，Barthel指數評分評分升高，且治療組治療後改善均優于對照組（ P ＜0．05）。結論通纖止痛方治療單純型偏頭痛性腦梗死臨床療效顯著，能夠明顯緩解患者的頭痛，改善神經缺損癥狀，提高生活質量，臨床應用安全有效。
목적：관찰통규지통방치료단순형편두통성뇌경사적림상료효。방법채용수궤쌍맹적방법，장94례단순형편두통성뇌경사환자분위2조。대조조45례채용서의상규치료방법，치료조49례재서의상규치료방법적기출상가용통규지통방。2주후관찰료효，평개기총유효솔급동통시각모의평분（ VAS）、신경공능결손정도、Barthel지수평분。결과치료조총유효솔87．76％，대조조총유효솔66．67％，2조비교차이유통계학의의（ P ＜0．05），치료조료효우우대조조；2조치료후VAS、신경공능결손급Barthel지수평분여본조치료전비교차이균유통계학의의（ P ＜0．05），VAS、신경공능결손평분강저，Barthel지수평분평분승고，차치료조치료후개선균우우대조조（ P ＜0．05）。결론통규지통방치료단순형편두통성뇌경사림상료효현저，능구명현완해환자적두통，개선신경결손증상，제고생활질량，림상응용안전유효。
Objective To observe the effect of Tongqiaozhitong prescription on the treatment of simple mi-graine infarction.Methods 94 cases of simple migraine infarction were randomly divided into two groups .45 cases in control group were treated by routine western medicine therapy .45 cases in treatment group were treated by Tongqiaozhitong prescription on the basis of routine western medicine therapy .The effect was observed after two weeks.The total effective rate,VAS,neurological function deficiency scale and Barthel index score were evaluated . Results The total effective rate in treatment group (87.76%) was higher than that in control group (66.67%,P<0.05).There was significant difference between before and after treatment on VAS ,neurological function deficiency scale and Barthel index score in two groups ( P <0.05).VAS and neurological function deficiency score were de-creased,Barthel index score was increased .The improvement in treatment group was superior to that in control group after treatment ( P <0.05).Conclusion Tongqiaozhitong prescription on the treatment of simple migraine infarc-tion has clinically significant effect ,can significantly alleviate the patient's headaches ,improve symptoms of neurologi-cal defects ,improve quality of life ,and has safe and effective clinical application .
