养血平肝汤治疗顽固性头痛临床研究  

Clinical observation of Yangxue-Pinggan decoction in the treatment of intractable headache

作　　者：张秋香 宋银芳 柳迎春 刘玉梅 Zhang Qiuxiang;Song Yinfang;Liu Yingchun;Liu Yumei(Infectious Disease Department,Shunyi Hospital of Beijing Chinese Medicine Hospital,Beijing 101300,China;Encephalopathy Department,Shunyi Hospital of Beijing Chinese Medicine Hospital,Beijing 101300,China)

机构地区：[1]北京中医医院顺义医院感染科,101300 [2]北京中医医院顺义医院脑病科,101300

出　　处：《国际中医中药杂志》2019年第2期138-140,共3页International Journal of Traditional Chinese Medicine

基　　金：北京市顺义区科技三项费项目(SYKW201617).

摘　　要：目的 评价养血平肝汤治疗顽固性头痛的疗效。方法 将符合入选标准的66例顽固性头痛患者采用随机数字表法分为2组,每组33例。对照组口服盐酸氟桂利嗪胶囊,治疗组服用关幼波教授的经验方养血平肝汤。2组均治疗4周。观察头痛改善情况,并对头痛发作次数、头痛程度、头痛持续时间及伴随症状进行评分,评价临床疗效。结果 治疗组总有效率为97.0%(32/33)、对照组为63.6%(21/33),2组比较差异有统计学意义(χ^2=11.591,P=0.001)。治疗后,治疗组头痛发作次数、头痛程度、头痛持续时间及伴随症状评分均低于对照组(t值分别为17.689、12.523、26.907、25.569,P值均<0.001)。结论 养血平肝汤可明显改善顽固性头痛患者的临床症状,减轻头痛程度,减少发作次数,疗效优于口服盐酸氟桂利嗪胶囊。Objective To evaluate the clinical efficacy of Yangxue-Pinggan decoction on intractable headache. Methods A total of 66 patients with intractable headache who met the inclusion criteria were randomly divided into two groups by random number table method, 33 in each group. The control group was given flunarizine hydrochloride capsule orally, while the treatment group was given professor Guan Youbo's Yangxue-Pinggan decoction. Both groups were treated for 4 weeks. The improvement rates of headache were observed. The headache attacks, the degree of headache, the duration of headache and the accompanying symptoms were scored, and the clinical efficacy was evaluated. Results The total effective rate was 97.0% (32/33) in the treatment group and 63.6% (21/33) in the control group, which there was significant difference between the two groups (χ^2=11.591, P=0.001). After treatment, the scores of the headache attacks, the degree of headache, the duration of headache and the accompanying symptoms in the treatment group were significantly lower than those in the control group (t=17.689, 12.523, 26.907, 25.569, P<0.001). Conclusions The Yangxue-Pinggan decoction can obviously improve the clinical symptoms of intractable headache, relieve the pain degree and reduce the number of attacks, and its clinical efficacy is better than oral flunarizine hydrochloride capsule.

关 键 词：关幼波 名医经验 头痛 疼痛 顽固性 养血平肝汤 

分 类 号：R277.7[医药卫生—中医学]