半夏白术天麻汤加味治疗痰浊上扰证偏头痛临床疗效和治疗前后综合评分情况比较观察

Comparative and Observation of Clinical Efficacy and the Composite Score before and after Treatment of Banxiabaizhutianma Decoction in the Treatment of Phlegm Disturbing Syndrome Migraine

目的:观察比较半夏白术天麻汤加味治疗痰浊上扰证偏头痛的临床疗效及治疗前后综合评分情况。方法:选取本院2013年10月-2015年7月收治的76例痰浊上扰证偏头痛患者,对其进行半夏白术天麻汤加味治疗,持续治疗15 d,观察并比较患者治疗后的临床疗效及治疗前后的头痛发作次数、头痛程度、头痛持续时间及伴随症状的综合评分情况。结果:76例患者总治疗有效72例,总治疗有效率为94.7%;且患者治疗后的头痛发作次数评分为(1.7±0.9)分、头痛程度(1.0±0.5)分、头痛持续时间(1.3±0.6)分和伴随症状(0.6±0.8)分均显著低于治疗前,比较差异均有统计学意义(P<0.05)。结论:半夏白术天麻汤加味治疗痰浊上扰证偏头痛具有十分显著的临床疗效,对降低患者头痛发作次数、缩短头痛持续时间、改善头痛程度及伴随症状有着确切疗效,值得临床加以应用。

Objective：To observe and compare the clinical efficacy and composite score before and after treatment of Banxiabaizhutianma decoction in the treatment of phlegm disturbing syndrome migraine.Method：76 cases of patients with migraine syndrome phlegm scrambling were selected in our hospital from October 2013 to July 2015,using Banxiabaizhutianma decoction for treatment 15 days,the composite score situation of clinical efficacy,pain episodes,degree of headache,headache duration and associated symptoms were observed and compared.Result：72 patients were therapeutically effective in the whole 76 patients,with the total effective rate being 94.7%.After treatment,the headache episodes was（1.7±0.9）points,headache degree was（1.0±0.5）points,headache duration was（1.3±0.6） points and associated symptoms was（0.6±0.8）points,these composite scores were significantly lower than those before treatment,the differences were statistically significant（P〈0.05）.Conclusion：Banxiabaizhutianma decoction has a very significant clinical effect in treating phlegm disturbing migraine syndrome. It has exact effect in reducing the number of patients with migraine attacks,shortening the headache duration and improving the headache seriousness and associated symptoms,which is worthy of clinical application.