首页|丁螺环酮与文拉法辛治疗紧张型头痛伴焦虑患者的对比研究

丁螺环酮与文拉法辛治疗紧张型头痛伴焦虑患者的对比研究

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目的 探讨丁螺环酮与文拉法辛治疗紧张型头痛(Tension-type Headache,TTH)伴焦虑患者的临床价值.方法 便利选取2022年10月—2023年9月贵州省第二人民医院收治的84例TTH伴焦虑患者为研究对象,采用信封法分组,各42例.对照组行丁螺环酮治疗,观察组行文拉法辛治疗,比较两组头痛情况(含发作次数与疼痛水平)、负面情绪、睡眠质量、不良反应情况.结果 观察组每月头痛发作天数为(9.64±2.87)d,少于对照组的(11.60±4.07)d,差异有统计学意义(t=2.551,P=0.013).观察组焦虑、抑郁以及匹兹堡睡眠指数量表评分均低于对照组,差异有统计学意义(P均<0.05).两组头痛程度评分以及不良反应总发生率比较,差异无统计学意义(P均>0.05).结论 在TTH伴焦虑患者中,文拉法辛、丁螺环酮均能够显著减轻患者的头痛程度,用药安全性良好,但前者在改善焦虑障碍、睡眠障碍以及减少头痛发作等方面具有一定的优势.
A Comparative Study of Buspirone and Venlafaxine in the Treatment of Patients with Tension-type Headache with Anxiety
Objective To explore the clinical value of buspirone and venlafaxine in treating patients with tension-type headache(TTH)with anxiety.Methods Eighty-four patients with TTH and anxiety admitted to Guizhou Second People's Hospital from October 2022 to September 2023 were conveniently selected as the study subjects,and 42 cases each were grouped by the envelope method.The control group was treated with buspirone and the observation group was treated with venlafaxine.The two groups were compared in terms of headache(including the number of at-tacks and pain level),negative emotions,sleep quality,and adverse reactions.Results The number of headache attack days per month in the observation group was(9.64±2.87)d,which was less than(11.60±4.07)d in the control group,and the difference was statistically significant(t=2.551,P=0.013).Anxiety,depression,and Pittsburgh Sleep Index Scale scores were lower in the observation group than in the control group,and the differences were statistically signifi-cant(all P<0.05).There was no statistically significant difference in the headache level scores and the total incidence of adverse reactions between the two groups(all P>0.05).Conclusion In patients with TTH with anxiety,venlafaxine and buspirone were able to significantly reduce the degree of headache in patients,and the safety of the medication was good,but the former had certain advantages in improving anxiety disorders,sleep disorders,and reducing head-ache attacks.

Tension-type headacheAnxietyBuspironeVenlafaxineSleep quality

陈欢、陈江瑜、凌云

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贵州省第二人民医院精神科,贵州贵阳 550000

紧张型头痛 焦虑 丁螺环酮 文拉法辛 睡眠质量

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(15)