本文選題：緊張性頭痛 + 風(fēng)痰阻絡(luò)��； 參考：《北京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：全球疾病監(jiān)測(cè)機(jī)構(gòu)認(rèn)為,緊張性頭痛為全球第二流行疾病�，F(xiàn)今社會(huì),人們對(duì)生活質(zhì)量的追求越來(lái)越高。緊張性頭痛影響人的行為能力、工作、學(xué)習(xí)和日常休閑,嚴(yán)重降低了人們生活的質(zhì)量。目前西醫(yī)對(duì)緊張性頭痛尚無(wú)特效療法,但大量文獻(xiàn)及臨床研究為中醫(yī)藥治療緊張性頭痛提供了重要的循證依據(jù),因此,加強(qiáng)中醫(yī)方面對(duì)緊張性頭痛的研究是必要的。本研究目的:觀察通絡(luò)止痛方對(duì)風(fēng)痰阻絡(luò)型緊張性頭痛患者頭痛程度、發(fā)作頻率、持續(xù)時(shí)間、伴隨癥狀、止痛藥暴露等指標(biāo)的臨床改善療效,為臨床應(yīng)用提供初步的科學(xué)依據(jù)。方法:選取符合納入標(biāo)準(zhǔn)的風(fēng)痰阻絡(luò)型緊張性頭痛患者34例,按照門診就診順序入組后,服用通絡(luò)止痛方3個(gè)療程,隨訪3個(gè)月,分別選取第1療程、第2療程、第3療程、隨訪第3個(gè)月的最后1周對(duì)比基線入組前1周,觀察其頭痛程度評(píng)分、頭痛發(fā)作頻率、頭痛發(fā)作持續(xù)時(shí)間、伴隨癥狀、止痛藥暴露情況等指標(biāo)的變化及通絡(luò)止痛方3個(gè)月的長(zhǎng)期維持效果。同時(shí)觀察用藥期間藥物的不良反應(yīng)和副作用,對(duì)治療結(jié)果進(jìn)行療效評(píng)定,并對(duì)相關(guān)數(shù)據(jù)采用SPSS21統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果:1.第1療程、第2療程、第3療程、第3個(gè)月與治療前相比,VAS評(píng)分、疼痛持續(xù)時(shí)間、伴隨癥狀評(píng)分均P值0.05,提示患者疼痛程度、疼痛持續(xù)時(shí)間、伴隨癥狀評(píng)分指標(biāo)在第1療程、第2療程、第3療程、第3個(gè)月與治療前相比均有改善。2.第1療程、第2療程、第3療程、第3個(gè)月與治療前相比,患者疼痛發(fā)作頻率P值0.05,提示患者頭部疼痛發(fā)作頻率第1療程、第2療程、第3療程、第3個(gè)月與治療前相比均有療效。3.第1療程、第2療程、第3療程、第3個(gè)月與治療前相比,患者止痛藥暴露情況P值0.05,提示患者止痛藥暴露情況第1療程、第2療程、第3療程、第3個(gè)月與治療前相比均有療效。結(jié)論:通絡(luò)止痛方治療風(fēng)痰阻絡(luò)型緊張性頭痛有臨床療效,可減輕患者發(fā)作時(shí)頭痛程度,降低頭痛發(fā)作頻率,縮短頭痛持續(xù)時(shí)間,改善伴隨癥狀,減少止痛藥服用次數(shù),并具有3個(gè)月的長(zhǎng)期維持效果,可作為風(fēng)痰阻絡(luò)型緊張性頭痛發(fā)作期及預(yù)防性治療的有效治療方法,值得進(jìn)一步的深入研究。
[Abstract]:The global disease surveillance agency believes that tension headache is the second most prevalent disease in the world. Nowadays, people's pursuit of quality of life is getting higher and higher. Tension headache affects people's behavior, work, study and daily leisure, and seriously reduces the quality of life. At present, there is no effective therapy for tension headache in western medicine, but a large number of literatures and clinical studies have provided an important evidence-based basis for the treatment of tension headache by traditional Chinese medicine. Therefore, it is necessary to strengthen the research on tension headache in traditional Chinese medicine. Objective: to observe the clinical improvement effect of Tongluo Zhitong recipe on headache degree, attack frequency, duration, accompanying symptoms and analgesic exposure in patients with tension headache of wind-phlegm blocking collaterals type, and to provide a preliminary scientific basis for clinical application. Methods: 34 patients with tension headache of wind-phlegm blocking collaterals type were selected. According to the order of outpatient visit, the patients were treated with Tongluo Zhitong recipe for 3 courses, followed up for 3 months, and the first course, the second course, the third course of treatment, respectively, were selected. The last week of the third month of follow-up was compared with the first week before baseline entry. The score of headache severity, the frequency of headache attack, the duration of headache attack, and the accompanying symptoms were observed. Changes of painkillers exposure and long-term maintenance effect of Tongluo Zhitong prescription for 3 months. At the same time, the adverse reactions and side effects of the drugs were observed and the therapeutic effects were evaluated. The related data were analyzed by SPSS21 software. The result is 1: 1. The scores of VAS, duration of pain and accompanying symptoms were 0.05 in the first course, the second course, the third month compared with those before treatment, indicating the degree of pain, the duration of pain, and the score of accompanying symptoms in the first course of treatment. The second course of treatment, the third month compared with the treatment before the improvement. 2. The first course, the second course, the third month compared with before treatment, the patient pain attack frequency P value 0.05, indicated the patient head pain attack frequency the first course, the second course of treatment, the third course, the third course of treatment, the first course of treatment, the second course of treatment, the third course of treatment, The third month compared with the treatment before treatment. 3. 3. The first course of treatment, the second course of treatment, the third month compared with before treatment, the patient painkiller exposure P value 0.05, indicating the patient's painkillers exposure the first course, the second course of treatment, the third course of treatment, The third month was effective compared with that before treatment. Conclusion: Tongluo Zhitong recipe has clinical effect in treating tension headache of wind-phlegm blocking collaterals type. It can reduce the degree of headache, reduce the frequency of headache attack, shorten the duration of headache, improve the accompanying symptoms, and reduce the times of taking painkillers. It can be used as an effective treatment method for wind-phlegm blocking collateral-type tension headache attack and preventive treatment, which is worthy of further study.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R277.7

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本文編號(hào)：2018361