心理干预对偏头痛患者临床疗效观察

Psychological intervention on clinical efficacy in patients with migraine

目的：探讨心理干预对偏头痛患者临床疗效观察。方法：将88例偏头痛患者分为干预组和对照蛆，各44例，两组均给与常规药物治疗，疗程3月，干预组在常规治疗基础上给予心理干预治疗，每周1次，每次45分钟。采用偏头痛诊断疗效评定标准对所有受试者治疗前后结果进行统计评定。结果：干预组和对照组患者偏头痛诊断疗效分值均低于治疗前，均P〈0．01，但二者干预前，干预组和对照组比较P〉0．05，差异无统计学意义，干预后，干预组和时照组比较P〈0．01，差异有统计学意义。可认为干预后干预组和对照组疗效有差别，干预组治疗效果好于对照组。结论：印证在偏头痛的致病因素中，以个性、情绪、精神因素为主，是遵循紧张一刺激一情绪反应一功能障碍这一发病机制。心理干预能有效改善患者长期头痛带来的一系列负性情绪，提高自我舒缓压力的能力，减少头痛发作。

Objective Of psychological intervention on patients with migraine clinical efficacy. Method 88 cases of migraine patients were divided into intervention and control groups, 44 patients, two groups were given conventional therapy, a course of 3 months, the intervention group was given conventional therapy and psychological intervention, week 1, every 45 minutes. Therapeutic Scale Score on migraine （TSSM） assessed using the standard treatment for all subjects before and after the results were statistically assessed. Result Intervention group and control group of patients diagnosed with migraine efficacy scores were lower than hefore treatment, all P〈0.01, but both of the intervention group and control group, P〉 0.05, the difference was not statistically significant, intervention, intervention group and the control group, P〉0.01, significant difference. Can he considered the inter- vention group and control group effects for the different treatment of the intervention group was better than the control group. Conclusion Confirmed in the neurovascular headache causes of disease to personality, emotional, mental factors mainly follows the tension -- stimulate -- emotional reaction -- the pathogenesis of this dysfunction. Psychological intervention can improve long--term headaches caused by a series of patients with negative emotions, increase self--relieve pressure and reduce headache.