疏肝解郁、活血通络法治疗纤维肌痛综合征临床观察  

Observation of decoction of relieving liver qi stagnation and promoting blood circulation to remove meridian obstruction on fibromyalgia syndrome

作　　者：傅红卫[1] 张蕾[1] 裴文意[2] 

机构地区：[1]上海交通大学附属第一人民医院,上海200080 [2]上海市第一人民医院宝山分院,上海200940

出　　处：《河北中医》2010年第2期180-182,共3页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的观察疏肝解郁活血通络法治疗纤维肌痛综合征的疗效。方法将62例纤维肌痛综合征患者随机分为2组,治疗组31例予疏肝解郁活血通络方,每日1剂,水煎分2次口服;对照组31例予盐酸阿米替林口服,2组均3个月为1个疗程,1个疗程后观察2组总有效率以及汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)积分及症状积分的变化。结果2组汉密尔顿抑郁量表(HAMD)汉密尔顿焦虑量表(HAMA)治疗前后积分比较(P<0.05),组间比较(P<0.05),治疗组治疗前后临床积分差异有显著性意义(P<0.01);治疗组总有效率80.95%,对照组总有效率38.10%,2组比较差异有统计学意义(P<0.05)。结论提示中药疗法明显改善纤维肌痛综合征的临床症状。Objective To observe the effect of decoction of relieving liver qi stagnation and promoting blood circulation to remove meridian obstruction on fibromyalgia syndrome. Methods 62 patients with fibromyalgia syndrome were randomly divided two groups. Patients in treatment group （n=31） were treated by decoction of relieving liver qi stagnation and promoting blood circulation to remove meridian obstruction, a dose, twice a day. Cases in control group （n=31） were treated by Amitriptyline. The course was three months in two groups. The total effective rate, HAMD, HAMA and symptom score were observed after a course. Results The total effective rate in treatment group （80.95） was higher than that in control group （38.10, P〈0.01）. There were significant differences between two groups on HAMD and HAMA after treatment （P〈0.05, P〈0.01）. Conclusion Therapy of traditional Chinese medicine can improve obviously clinical symptom of fibromyalgia syndrome.

关 键 词：纤维肌痛 综合征 中药疗法 

分 类 号：R685.05[医药卫生—骨科学] R632.9[医药卫生—外科学]