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目的对小剂量星状神经节阻滞、联合中药桃红四物汤加减、穴位针灸综合治疗偏头痛的疗效进行研究。方法 150例偏头痛患者,单盲随机分为三组:第一组为对照组,进行西药治疗;第二组为治疗A组,进行单纯小剂量星状神经阻滞治疗;第三组为治疗B组,实施小剂量星状神经阻滞联合中药桃红四物汤加减、穴位针灸综合治疗。结果治疗A、B两组在控制疼痛、改善VAS评分均明显优于对照组,具有显著性意义。尤其是第三组治疗B组,在提高偏头痛治愈率,减少复发率,延长复发间期方面,较对照组有非常显著性差异,以及对患者伴随症状,如顽固性失眠、妇女痛经的改善方面较治疗A组也有明显的优势。结论小剂量星状神经阻滞、中药桃红四物汤、穴位针灸综合治疗偏头痛有效更安全,起中西医结合优势互补作用。
Objective To study the effects of small dose stellate ganglion blockade, combined with the addition and subtraction of Taohongsiwu Decoction, and acupoint acupuncture in the treatment of migraine. Methods One hundred and fifty cases of migraine were randomly divided into three groups: the first group was the control group, the western group was treated; the second group was treated with simple low-dose stellate block therapy; the third group was treated Group B, the implementation of small doses of stellate nerve block combined with traditional Chinese medicine Taohongsiwutang addition and subtraction acupuncture points comprehensive treatment. Results The A and B groups were significantly better than the control group in controlling pain and improving VAS score. In particular, the third group of treatment group B, in improving the cure rate of migraine, reduce the recurrence rate, prolong the recurrence interval, compared with the control group has a very significant difference, as well as patients with symptoms such as stubborn insomnia, women dysmenorrhea improved A group than the treatment group also has obvious advantages. Conclusion Small doses of stellate nerve block, traditional Chinese medicine Taohong Siwu Decoction, points acupuncture comprehensive treatment of migraine effective and safer, play a complementary role of integration of traditional Chinese and Western medicine.