葛根汤联合行为干预治疗紧张性头痛临床观察

Combining Psychological Intervention with Gegeng Decoction in Treating of Tention-type Headache

目的对葛根汤联合行为干预治疗紧张性头痛的疗效进行客观评价。方法将40例紧张性头痛患者随机分成两组,对照组予葛根汤治疗,治疗组则在葛根汤基础上加以心理行为干预,每周2次,每次30～40min,共8周;疗程结束后评定疗效,且随访半年。结果两组患者临床疗效愈显率、治疗前后两组症状自评量表各因子分及疗程结束后半年内就医方式均有显著差异。结论葛根汤联合行为干预治疗紧张性头痛有效,心理与药物综合治疗模式对紧张性头痛是一种非常有效的治疗方式。

Objective： To evaluated objectively psychological intervention combined with Gegeng Decoction in treatment of tention - type headache. Methods： 40 patients with tention - type headache were randomly divided into treatment group（combinlng psychological intervention with Gegeng Decoction） and control group （Gegeng Decoction only）, the psychotherapy was twice a week, for 8 weeks. The emotional changing degrees of the patients were assessed with symptom check -list -90 （SCL -90） before and after treatment respectively. The patients were followed up for half a year after treatment, their treatment - seeking behavior after treatment were compared. Results： In treatment group, the rate of marked improvement was significantly higher than the counteraparts in control group; After treatment, the treatment group had lower scores of somatization, interpersional sensitivity, depression, anxiety and other items. Conclusion： Combining psychological intervention with Gegeng Decoction is more effective than Gegeng Decoction only in treatment of tention - type headache.