解郁清心汤治疗头风病风火候的疗效观察

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1、提要目的：观察解郁清心汤治疗头风病（风火候）的临床疗效，为其中医治疗提供新的思路及方法。方法:将纳入的76例头风病患者按入组顺序随机分成解郁清心汤治疗组（38例）和天舒胶囊对照组（38例），两组均治疗12周，并于6个月随访。分别于治疗前后观察颅脑TCD指标，并于服药前及服药4周、服药8周、服药12周及6个月后随访时对患者进行头风病中医证候积分量表、头痛指数、匹兹堡睡眠质量指数（PSQI）量表进行疗效评定。结果：结束治疗后，治疗组头痛总有效率92.86%，对照组总有效率71.05%，两组比较有显著性差异（P＜0

2、.05）。治疗组在中医证候积分、匹兹堡睡眠质量指数改善及其疗效等方面亦优于对照组（P＜0.05），同时能有效改善颅脑TCD血流速度指标。且6个月随访时，治疗组总有效率及中医证候积分、匹兹堡睡眠质量指数改善情况方面均优于对照组（P＜0.05）。结论:解郁清心汤在减轻患者头痛程度、减少发作频度及缩短头痛持续时间疗效确切，同时能改善患者伴随症状、颅脑TCD指标等，并且远期疗效好，可以作为头风病的治疗及预防的可靠方药。关键词解郁清心汤；头风病；风火候；疗效观察TheClinicalResearchoftheThera

3、peuticEffectsofJieYuQingXinDecoctiononHeadacheoftheFenghuotypeSρeciality:MedicalDepartmentofTCMAuthor:ZhangNaTutor:Pro.CaoXiaolanAbstractObjective:ToobserveJieYuQingXindecoction’sclinicalcurativeeffectonheadache(theFenghuotype)andprovidenewtraditionalChines

4、emedicinemethod.Methods:76patientswithheadacheweredividedrandomlyinto2groups:38patientstreatedwithJieYuQingXindecoction,another38patientstreatedwithTianshucapsules.Treatmenttimeis12weeksandvisitedafter6months.ObservethecerebralTCDindexbeforeandaftertreatmen

5、t.Evaluatetheclinicaleffectaccordingtotheirsymptoms,physicalsignsandPSQIbeforetreatmentand4weeks,8weeks,12weeks,6monthsaftertreatment.Result:Aftertreatment,efficiencyratiooftreatmentgroupis92.86%,whileefficiencyratioofcontrolgroupis71.05%.Thedifferenceissig

6、nificant(P<0.05).Inimprovingsymptomsandsleep,thetreatmentgroupisalsobetterthanthecontrolgroup(P<0.05).AndtheJieYuQingXindecoctioncaneffectivelyimprovetheaverageflowvelocityandPIindexofcerebralTCD.Withafollow-upafter6months,itisfoundthatthetreatmentgroup’sto

7、taleffectiveratioandintegralsofsymptoms,PSQIsleepindexisbetterthanthecontrolgroup(P<0.05).Conclusion:JieYuQingXindecoctioncaneffectivelyreducetheextentofheadache,shorteningheadacheduration,reducethefrequency,andcanimproveconcomitantsymptomandcerebralTCDinde

8、x,andthelong-termcurativeeffectsisgood.Ourmethodisareliable,validprescriptionforthetreatmentandpreventionofheadache.KeyWordsJieYuQingXindecoction;Headache;theFenghuotype;Curativeobservation目录引言........