氨酚羟考酮与曲马多治疗偏头痛及紧张性头痛的疗效对比

目的:对比观察氨酚羟考酮和曲马多用于中、重度偏头痛及紧张性头痛的疗效。方法:52例偏头痛及紧张性头痛患者,按随机数字法分为氨酚羟考酮组(n=25)和曲马多组(n=27)。分别服用氨酚羟考酮胶囊及盐酸曲马多片进行治疗。观察治疗前后数字评分量表(numericratingscales,NRS)评分变化、镇痛有效率及不良反应。结果:服氨酚羟考酮的偏头痛患者(第1组)治疗前后NRS值差异无显著性意义。服曲马多的偏头痛患者(第2组)、服氨酚羟考酮(第3组)和曲马多(第4组)的紧张性头痛患者治疗前NRS值分别为7.48±1.75,6.03±2.47和6.96±2.39,治疗后为3.58±3.26,1.25±1.53和2.32±2.30,均较治疗前明显下降(P<0.01),治疗后第2,3组的NRS值明显低于第1组(第1,2组间比较:t=2.369,P=0.029;第1,3组间比较:t=6.012,P=0.000)。第3组有效率(58%)明显高于第1组(13%)(P=0.020)。各组间副作用发生率差异无显著性意义。结论:氨酚羟考酮用于紧张性头痛的疗效较好,曲马多可用于偏头痛和紧张性头痛,其他药物治疗无效时可考虑选择这两种药物。     

调神开郁针法结合眼针治疗紧张性头痛的临床观察

目的 观察调神开郁针法结合眼针治疗紧张性头痛的临床疗效.方法 采用随机数字表法将紧张性头痛患者60例分为观察组和对照组各30例,观察组予调神开郁针法与眼针结合的治疗方案,对照组予常规针刺方案,均治疗4个疗程后运用统计学方法对两组患者的头痛情况(头痛程度、持续时间、头痛指数)、焦虑抑郁情况的评价指标及临床疗效进行分析.结...     

氨酚羟考酮与曲马多治疗偏头痛及紧张性头痛的疗效对比

目的：对比观察氨酚羟考酮和曲马多用于中、重度偏头痛及紧张性头痛的疗效。方法：52例偏头痛及紧张性头痛患者，按随机数字法分为氨酚羟考酮组(n=25)和曲马多组(n=27)。分别服用氨酚羟考酮胶囊及盐酸曲马多片进行治疗。观察治疗前后数字评分量表(numeric rating scales,NRS)评分变化、镇痛有效率及不良反应。结果：服氨酚羟考酮的偏头痛患者(第1组)治疗前后NRS值差异无显著性意义。服曲马多的偏头痛患者(第2组)、服氨酚羟考酮(第3组)和曲马多(第4组)的紧张性头痛患者治疗前NRS值分别为7．48&;#177;1．75，6．03&;#177;2．47和6．96&;#177;2．39，治疗后为3．58&;#177;3．26，1．25&;#177;1．53和2．32&;#177;2．30，均较治疗前明显下降(P&;lt;0．01)，治疗后第2，3组的NRS值明显低于第1组(第1，2组间比较：t=2．369，P=0．029；第1，3组间比较：t=6．012，P=0．000)。第3组有效率(58％)明显高于第1组(13％)(P=0．020)。各组间副作用发生率差异无显著性意义。结论：氨酚羟考酮用于紧张性头痛的疗效较好，曲马多可用于偏头痛和紧张性头痛，其他药物治疗无效时可考虑选择这两种药物。     

肌筋膜激痛点针刺和穴位针刺治疗慢性紧张型头痛的效果比较

目的 探讨肌筋膜激痛点（MTrPs）针刺治疗慢性紧张型头痛（CTTH）的临床疗效,并与穴位针刺进行比较。方法 129例CTTH患者随机分为MTrPs针刺组、穴位针刺组和药物对照组,每组各43例。MTrPs针刺组采用MTrPs针刺治疗,穴位针刺组采用常规取穴针刺治疗,药物对照组予以乙哌立松片口服,三组治疗均持续30 d。比较治疗前后三组患者的头痛发作次数、头痛指数、头痛影响测定-6评分以及治疗有效率。结果 治疗结束时,三组患者的头痛次数、头痛指数和头痛影响测定-6(HIT-6)评分均较各组治疗前下降,差异有统计学意义（P<0.01）;组间比较以及总有效率比较,差异无统计学意义（P>0.05）。治疗后3个月,三组患者的头痛次数、头痛指数和HIT-6评分均较各组治疗前下降差异有统计学意义（P<0.01）;MTrPs针刺组和穴位针刺组患者的头痛指数和头痛发作次数均较药物对照组减少,差异有统计学意义（P<0.05）。三组的总有效率存在统计学差异（P<0.05）,MTrPs针刺组的总有效率高于药物对照组,差异有统计学意义（P<0.05）。结论 MTrPs针刺治疗...     

平衡镇痛治疗重度紧张型头痛的临床观察

目的 探讨应用得宝松行局部阻滞联合氨酚羟考酮口服平衡镇痛对重度紧张型头痛患者的疗效及副作用.方法 32例重度紧张型头痛患者应用得宝松配成利多卡因浓度为0.4%的消炎镇痛液,根据查体体征行局部阻滞,联合氨酚羟考酮片口服.观察治疗前后头痛程度(数字评分量表,NRS)、持续时间的变化,记录副作用发生情况.结果 治疗后头痛发作程度明显减轻,头痛持续时间明显缩短(均P<0.01),未见严重副作用发生.结论 局部阻滞联合氨酚羟考酮平衡镇痛对重度紧张型头痛有显著疗效.     

丹珍头痛胶囊治疗慢性紧张性头痛疗效观察

目的观察丹珍头痛胶囊治疗慢性紧张性头痛的疗效。方法将门诊就诊的138例慢性紧张性头痛患者按随机数字表法分为对照组和试验组,对照组给予文拉法辛缓释胶囊,试验组在对照组治疗的基础上加用丹珍头痛胶囊治疗并观察4周。评估两组患者临床疗效,使用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评估抑郁、焦虑情况。结果试验组总有效率为90.67%,对照组总有效率为76.19%,两组相比,差异有统计学意义(P<0.05)。试验组治疗后2周、4周HAMA评分、HAMD评分均较治疗前降低。与对照组比较,在各个时间点HAMA评分、HAMD评分均明显降低,差异有统计学意义(P<0.05)。结论丹珍头痛胶囊可明显改善慢性紧张性头痛患者的头痛程度及焦虑、抑郁障碍。     

自拟葛根芍药汤治疗肌紧张性头痛疗效观察

目的:研究和探讨治疗肌紧张性头痛的有效方药.方法:将88例肌紧张性头痛患者随机分为2组,试验组35例采用自拟方葛根芍药汤治疗,对照组33例给予多虑平、尼莫地平及镇痛剂治疗,疗程均为4周.结果:2组间治愈率、显效率、有效率比较均有显著性差异(P＜0.05),试验组疗效明显优于对照组.结论:自拟葛根芍药汤治疗肌紧张性头痛疗效优于西药.     

穴位按压缓解轻、中型颅脑损伤患者头痛的效果

目的探讨穴位按压缓解轻、中型颅脑损伤患者头痛的效果。方法 选取入住神经外科均伴有头痛症状的轻、中型颅脑损伤患者120例,按患者入院顺序采用随机数字表法分成观察组和对照组,各60例,观察组在常规治疗和护理的同时加用穴位按压,选择攒竹、印堂、太阳穴等穴位。对照组应用常规治疗和护理。比较两组的治疗结果。结果观察组和对照组比较,观察组的头痛缓解明显优于对照组,差异有统计学意义（P〈0．05）。结论穴位按压可作为轻、中型颅脑损伤患者缓解头痛的一种简单、有效的护理方法。     

施氏温针灸配合穴位贴敷对神经根型颈椎病患者疼痛程度及活动度的影响

目的 探讨施氏温针灸配合穴位贴敷对神经根型颈椎病患者的应用效果.方法 回顾性分析2018年4月至2019年5月于某院接受治疗的76例神经根型颈椎病患者的临床资料,依据不同治疗方法 分为对照组和观察组两组,各38例,对照组采用常规针刺配合穴位贴敷,观察组采用施氏温针灸配合穴位贴敷,观察分析两组的疼痛程度及活动度情况.结果...     

青龙摆尾针法治疗肌紧张性头痛临床观察

目的:比较青龙摆尾针法与常规针法治疗肌紧张性头痛的疗效差异。方法:将符合标准的60例肌紧张性头痛患者随机分成治疗组(青龙摆尾组)和对照组(常规针法组)各30例。2组取穴:风池、百会、神庭、头维、合谷;治疗组施青龙摆尾针法,对照组施平补平泻针法;2组均行针1次/d,连续治疗2周,并用直观模拟评分法(VAS)评定2组患者疗效。结果:治疗组愈显率为80%(24/30),明显优于对照组53.3%(16/30)(P0.05),且治疗组患者经治后VAS评分下降幅度也明显大于对照组(P0.05)。结论:青龙摆尾针法治疗肌紧张性头痛的临床疗效明显优于常规针法。     

强化心理护理干预在血管神经性头痛患者中的应用效果及对负性情绪的改善作用

目的 探究强化心理护理干预在血管神经性头痛患者中的应用效果及对负性情绪的改善作用.方法 随机抽取2018年7月至2020年7月本院收治的68例血管神经性头痛患者为研究对象,依据护理方法的不同将其分为对照组和观察组,各34例.对照组予以常规护理,观察组在对照组基础上予以强化心理护理干预.比较两组的头痛症状改善情况、负性情...     

Acupuncture in patients with headache

We aimed to investigate the effectiveness of acupuncture in addition to routine care in patients with primary headache (> 12 months, two or more headaches/month) compared with treatment with routine care alone and whether the effects of acupuncture differ in randomized and non-randomized patients. In a randomized controlled trial plus non-randomized cohort, patients with headache were allocated to receive up to 15 acupuncture sessions over 3 months or to a control group receiving no acupuncture during the first 3 months. Patients who did not consent to randomization received acupuncture treatment immediately. All subjects were allowed usual medical care in addition to study treatment. Number of days with headache, intensity of pain and health-related quality of life (SF-36) were assessed at baseline, and after 3 and 6 months using standardized questionnaires. Of 15 056 headache patients (mean age 44.1 ± 12.8 years, 77% female), 1613 were randomized to acupuncture and 1569 to control, and 11 874 included in the non-randomized acupuncture group. At 3 months, the number of days with headache decreased from 8.4 ± 7.2 (estimated mean ± s.e. ) to 4.7 ± 5.6 in the acupuncture group and from 8.1 ± 6.8 to 7.5 ± 6.3 in the control group ( P  < 0.001). Similarly, intensity of pain and quality of life improvements were more pronounced in the acupuncture vs. control group ( P  < 0.001). Treatment success was maintained through 6 months. The outcome changes in non-randomized patients were similar to those in randomized patients. Acupuncture plus routine care in patients with headache was associated with marked clinical improvements compared with routine care alone.     

温针灸结合穴位按摩对胃癌患者术后血清胃泌素、胃动素及胃肠功能的影响

目的 探讨温针灸结合穴位按摩对胃癌患者术后血清胃泌素、胃动素水平及胃肠功能的影响.方法 以2018年4月至2019年11月收治的98例胃癌手术患者为研究对象,按随机数字表法分为观察组(49例)和对照组(49例).对照组采用术后常规处理,观察组在对照组基础上进行温针灸结合穴位按摩治疗,两组均持续治疗7 d.对比两组术后胃...     

半夏泻心汤联合穴位贴敷治疗糖尿病性腹泻的临床效果及对肠道激素和肠道菌群的影响

目的 探讨半夏泻心汤联合穴位贴敷治疗糖尿病性腹泻(DD)的临床效果及对肠道激素和肠道菌群的影响.方法 选择64例DD患者为研究对象,采用随机数字表法将其分为对照组(32例,双歧杆菌四联活菌片+马来酸曲美布汀片)和观察组(32例,半夏泻心汤+双侧天枢穴穴位贴敷).比较两组的疗效.结果 治疗后,观察组的中医症候积分、血清M...     

Quality of life of patients with cervicogenic headache: a comparison with control subjects and patients with migraine or tension-type headache

OBJECTIVE: To establish the health-related quality of life of patients with cervicogenic headache and to compare it with a random Dutch sample of control subjects and with patients with migraine without aura or with episodic tension-type headache. METHODS: Thirty-seven patients with cervicogenic headache, 42 patients with episodic tension-type headache, and 39 patients with migraine without aura completed a Medical Outcomes Study 36-Item Short Form questionnaire. RESULTS: Domain scores for "physical functioning" of patients with cervicogenic headache were worse than those of patients with migraine or tension-type headache. Physical functioning scores were lower for patients with tension-type headache than for those with migraine. Migraineurs reported a diminished score for "social functioning" compared to patients with tension-type headache. All Medical Outcomes Study 36-Item Short Form domain scores were significantly lower for patients with cervicogenic headache relative to the control group. CONCLUSIONS: Patients with cervicogenic headache have a quality of life burden that is substantial. Although impairment in the quality of life of patients with cervicogenic headache is comparable to patients with migraine without aura and those with episodic tension-type headache, there are some specific differences.     

温肾散结方联合针刺治疗慢性骨盆疼痛综合征疗效分析

目的观察温肾散结方联合针刺治疗慢性骨盆疼痛综合征的临床疗效。方法选择2018年6月至2019年10月慢性骨盆疼痛综合征(CPPS)男性患者120例,根据随机数表分为对照组(盐酸特拉唑嗪片)、观察A组(温肾散结方)、观察B组(温肾散结方联合针刺),每组各40例,评估三组患者治疗前后的NIH-CPSI评分,比较其临床疗效。结果三组治疗后NIH-CPSI各项评分较治疗前均有所下降。观察A组的疼痛症状评分、排尿症状评分和NIH--CPSI总评分均低于对照组,差异有统计学意义(P<0.05);观察B组NIH-CPSI各项评分均低于对照组(P<0.05),疼痛症状评分及生活质量评分低于观察A组(P<0.05)。对照组总有效率为53.85%,观察A组为73.68%,观察B组为77.5%,差异有统计学意义(P<0.05)。结论温肾散结方联合针刺治疗CPPS具有良好的疗效,值得临床推广。     

Traditional Chinese acupuncture in tension-type headache: a controlled study.

Thirty patients with tension-type headache were randomly chosen to undergo a trial of traditional Chinese acupuncture and sham acupuncture. Five measures were used to assess symptom severity and treatment response: intensity, duration and frequency of headache pain episodes, headache index and analgesic intake. The five measures were assessed during a 4 week baseline period, after 4 and 8 weeks of treatment, and 1, 6 and 12 months thereafter. Before the start of the study, each patient was administered the MMPI. Split-plot ANOVAs showed that, compared to baseline, at 1 month after the end of treatment and for the 12 month follow-up, the frequency of headache episodes, analgesic consumption and the headache index (but not the duration or intensity of headache episodes) significantly decreased over time; however, no difference between acupuncture and placebo treatment was found. No single MMPI scale predicted the response to treatment, but the mean MMPI profile of acupuncture non-responders showed the presence of 'Conversion V'.     

腹针疗法联合穴位埋线对混合痔术后便秘患者肛门功能的影响

目的 评估腹针疗法联合穴位埋线治疗混合痔术后便秘的效果及对患者肛门功能的影响.方法 选取2018年6月至2019年9月就诊于我院与榆林市星元医院肛肠科的40例混合痔患者为研究对象,按照随机数字表法将其分为观察组和对照组,每组20例.观察组给予腹针疗法联合穴位埋线,对照组采用口服麻子仁丸治疗.比较两组的治疗效果.结果 治...     

无缝隙护理对布地奈德雾化吸入治疗慢性阻塞性肺疾病患者的症状改善情况及健康状况的影响

目的探讨无缝隙护理对布地奈德雾化吸入治疗慢性阻塞性肺疾病(COPD)患者症状改善情况及健康状况的影响。方法选取在本院接受布地奈德雾化吸入治疗的56例急性加重期COPD患者作为研究对象,采用随机数字表法将其分为对照组(28例,常规护理)和观察组(28例,无缝隙护理)。比较两组的护理效果。结果观察组的喘憋缓解时间、咳嗽缓解时间、啰音消失时间及住院时间均明显短于对照组(P<0.05)。观察组的治疗依从优良率及护理满意度均明显高于对照组(P<0.05)。干预后,观察组的SGRQ各项评分及总分均明显低于对照组(P<0.05)。结论无缝隙护理在COPD患者布地奈德雾化吸入治疗期间的应用效果显著,可有效缩短患者症状改善时间,提高护理满意度,改善健康状况。     

Acupuncture for episodic tension-type headache: a multicentre randomized controlled trial

A multicentre, randomized clinical trial was undertaken to test the hypothesis that acupuncture is more efficacious than sham control procedure in the prevention of episodic tension-type headache. Fifty subjects were randomized to receive a course of treatment with either brief acupuncture or a sham procedure. Subjects were followed up for 3 months. Changes in headache were assessed by daily diary, the primary outcome measure being the number of days with headache. No significant differences were found between the changes in the two groups for any measure at any time point. Results also show that patient blinding was successful. In conclusion, this study does not provide evidence that this form of acupuncture is effective in the prevention of episodic tension-type headache.