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《宁痛片治疗肝阳上亢型偏头痛的临床分析》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、中文摘要目的:观察并明确宁痛片治疗肝阳上亢型偏头痛的临床疗效,研究探讨“宁痛片”治疗肝阳上亢型偏头痛的作用机理,为其临床的应用提供理论依据,同时总结并积累中医药治疗肝阳上亢型偏头痛的经验,以提高中医药治疗本病的效果。方法:将符合要求的84例偏头痛患者随机分为观察组(宁痛片)和对照组(尼莫地平),每组42例,10天为1个疗程,治疗3个疗程。分别于治疗前后观察患者的头痛发作次数积分、头痛程度积分、头痛持续时间积分、伴随症状积分、头痛积分、中医主症积分、中医次症积分、中医证候积分以及TCD的平均血流速度,并进行统计学的处理和
2、评价。结果:治疗后组间比较结果显示:头痛发作次数积分、头痛程度积分、头痛持续时间积分、伴随症状积分、头痛积分、中医主症积分、中医次症积分、中医证候积分均有显著性差异(PV0.05),表明两组治疗措施均能改善患者的临床症状和中更证候,其中以观察组的改善程度尤为明显。另外,治疗后两组患者的大脑前动脉(ACA)、大脑中动脉(MCA)、大脑后动脉(PCA)、椎动脉(VA)、基底动脉(BA)的Vm值经组间比较后显示:差异均显著(PV0.05),表明观察组在改善颅内血液动力学(TCD的平均血流速度)方面优于对照组。结论:宁痛片可以
3、有效地改善偏头痛患者的临床症状、中医证候和颅内血液动力学(TCD的平均血流速度),其治疗肝阳上亢型偏头痛的疗效显著。尖键词:偏头痛;中医药;肝阳上亢;宁痛片;尼莫地平。ABSTRACTPurpose:ToobserveanddeterminetheclinicalcurativeeffectofNingtongtabletinthetreatmentofmigraineofhyperactivityofliver-yang.ResearchtoexplorethediagnosisofNingtongtabletint
4、hetreatmentofmigraineofhyperactivityofliver-yangandprovidetheoreticalbasisforitsclinicalapplication.AtthesametimetoaccumulateandsummarytheexperienceoftraditionalChinesemedicineinthetreatmentofmigraineofhyperactivityofliver-yang,soastoimprovetheeffectoftraditiona
5、lChinesemedicineinthetreatmentofthisdisease.Method:84patientsmeettherequirementswererandomlydividedintotheobservationgroup(Ningtongtablet)andthecontrolgroup(nimhorizon),42casesineachgroup,Oneperiodoftreatmentis10daysandlastthreeperiodoftreatment.Toobservethepati
6、ent'stheintegralofheadachefrequency,theintegralofheadachedegree,theintegralofheadacheduration,theintegraloftheaccompanyingsymptoms,headacheintegral,theintegralofthemainsymptomsofTCM,theintegralofsecondarysymptomsofTCM,theintegralofsyndromeofTCMandtheaverageblood
7、flowvelocityofTCDbeforeandafterthetreatmentandmakestatisticalprocessingandevaluation・Result:Theresultsofbetweengroupsaftertreatmentshowthat:theintegralofheadachefrequency,theintegralofheadachedegree,theintegralofheadacheduration,theintegraloftheaccompanyingsympt
8、oms,headacheintegral,theintegralofthemainsymptomsofTCM,theintegralofsecondarysymptomsofTCM,theintegralofsyndromeofTCMhavesignificantdifference(P<0.05).Atthesametime,t