中西医结合治疗血管神经性头痛80例临床分析

目的血管神经性头痛患者运用中西医结合治疗的临床治疗效果。方法选择2010年8月至2012年8月在贵阳市第一人民医院诊治的80例血管神经头痛患者,将其根据挂号的单双号分为两组,单纯西药组40例,给予口服谷维素、二维三七桂利嗪胶囊等进行治疗,每次1粒,每日1次;中西医结合组40例,在以上治疗的基础上加服平肝疏风通络汤,每日1剂,分两次服用,比较两组患者的临床治疗效果。结果单纯西药组患者的总有效率为72.5%;中西医结合组患者的总有效率为95.0%;两组的临床疗效比较,中西医结合组显著优于单纯西药组（Z=2.543,P〈0.05）。中西医结合组患者治疗前头痛发作次数为（4.3±1.2）次/月,治疗后为（1.8±1.1）次/月;单纯西药组患者治疗前为（4.3±1.3）次/月,治疗后为（2.13±1.2）次/月。中西医结合组患者治疗前头痛发作持续时间为（6.6±2.1）h,治疗后为（2.2±0.9）h;单纯西药组患者治疗前为（6.1±2.5）h,治疗后为（3.3±0.8）h。比较两组患者治疗前头痛发作次数及发作时间均未见明显差异,无统计学意义（P〉0.05）;经过治疗后两组患者头痛发作次数以及发作持续的时间进行比较,差异有统计学意义（P〈0.05）。结论血管神经性头痛患者应主要采取中西医结合治疗,临床效果较好,值得在临床上大力推广使用。

Clinical Analysis of 80 Cases of Angioneurotic Headache Treated with Combination of TCM and Western Medicine

Objective To study the curative effect of combining traditional Chinese and western medicine treatment of angioneurotic headache. Methods During Aug. 2010-Aug. 2010,80 patients with neurovascular headache from Guiyang City First People＇s Hospital were selected,which were randomly divided into two groups according to odd and even numbers of the registration： the control group of 40 patients were given oral oryzanol,divitamins notoginseng cinnarizine capsule treatment; the observation group of 40 patients were also given liver-soothing wind-dispelling meridian soup on the basis of the above treatment,and the clinical therapeutic effect of the two groups was compared. Results The total efficiency of the control group was 72. 5%; of the observation group was 95. 0%; the difference was statistically significant（ Z = 2. 543,P 0. 05）. Headache onset number of the observation group before treatment was（ 4. 3 ± 1. 2） time per month,after treatment was（ 1. 8 ± 1. 1） time per month; the corresponding data of the control group was（ 4. 3 ± 1. 3） time per month and（ 2. 13 ± 1. 2） time per month respectively. The headache duration of of the observation group before treatment was（ 6. 6 ± 2. 1） h,and was（ 2. 2 ± 0. 9） h after treatment; the corresponding data of the control group was（ 6. 1 ± 2. 5） h and（ 3. 3 ± 0. 8） h respectively. Headache frequency and duration time of the two groups before treatment had no statistically significant difference（ P 0. 05）; but after treatment had statistically significant difference（ P 0. 05）. Conclusion The combination of Chinese and western medicine should be adopted as the primary treatment for angioneurotic headache,which has good clinical effect,thus is worth of promotion in clinical.