CAJ | 학술논문

目的：观察开天门治疗对骨科腰麻术后头痛的临床疗效。方法选取我科2014年1月至2015年2月接受下肢骨折手术并出现腰麻后头痛患者共120例，随机分为观察组和对照组各60例。对照组采用补液疗法治疗，观察组在对照组基础上加用开天门治疗。采用疼痛视觉模拟评分法(VAS)评估患者的头痛程度，比较两组治疗前后VAS评分以及临床治疗效果。结果治疗后两组VAS评分均显著改善，且治疗后观察组VAS评分优于对照组；观察组总有效率显著高于对照组；差异均具有统计学意义(P＜0.05)。结论开天门治疗能有效缓解骨科腰麻术后的头痛症状，临床疗效确切，值得推广应用。
목적：관찰개천문치료대골과요마술후두통적림상료효。방법선취아과2014년1월지2015년2월접수하지골절수술병출현요마후두통환자공120례，수궤분위관찰조화대조조각60례。대조조채용보액요법치료，관찰조재대조조기출상가용개천문치료。채용동통시각모의평분법(VAS)평고환자적두통정도，비교량조치료전후VAS평분이급림상치료효과。결과치료후량조VAS평분균현저개선，차치료후관찰조VAS평분우우대조조；관찰조총유효솔현저고우대조조；차이균구유통계학의의(P＜0.05)。결론개천문치료능유효완해골과요마술후적두통증상，림상료효학절，치득추엄응용。
Objective To observe the clinical effect of Kaitianmen in treating postdural puncture headache (PDPH). Methods 120 PDPH patients received lower extremity operation in our hospital form January 2014 to February 2015 were selected and randomly divided into observation group and control group, with 60 cases in each group. The control group was given fluid therapy, the observation group was given Kaitianmen therapy on this basis. The degree of headache was evaluated by visual analogue scale (VAS). The VAS scores before and after treatment and clinical treatment effect of two groups were compared. Results The VAS scores of two groups after treatment improved significantly, and the VAS scores of observation group were better than those of control group (P <0.05); the total effective rate of observation group was higher than that of control group (P <0.05). Conclusions Kaitianmen can effectively relieve the headache in the treatment of postdural puncture headache, with definite clinical effect, which is worthy of promotion.