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目的 探讨钙拮抗剂对偏头痛的预防作用。方法 应用前瞻性研究和双盲对照实验,观察口服尼莫地平(30mg,3/日)、尼莫地平缓释片(30mg,3/日)、特来斯(30mg,3/日)、盐酸氟桂嗪(10mg,3/日)、尼卡地平(40mg,3/日)、依拉地平(40mg,3/日)对212例偏头痛病人的疗效,随访1年。结果 治疗结束时有171例坚持服用钙拮抗剂,13例被排除试验。服药后各组的头痛天数和头痛强度均有下同程度的下降,尼莫地平缓释片和特来斯对偏头痛的远期预防效果较好,依拉地平近期预防效果较好,安慰剂对偏头痛发作有一定的预防作用。结论 尼莫地平、尼莫地平缓释片、特来斯、尼卡地平、依拉地平、安慰剂对偏头痛有预防作用,但疗效不同。
Objective To investigate the preventive effect of calcium antagonists on migraine. Methods A prospective study and double-blind controlled trial were conducted to observe the effects of oral administration of nimodipine (30mg, 3 / day), nimodipine (30mg, 3 / The efficacy of flunarizine (10 mg, 3 / day), nicardipine (40 mg, 3 / day) and etoposide (40 mg, 3 / day) on 212 migraineurs were followed up for 1 year. Results At the end of treatment, 171 patients insisted on taking calcium antagonists and 13 patients were excluded from the trial. After taking the medication, the headache days and the headache intensity of each group all decreased with the same degree. The long-term preventive effect of nimodipine sustained-release tablets and Tellabs on migraine was better, and the short-term preventive effect of eradipine was better. The placebo On the onset of migraine have a preventive effect. Conclusion Nimodipine, nimodipine sustained-release tablets, Teres, nicardipine, and eradipine, placebo on migraine have a preventive effect, but the effect is different.