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目的:观察中西医结合治疗腰麻-硬膜外联合麻醉后头痛的效果。方法:90例腰麻-硬膜外联合麻醉后头痛患者,随机分为2组,各45例。对照组采用常规西医治疗;观察组在对照组治疗基础上联合止痛散治疗。治疗10天,比较2组临床疗效及视觉模拟疼痛评分(VAS)。结果:总有效率观察组91.1%,对照组66.7%,2组比较,差异有统计学意义(P<0.05)。2组治疗后5天、10天VAS评分显著改善,与本组治疗前比较,差异有统计学意义(P<0.05);观察组治疗后5天、10天VAS评分,显著低于对照组,与对照组比较,差异有统计学意义(P<0.05)。总不良反应发生率观察组8.9%,对照组31.1%,2组比较,差异有统计学意义(P<0.05)。结论:腰麻-硬膜外联合麻醉后头痛以西医常规治疗联合止痛散汤治疗,效果显著,能有效减轻患者疼痛,不良反应少。
Objective: To observe the effect of combining traditional Chinese and western medicine on headache after spinal-epidural anesthesia. Methods: Ninety patients with headache after spinal anesthesia and epidural anesthesia were randomly divided into two groups (n = 45). The control group was treated with routine western medicine. The observation group was treated with Zhitong San based on the control group. After 10 days of treatment, the clinical efficacy and visual analogue pain score (VAS) were compared between the two groups. Results: The total effective rate was 91.1% in the observation group and 66.7% in the control group. There was significant difference between the two groups (P <0.05). The VAS scores of the two groups were significantly improved 5 days and 10 days after the treatment, which was significantly different from that before treatment (P <0.05). The VAS scores of the observation group at 5 and 10 days after treatment were significantly lower than those of the control group Compared with the control group, the difference was statistically significant (P <0.05). The incidence of adverse reactions in observation group 8.9%, control group 31.1%, two groups, the difference was statistically significant (P <0.05). Conclusion: The spinal anesthesia - epidural anesthesia headache with Western medicine combined with Zhitong San decoction treatment, the effect is significant, can effectively reduce the pain of patients with fewer adverse reactions.