解郁清心汤治疗头风病风火候的疗效视察.pdfVIP

提 要 目的：观察解郁清心汤治疗头风病（风火候）的临床疗效，为其中医治疗提供新 的思路及方法。 方法:将纳入的76例头风病患者按入组顺序随机分成解郁清心汤治疗组（38例） 和天舒胶囊对照组（38 例），两组均治疗 12 周，并于 6 个月随访。分别于治疗前后 观察颅脑 TCD 指标，并于服药前及服药 4 周、服药 8 周、服药 12 周及 6 个月后随访 时对患者进行头风病中医证候积分量表、头痛指数、匹兹堡睡眠质量指数（PSQI）量 表进行疗效评定。 结果：结束治疗后，治疗组头痛总有效率 92.86%，对照组总有效率 71.05%，两 组比较有显著性差异（P＜0.05）。治疗组在中医证候积分、匹兹堡睡眠质量指数改善 及其疗效等方面亦优于对照组（P＜0.05），同时能有效改善颅脑TCD血流速度指标。 且6个月随访时，治疗组总有效率及中医证候积分、匹兹堡睡眠质量指数改善情况方 面均优于对照组（P＜0.05）。 结论: 解郁清心汤在减轻患者头痛程度、减少发作频度及缩短头痛持续时间疗效 确切，同时能改善患者伴随症状、颅脑TCD指标等，并且远期疗效好，可以作为头风 病的治疗及预防的可靠方药。 关键词 解郁清心汤；头风病；风火候；疗效观察 The Clinical Research of the Therapeutic Effects of JieYuQingXin Decoction on Headache of the Fenghuo type Sρeciality: Medical Department of TCM Author: Zhang Na Tutor: Pro. Cao Xiaolan Abstract Objective:To observe JieYuQingXin decoction’s clinical curative effect on headache (the Fenghuo type) and provide new traditional Chinese medicine method. Methods:76 patients with headache were divided randomly into 2 groups: 38 patients treated with JieYuQingXin decoction, another 38 patients treated with Tianshu capsules. Treatment time is 12 weeks and visited after 6 months. Observe the cerebral TCD index before and after treatment. Evaluate the clinical effect according to their symptoms, physical signs and PSQI before treatment and 4 weeks, 8 weeks, 12 weeks, 6 months after treatment. Result: After treatment, efficiency ratio of treatment group is 92.86%, while efficiency ratio of control group is 71.05%. The difference is significant(P0.05).In improving symptoms and sleep, the treatment group is also better than the control group(P0.05).And the JieYuQingXin decoction can effectively improve the average flow velocity and PI index