中医综合方案治疗慢性紧张型头痛疗效观察

目的 观察中医综合治疗慢性紧张型头痛疗效及对生活质量的影响.方法 选择慢性紧张型头痛（CTFH）患者224例,对照组予乙哌立松、阿米替林口服,予以心理干预措施,观察组除心理干预外,予中医综合治疗,即中医辨证中药口服及针灸推拿治疗,治疗时间均为4周,3个月后随访.结果 （1）观察组每个月头痛发作天数及头痛持续时间与对照组比较,4周时无统计学意义,随访3个月时有统计学意义.（2）随访3个月时头痛影响测验（HIT）评分观察组低于对照组（P〈0.05）.（3）随访3个月时观察组生活质量整体改善优于对照组.结论 中医综合方案能够改善患者的生活质量,具有稳定的中远期疗效.

Objective To observe the influence of Chinese medicine comprehensive regimen on life qualities of patients with chronic tension-type headache. Methods 224 cases were randomly divided into research group and control group.The control group was treated with eperisone, amitriptyline combined with psychological interventions, research group was given oral medicine and acupuncture massage on the basis of psychological interventions.The course was 4 weeks and follow-up time was 3 months. Results （ 1 ） There were differences at The number of migraine attacks per month and headache duration after followed up for 1 week to 3 months. （ 2 ） The HIT score of treatment group decreased more significantly than rcsearch group. （ 3 ） The quality of life in treatment group improved more obviously than that in control group. Conclusion Chinese medicine comprehensive regimen can improve life quality of patients with chronic tension- type headache.