活血化瘀法联合西药治疗显微血管减压术后头痛临床研究

Clinical Study on Blood-Invigorating and Stasis-Dissolving Method Combined with Western Medicine for Headache After Microvascular Decompression

目的:观察活血化瘀法联合西药治疗显微血管减压术后头痛的临床疗效。方法:将78例神经外科显微血管减压术后头痛患者作为研究对象,按随机的原则分为2组,每组各39例,其中对照组单纯给予常规西医治疗,治疗组在对照组基础上联合活血化瘀法治疗,对2组临床疗效以及其他相关指标进行对比分析。结果:对照组总有效率为82.05%,治疗组为97.44%,2组比较,差异有统计学意义(P<0.05)。2组术后1 d的镇痛效果比较,差异无统计学意义(P>0.05),2组在术后5 d、10 d以及15 d评分均有所下降,差异有统计学意义(P<0.05),治疗组评分优于对照组(P<0.05)。治疗组腹泻2例、头晕1例(所占比例为7.69%);对照组腹泻3例,呕吐4例(所占比例为17.95%),2组比较,差异无统计学意义(P>0.05)。结论:活血化瘀法联合西药治疗显微血管减压术后头痛患者的临床治疗效果确切,缓解了患者的临床症状,改善了患者的生活质量。

Objective:To observe the clinical effect of blood-invigorating and stasis-dissolving method combined with western medicine for headache after microvascular decompression.Methods:A total of 78 cases of headache patients undergoing microvascular decompression in neurosurgery were selected as the study subjects and randomly divided into two groups,39 cases in each group.The control group was simply treated with routine western medicine,and the treatment group was additionally treated with blood-invigorating and stasis-dissolving method based on the treatment of the control group.The clinical effect and other related indexes in the two groups were compared and analyzed.Results:The total effective rate was 82.05%in the control group and 97.44%in the treatment group,the difference being significant(P<0.05).There was no significant difference being found in the comparison of the analgesia effect one day after operation between the two groups(P>0.05);five,ten and fifteen days after operation respectively,the scores of effect in the two groups were decreased,the difference being significant(P<0.05),and the scores in the treatment group were better than those in the control group(P<0.05).There were two cases of diarrhea and one case of dizziness in the treatment group,accounting for7.69%;there were three cases of diarrhea and four cases of vomiting in the control group,accounting for 17.95%;there was no significant difference being found between the two groups(P>0.05).Conclusion:Blood-invigorating and stasisdissolving method combined with western medicine for headache after microvascular decompression has definite clinical effect,relieves clinical symptoms and improves quality of life.