五种天麻类中成药治疗发作性紧张型头痛的比较

目的 :对比观察五种天麻类中成药治疗发作性紧张型头痛的临床疗效。方法 :按国际头痛学会诊断标准选取符合要求的发作性紧张型头痛病人 2 87例 ,随机分为 6组 ,5组口服天麻制剂的各组分别口服全天麻胶囊、天麻头风灵、天麻首乌片、天麻杜仲胶囊、天麻丸 2个月。对照组口服脑立清丸 2个月。动态观察病人头痛程度、发作频率、持续时间的变化。结果 :试验结束时 ,对照组 39例 ,有效 18例 ,有效率为 4 6 .2 %。 2 2 5例口服天麻类中成药病人临床总有效率为 81.8% ,无效 4 1例 ,无不良反应发生。五种天麻类药物对发作性紧张型头痛病情的影响显著优于对照组。结论 :天麻类制剂治疗发作性紧张型头痛安全、有效 ,疗效优于对照组。五种天麻制剂之间疗效存在一定的差异。

COMPARISON OF THE EFFECTS OF TIANMA CHINESE RECIPES IN TREATING PATIENTS WITH EPISODIC TENSION-TYPE HEADACHE

Objective: To evaluate the clinical effects of 5 kinds of tianma Chinese herbs products on episodic tension type headache. Methods: According to the diagnostic criteria of the International Headache Society, 287 patients with episodic tension type headache were randomly divided into six groups. In 5 tianma Chinese herb groups, the patients in each group were given pure natural tianma capsule, tianmatoufengling, tianmashouwu tablet, tianmaduzhong capsule, and tianma pilula, respectively for 2 months. The patients in control group were given naoliqing pilula for 2 months. The degree of severity, the frequency of attacks and the duration of headache were observed and recorded. Results: At the end of the trial, 225 patients were administrated tianma Chinese herbs. The total rate of these 225 patients showing effectiveness was 81.8%, which was significantly higher than that of control group, 41 patients showed no response to tianma Chinese herbs. No adverse reaction was seen in all patients. There is significant difference about the effects of 5 tianma Chinese herbs products on the symptoms of the patients with episodic tension type headache. Conclusion: Tianma Chinese herbs is a safe and effective drug in treating patients with episodic tension type headache. There is significant difference in the therapeutic effects of tianma Chinese herbs on tension type headache as compaiced to the control group. A moderate difference was found between 5 tianma groups.