首页|天麻钩藤饮加减配合针刺放血治疗肝阳上亢证偏头痛的疗效及对患者脑部血流状态、头痛程度的影响

天麻钩藤饮加减配合针刺放血治疗肝阳上亢证偏头痛的疗效及对患者脑部血流状态、头痛程度的影响

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目的 分析天麻钩藤饮加减配合针刺放血在肝阳上亢证偏头痛患者中的治疗效果.方法 随机选取2022年11月—2023年3月龙口市中医医院收治的60例肝阳上亢证偏头痛患者,按随机数表法分为两组,各30例.对照组进行常规西医+针刺放血治疗,观察组加用天麻钩藤饮加减治疗,连续治疗4周.对比两组临床疗效、脑部血流状态、头痛程度、头痛控制情况、不良反应.结果 观察组治疗总有效率为93.33%,高于对照组的73.33%,差异有统计学意义(χ2=4.320,P<0.05);治疗后,观察组大脑前动脉、大脑中动脉、大脑后动脉、椎动脉、基底动脉血流速度与视觉模拟疼痛评分法评分低于对照组,头痛发作次数少于对照组,头痛持续时间短于对照组,差异有统计学意义(P均<0.05);两组不良反应对比,差异无统计学意义(P>0.05).结论 天麻钩藤饮加减配合针刺放血治疗肝阳上亢证偏头痛患者效果显著,可改善其脑部血流状态,减轻头痛,且不良反应较少.
Therapeutic Efficacy and Effects on Cerebral Blood Flow Status and Head-ache Degree of Patients Treated with Tianma Goutengyin Plus Reduction Combined with Acupuncture and Bloodletting in Treating Migraine with Liver-Yang Upper Hyperactivity Evidence
Objective To analyze the therapeutic efficacy of Tianma Goutengyin plus reduction together with acupunc-ture and bloodletting in patients with migraine with liver-Yang upper hyperactivity evidence.Methods Sixty migraine patients with liver-Yang upper hyperactivity evidence admitted to Longkou Hospital of Traditional Chinese Medicine from November 2022 to March 2023 were randomly selected and divided into two groups of 30 patients each according to the randomized numerical table method.The control group was treated with conventional Western medicine + acu-puncture and bloodletting,and the observation group was treated with the addition of Tianma Goutengyin plus reduc-tion for 4 consecutive weeks.The clinical efficacy,cerebral blood flow status,headache degree,headache control and adverse reactions of the two groups were compared.Results The total effective rate of treatment in the observation group was 93.33%,higher than that of 73.33%in the control group,and the difference was statistically significant(χ2= 4.320,P<0.05).After treatment,the blood flow velocity of anterior cerebral artery,middle cerebral artery,posterior cerebral artery,vertebral artery and basilar artery and visual analogue scale score of the observation group were lower than those of the control group,and the number of headache episodes was less than that of the control group,and the duration of headache was shorter than that of the control group,and the differences were statistically signifi-cant(all P<0.05).There was no statistically significant difference in adverse reactions between the two groups(P>0.05).Conclusion The effect of Tianma Goutengyin plus reduction with acupuncture and bloodletting in the treat-ment of migraine patients with liver-Yang upper hyperactivity evidence is remarkable,which can improve their cere-bral blood flow status,reduce headache,and have fewer adverse reactions.

MigraineLiver-Yang upper hyperactivity evidenceTianma GoutengyinAcupuncture and bloodlettingBlood flow status

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龙口市中医医院中医科,山东烟台 265700

偏头痛 肝阳上亢证 天麻钩藤饮 针刺放血 血流状态

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(2)
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