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天舒胶囊联合普瑞巴林治疗偏头痛的疗效及安全性分析

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目的 天舒胶囊联合普瑞巴林治疗偏头痛的疗效及安全性分析。方法 选取 2020 年 10 月~2023 年 7 月期间金乡县人民医院收治的偏头痛患者 108 例。按随机数字表法将 108 例患者分为观察组(54 例)以及对照组(54 例)。对照组给予普瑞巴林治疗,观察组在对照组治疗方案的基础上给予天舒胶囊联合治疗。比较两组的临床疗效,治疗前后的同型半胱氨酸(Hcy)、高密度脂蛋白胆固醇(HDL-C)水平、疼痛视觉模拟评分法(VAS)评分、偏头痛生活品质问卷(MSQ)评分、匹兹堡睡眠质量指数(PSQI)量表评分以及不良反应的发生情况。结果 观察组的治疗总有效率(96。30%)高于对照组(83。33%)(P<0。05)。治疗后两组Hcy水平均较治疗前下降、HDL-C水平均较治疗前上升,观察组的Hcy水平低于对照组,HDL-C水平高于对照组(P<0。05)。治疗后两组VAS评分、MSQ评分、PSQI评分较治疗前均下降,观察组的VAS评分、MSQ评分、PSQI评分均低于对照组(P<0。05)。两组不良反应总发生率比较差异无统计学意义(P>0。05)。结论 天舒胶囊联合普瑞巴林在偏头痛的治疗中有较好的疗效,能够改善患者Hcy、HDL-C水平,减轻其疼痛,提高患者的日常生活质量和睡眠质量,且安全性较好。
Analysis of the efficacy and safety of Tianshu Capsule combined with pregabalin in the treatment of migraine
Objective To analyze the efficacy and safety of Tianshu Capsule combined with pregabalin in the treatment of migraine.Methods 108 migraine patients admitted to Jinxiang People's Hospital from October 2020 to July 2023 were selected.According to the random number table method,108 patients were divided into an observation group(54 cases)and a control group(54 cases).The control group was treated with pregabalin,while the observation group was treated with a combination of Tianshu Capsule on the basis of the control group's treatment plan.Compare the clinical efficacy of the two groups,levels of homocysteine(Hcy),levels of high-density lipoprotein cholesterol(HDL-C),Visual Analog Scale(VAS)scores for pain,Migraine Specific Quality of Life Questionnaire(MSQ)scores,Pittsburgh Sleep Quality Index(PSQI)scale scores before and after treatment and incidence of adverse reactions.Results The total effective rate of the observation group(96.30%)was higher than that of the control group(83.33%)(P<0.05).After treatment,Hcy level decreased and HDL-C level increased in both groups compared with that before treatment.Hcy level in the observation group was lower than that in the control group,HDL-C level was higher than that in control group(P<0.05).VAS scores,MSQ scores and PSQI scores of both groups decreased after treatment,and VAS scores,MSQ scores and PSQI scores of the observation group were lower than those of the control group(P<0.05).There was no significant difference in the overall incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of Tianshu Capsule and pregabalin has a good therapeutic effect in the treatment of migraines.It can improve the levels of Hcy and HDL-C in patients,alleviate their pain,improve their quality of daily life and sleep,and has good safety.

MigraineTianshu CapsulePrybalinPain scoreSleep quality

王延延、王棋德、葛燕

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金乡县人民医院神经内科,山东济宁 272200

临沂市人民医院急诊科,山东临沂 276002

偏头痛 天舒胶囊 普瑞巴林 疼痛评分 睡眠质量

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(7)