四物汤合甘麦大枣汤加减治疗功能性头痛的疗效  

Efficacy of four ingredients decoction and licorice, wheat and date decoction in the treatment of patients with functional headache

作　　者：李玉 张临英 

机构地区：[1]天祝藏族自治县石门镇卫生院,甘肃省武威市733299 [2]甘肃省天祝藏族自治县计划生育服务中心,733299

出　　处：《实用疼痛学杂志》2016年第4期288-291,共4页Pain Clinic Journal

摘　　要：目的探讨四物汤合甘麦大枣汤治疗功能性头痛的临床疗效。方法功能性头痛患者60例，采用随机对照法研究，分成中药组和西药组，每组30例。中药组给予四物汤合甘麦大枣汤，每日1剂，水煎服。西药组给予氟哌噻吨美利曲辛片口服，每日早、午各0．5g。疼痛剧烈时，加服麦角胺咖啡因片1mg。两组均以28d为1疗程。观察两组患者治疗前及治疗开始后2周和4周时的BRS-6、疼痛发作次数、疼痛程度、持续时间。统计总有效率及不良反应。结果两组患者治疗前疼痛程度差异无统计学意义（P〉0．05）。与治疗前比较，治疗开始后第2、4周时疼痛程度减轻，发作次数及疼痛持续时间减少；中药组改善程度优于西药组，差异有统计学意义（P〈0.05）。中药组和西药组总有效率分别为90．0％（27／30例）和73．3％（22／30例），差异有统计学意义（P〈0．05）；中药组未见不良反应，优于西药组（P〈0．05）。结论四物汤合甘麦大枣汤治疗功能性头痛安全、有效。Objective To explore the efficacy of four ingredients decoction and licorice, wheat and date decoction in the treatment of patients with functional headache. Methods Sixty patients with functional headache were randomly divided into traditional Chinese medicine and western medicine groups, 30 cases in each group. Patients in traditional Chinese medicine group were received four ingredients decoction and licorice, wheat and date decoction, 1 time/d. While patients in western medicine group were received flupentixol and melitracen tablets, daily in the morning and noon 0.5 g each. Ergotamine caffeine 1 mg was added when a severe pain broke out. BRS-6, pain episodes, degree and its duration were recorded at the 2nd, 4th weeks after the treatment. The total effective rate and side effects were evaluated. Results There was no difference in the pain degree between the two groups before the treatment （P〉 0.05）. Compared with pretreatment, BRS-6, pain episodes, degree and its duration were significantly decreased at the 2nd, 4th weeks after the treatment （P〈 0.05）. Improvement degree of these indexes were even better in the traditional Chinese medicine group （P〈 0.05）. The total effective rate was higher in the traditional Chinese medicine group [ 90.0% （27/30 cases） 1 than that in the western medicine group [ 73.3% （22/30 cases）]. No side effects was revealed in the traditional Chinese medicine group, which was better than that in western medicine group （P 〈 0.05）. Conclusion Four ingredients decoction and licorice, wheat and date decoction is a safe and effective method for the treatment of patients with functional headache.

关 键 词：四物汤合甘麦大枣汤 功能性头痛 中医 

分 类 号：R277.7[医药卫生—中医学]