中西医结合心脑血管病杂志
中西醫結閤心腦血管病雜誌
중서의결합심뇌혈관병잡지
Chinese Journal of Integrative Medicine on Cardio/Cerebrovascular Disease
2015年
12期
1375-1377
,共3页
偏头痛%清肝泻火%泻火止痛方%中医证候积分
偏頭痛%清肝瀉火%瀉火止痛方%中醫證候積分
편두통%청간사화%사화지통방%중의증후적분
migraine%Xiehuo Zhitong decoction%liver fire ascending syndrome%symptom scores of traditional Chinese medicine
目的：观察泻火止痛方治疗肝火上炎型偏头痛的临床疗效。方法选择符合偏头痛诊断标准,且属于中医肝火上炎证型的患者108例,随机分为治疗组(55例)与对照组(53例)。治疗组予泻火止痛方颗粒,每日1包,分2次口服；盐酸氟桂利嗪胶囊模拟剂5 mg,每晚1次口服。对照组予泻火止痛方颗粒模拟剂,每日1包,分2次口服；盐酸氟桂利嗪胶囊5 mg,每晚1次口服。两组疗程均为8周。观察治疗前后两组临床疗效、中医证候疗效、偏头痛积分、中医证候积分。结果治疗组临床疗效总有效率为87.27%,对照组总有效率为79.25%,两组比较差异有统计学意义(P<0.01)。两组治疗后偏头痛积分较治疗前均有下降(P<0.01),偏头痛积分改善情况治疗组优于对照组(P<0.01)。治疗组中医证候疗效总有效率为89.09%,对照组总有效率为75.47%,两组比较差异有统计学意义(P<0.05)；两组在治疗后中医证候积分较治疗前均有下降(P<0.01),中医证候积分改善情况治疗组优于对照组(P<0.01)。结论泻火止痛方治疗辨证属于肝火上炎证型的偏头痛,具有良好的临床疗效。
目的：觀察瀉火止痛方治療肝火上炎型偏頭痛的臨床療效。方法選擇符閤偏頭痛診斷標準,且屬于中醫肝火上炎證型的患者108例,隨機分為治療組(55例)與對照組(53例)。治療組予瀉火止痛方顆粒,每日1包,分2次口服；鹽痠氟桂利嗪膠囊模擬劑5 mg,每晚1次口服。對照組予瀉火止痛方顆粒模擬劑,每日1包,分2次口服；鹽痠氟桂利嗪膠囊5 mg,每晚1次口服。兩組療程均為8週。觀察治療前後兩組臨床療效、中醫證候療效、偏頭痛積分、中醫證候積分。結果治療組臨床療效總有效率為87.27%,對照組總有效率為79.25%,兩組比較差異有統計學意義(P<0.01)。兩組治療後偏頭痛積分較治療前均有下降(P<0.01),偏頭痛積分改善情況治療組優于對照組(P<0.01)。治療組中醫證候療效總有效率為89.09%,對照組總有效率為75.47%,兩組比較差異有統計學意義(P<0.05)；兩組在治療後中醫證候積分較治療前均有下降(P<0.01),中醫證候積分改善情況治療組優于對照組(P<0.01)。結論瀉火止痛方治療辨證屬于肝火上炎證型的偏頭痛,具有良好的臨床療效。
목적：관찰사화지통방치료간화상염형편두통적림상료효。방법선택부합편두통진단표준,차속우중의간화상염증형적환자108례,수궤분위치료조(55례)여대조조(53례)。치료조여사화지통방과립,매일1포,분2차구복；염산불계리진효낭모의제5 mg,매만1차구복。대조조여사화지통방과립모의제,매일1포,분2차구복；염산불계리진효낭5 mg,매만1차구복。량조료정균위8주。관찰치료전후량조림상료효、중의증후료효、편두통적분、중의증후적분。결과치료조림상료효총유효솔위87.27%,대조조총유효솔위79.25%,량조비교차이유통계학의의(P<0.01)。량조치료후편두통적분교치료전균유하강(P<0.01),편두통적분개선정황치료조우우대조조(P<0.01)。치료조중의증후료효총유효솔위89.09%,대조조총유효솔위75.47%,량조비교차이유통계학의의(P<0.05)；량조재치료후중의증후적분교치료전균유하강(P<0.01),중의증후적분개선정황치료조우우대조조(P<0.01)。결론사화지통방치료변증속우간화상염증형적편두통,구유량호적림상료효。
Objective To investigate the clinical effect of Xiehuo Zhitong decoction(XZD)in treating migraine with liver fire ascending syndrome.Methods One hundred and eight patients with migraine and liver fire ascending syndrome were randomly divided into two groups:Control group(n=53)treated by flunarizine hydrochloride plus simulation agents of XZD,and treatment group(n=55) treated by XZD plus simulation agents of flunarizine hydrochloride for 8 weeks.The total effective rate,the effective rate of symptom score,scores of migraine and the symptom scores of traditional Chinese medicine(TCM)were observed.Results After 8 weeks of treatment,the total effective rate was 87.27% in treatment group and 79.25% in control group(P<0.01).The scores of migraine were improved after treatment in both group,with more significant improved in treatment group than in control group(P<0.01).The effec-tive rate of symptom score was 89.09% in treatment group and 75.47% in control group(P<0.05).The symptom scores were im-proved after treatment in both group,with more significant improved in treatment group than in control group. Conclusion XZD is quite effective in treating migraine with liver fire ascending syndrome.
