首页|电刺激疗法治疗前庭性偏头痛患者的临床疗效

电刺激疗法治疗前庭性偏头痛患者的临床疗效

扫码查看
目的 探讨电刺激疗法治疗前庭性偏头痛(VM)患者的临床疗效.方法 将 116 例VM患者按照随机数字表法分为研究组和对照组,各 58 例.对照组患者给予氟桂利嗪胶囊治疗,研究组患者在对照组基础上给予电刺激疗法.比较治疗前后两组患者睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]、头痛程度[数字评分量表(NRS)评分]、眩晕症状[眩晕障碍量表(DHI)评分]、焦虑抑郁情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、血清神经递质[一氧化氮(NO)、降钙素基因相关肽(CGRP)、内皮素-1(ET-1)、P物质(SP)、5-羟色胺(5-HT)]水平,记录并比较两组患者临床疗效及不良反应发生情况.结果 治疗后,两组患者PSQI、NRS、DHI、SAS、SDS评分低于治疗前,且研究组低于对照组(P<0.01).治疗后,两组患者血清NO、ET-1、SP水平低于治疗前,CGRP、5-HT水平高于治疗前,且研究组优于对照组(P<0.01).研究组患者临床疗效总有效率高于对照组,不良反应总发生率低于对照组(P<0.05 或 0.01).结论 电刺激疗法治疗VM患者疗效确切,且安全性佳,可改善患者临床症状,提高生活质量,值得临床推广.
Clinical effectiveness of electrical stimulation therapy for patients with vestibular migraine
Objective To explore the clinical effectiveness of electrical stimulation therapy(EST)for patients with vestibular migraine(VM).Methods A total of 116 VM patients were divided into research and control group according to random number table,with 58 ones in each.Controls were treated with flunarizine capsules and research group was plus the EST on the basis of controls.Before and after treatment,such indexes were compared between two groups as sleep qualities(Pittsburgh Sleep Quality Index[PSQI]scores),degrees of headache(Numeric Rating Scale[NRS]scores),vertigo symptoms(Dizziness Handicap Inventory[DHI]scores),anxious-depressive emotions(Self-Rating Anxiety Scale[SAS]and Self-Rating Depression Scale[SDS]scores),and serum neurotransmitters(Nitric Oxide[NO],Calcitonin Gene-Related Peptide[CGRP],Endothelin-1[ET-1],Substance P[SP],and 5-Hydroxytryptamine[5-HT])levels,and clinical effectiveness and the occurrence of adverse reactions of two groups recorded and compared.Results After treatment,scores on the PSQI,NRS,DHI,SAS,and SDS in both groups were lower compared with pre-treatment and so were those in research than control group(P<0.01).After treatment,serum NO,ET-1 and SP levels in both groups were lower,CGRP)and 5-HT higher compared with pre-treatment,and research group was better than controls(P<0.01).The total effective rate was higher and the incidence of adverse reactions lower in research than control group(P<0.05 or 0.01).Conclusion Electrical stimulation therapy has a definite effect and high safety in the treatment of VM patients,can improve clinical symptoms and quality of life,and which deserves clinical promotion.

vestibular migraineelectrical stimulation therapysleep qualityemotionneurotransmitterclinical effectiveness

张丽芳、丁玉芳、赵晓、武换利、杨硕

展开 >

450000(河南·郑州)郑州大学附属郑州中心医院

前庭性偏头痛 电刺激疗法 睡眠质量 情绪 神经递质 临床疗效

2025

临床心身疾病杂志
河南省精神病医院(新乡医学院第二附属医院)

临床心身疾病杂志

影响因子:1.01
ISSN:1672-187X
年,卷(期):2025.31(1)