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目的对阿米替林联合心理干预治疗慢性紧张型头痛的疗效进行客观评价。方法将77例慢性紧张型头痛患者随机分成两组,对照组采用常规治疗方法(口服复方氯唑沙宗片、血塞通),治疗组则在常规治疗的基础上加用小剂量阿米替林口服和心理干预,心理干预每周2次,每次30~40 min,共12周。疗程结束后评定疗效。结果两组患者临床有效率、治疗前后两组症状自评量表各因子分均有显著差异。结论阿米替林联合心理干预治疗慢性紧张型头痛有效,药物与心理综合治疗模式对慢性紧张型头痛是一种非常有效的治疗方法。
Objective To evaluate the efficacy of amitriptyline combined with psychological intervention in the treatment of chronic tension-type headache. Methods Totally 77 patients with chronic tension-type headache were randomly divided into two groups. The control group received routine treatment (oral compound chlorzoxazone tablets and Xuesaitong). On the basis of routine treatment, the patients in the treatment group were given low-dose amitic acid Lin oral and psychological intervention, psychological intervention twice a week, each 30 ~ 40 min, a total of 12 weeks. After the end of the assessment of curative effect. Results The clinical effective rate of two groups of patients before and after treatment, two groups of symptoms self-rating scale various factors were significantly different. Conclusion Amitriptyline combined with psychological intervention is effective in treating chronic tension-type headache. The combination of drug and psychotherapy mode is a very effective treatment for chronic tension-type headache.