中西药结合治疗颅脑外伤后头痛的效果观察

The clinical effect of combined Chinese and Western medicine on headache after craniocerebral trauma

目的:观察中西药结合治疗颅脑外伤后头痛的效果.方法:176例颅脑外伤后头痛患者按入院顺序分为观察组和对照组,各88例.对照组采用西药治疗,观察组在西药治疗基础上加用丹珍头痛胶囊.观察两组疗效,治疗前后的颈内动脉末端(TICA)、大脑中动脉(MCA)平均血流速度变化和头痛缓解起效时间及复发率.结果:观察组总有效率明显高于对照组,起效时间明显短于对照组,复发率低于对照组(P均<0.05);治疗后观察组TICA、MCA平均血流速度明显下降,且下降程度低于对照组(P<0.05).结论:中西药结合治疗颅脑外伤后头痛疗效好,复发率低.

Objective:To observe the clinical effect of combined Chinese and Western medicine on headache after craniocerebral trauma. Methods:According to the order of admission, 176 subjects were divided into two group:observation group (88) and control group(88), control group accepted Western medicine, observation group accepted combined Chinese and Western medicine. The clinical effect were compared between two groups, the change of mean velocity of blood flow of TICA and MCA were compared between two groups before and after treatment, the onset time of two group were compared, and the recurrence rate of two group were compared. Results:The total effective rate of observation group was significantly higher than that of the control group, the onset time was significantly shorter than the control group, and the recurrence rate is lower than the control group(P<0.05);the mean velocity of blood flow of TICA and MCA of observation group were significantly declining, and were lower than the control group (P<0.05). Conclusion:The combination of Chinese and Western medicine is effective in treating headache after craniocerebral trauma and has lower recurrence rate than control group.