首页|息痛贴剂治疗偏头痛瘀血阻络证的临床研究

息痛贴剂治疗偏头痛瘀血阻络证的临床研究

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目的:观察息痛贴剂治疗偏头痛瘀血阻络证的疗效。方法:将135例偏头痛瘀血阻络证患者随机分为A组(45例)、B组(45例)、C组(45例),A组患者使用息痛贴剂与苯甲酸利扎曲普坦联合治疗,B组患者使用息痛贴剂治疗,C组患者服用苯甲酸利扎曲普坦治疗,连续治疗3 d。治疗前及治疗后(第7天)评价患者疼痛强度评分;治疗前及第1、3、7天评价患者中医证候积分,并在第7天评价中医证候疗效。结果:研究过程中共脱落14例患者,其中A组4例、B组5例、C组5例,故最终纳入121例患者,A组41例、B组40例、C组40例。A组总有效率[87。80%(36/41)]、B组总有效率[82。50%(33/40)]均高于C组[62。50%(25/40)],差异均有统计学意义(P<0。05或P<0。01);A组总有效率与B组比较,差异无统计学意义(P>0。05)。3组患者治疗后疼痛强度评分均较治疗前下降(P<0。01);治疗后3组比较,A组患者治疗后疼痛强度评分低于B组、C组,B组患者治疗后疼痛强度评分低于C组,差异均有统计学意义(P<0。01)。3组患者治疗后中医证候积分均逐渐降低,差异均有统计学意义(P<0。01);治疗第1、3、7天,A组患者中医证候积分低于B组、C组,差异有统计学意义(P<0。05)。结论:息痛贴剂治疗偏头痛瘀血阻络证有较好疗效,能在一定程度上降低疼痛程度,改善临床症状。
Clinical Study of Xitong Patch(息痛贴剂)in the Treatment of Migraine Blood Stasis Syndrome
Objective:To observe the effect of Xitong Patch on migraine patients with blood stasis syndrome.Methods:A total of 135 migraine patients with blood stasis syndrome were randomly assigned to group A(45 patients),group B(45 patients)and group C(45 patients).Group A patients was treated with Xitong Patch combined with Rizatriptan Benzoate,group B was treated with Xitong Patch,and group C was treated with Rizatriptan Benzoate for 3 days.The pain intensity score of patients was evaluated before and after treatment(on the 7th day of treatment).The scores of TCM syndromes were evaluated before treatment and 1,3 and 7 days after treatment,and the efficacy of TCM syndromes was evaluated on the 7th day.Results:A total of 14 patients were lost during the study,including 4 cases in group A,5 cases in group B and 5 cases in group C.Therefore,121 patients were finally included,41 cases in group A,40 cases in group B and 40 cases in group C.The total effective rate of group A[87.80%(36/41)]and group B[82.50%(33/40)]was higher than that of group C[62.50%(25/40)],and the differences were statistically significant(P<0.05 or P<0.01).There was no significant difference in the total effective rate between group A and group B(P>0.05).The pain intensity scores of the three groups after treatment were lower than those before treatment(P<0.01).After treatment,the pain intensity score of group A was lower than that of group B and group C,and the pain intensity score of group B was lower than that of group C,the differences were statistically significant(P<0.01).After treatment,the scores of TCM syndromes in the three groups were gradually decreased,and the differences were statistically significant(P<0.01).On the 1st,3rd and 7th day of treatment,the scores of TCM syndromes in group A were lower than those in group B and group C,and the differences were statistically significant(P<0.05).Conclusion:Xitong Patch has a good effect in the treatment of migraine with blood stasis syndrome,which can reduce the degree of pain and improve clinical symptoms to a certain extent.

migraineblood stasis syndromeXitong Patchacupoint application therapyRizatriptan Benzoateclinical study

黄剑涛、龚秋玲、陈心怡、车雄宇

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常德市第一中医医院,湖南 常德 415000

偏头痛 瘀血阻络证 息痛贴剂 穴位贴敷疗法 苯甲酸利扎曲普坦 临床研究

湖南省中医药科研计划重点项目

2021039

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(3)
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