综合治疗模式治疗东莞地区门诊紧张性头痛患者临床效果研究(1)
【摘要】 目的：探讨综合治疗模式治疗东莞地区门诊紧张性头痛(TTH)患者的临床效果。方法：收集2012年1月-2014年6月在东莞市大朗医院神经内科门诊就诊的慢性紧张性头痛150例患者，随机分为三组，每组50例，分别为单纯药物治疗组(drug组)，药物+心理治疗组(drug+phyc组)
和药物+心理治疗+颅周肌肉放松治疗组(drug+phyc+phys组)，观察分析各组患者治疗6周后头痛临床疗效，治疗后1、3、6个月进行随访，分别计算各组患者治疗后的总控制率及复发率。结果：drug组治疗总有效率为62.0%，drug+phyc组为76.0%，drug+phyc+phys组为92.0%，drug+phyc+phys组治疗效果明显好于另两组，比较差异均有统计学意义(P<0.05)。随访6个月后各组患者治疗后的头痛复发率比较，drug+phyc+phys组治疗头痛总控制率高于另两组，复发率明显低于另两组，差异均有统计学意义(P<0.05)。结论：综合治疗模式可有效控制紧张性头痛患者的症状，并降低其复发率，是TTH的较佳防治模式。
, 百拇医药
【关键词】 紧张性头痛； 治疗模式； 临床疗效
中图分类号 R741.05 文献标识码 A 文章编号 1674-6805(2016)15-0007-03
【Abstract】 Objective：To explore the clinical effect of integrated mode in treatment of tension-type headache(TTH) of outpatients in Dongguan.Method：One hundred and fifty chronic tension-type headache patients in Dongguan Dalang Hospital from January 2012 to June 2014 were selected and randomly divided into three groups，the simple drug treatment group(group drug)，drug+psychological treatment group(group drug+phyc) and drug+psychological treatment+pericranial muscle relaxation therapy group(group drug+phyc+phys)，each group of 50 cases respectively.The clinical curative effect on headache of all groups after six weeks’ treatment were analysed，and the total control rate and recurrence rate were calculated after 6 months’ followed-up.Result：After treatment，the drug group total effective rate was 62.0%，the drug+phyc group was 76.0%，the drug+phyc+phys group was 92.0%，drug+phyc+phys group was obviously better than the other two groups，the differences were statistically significant(P<0.05).After 6 months’ followed-up，the total control rate of drug+phyc+phys group was higher than the other two groups，while its recurrence rate was obviously lower than the other two groups，the differences were statistically significant(P<0.05).Conclusion：The integrated treatment mode can effectively relieved the symptoms of patients with tension headache，and reduce the recurrence rate，it is a better prevention and treatment mode of TTH.
, http://www.100md.com
【Key words】 Tension-type headache； Treatment mode； Clinical effect
First-author’s address：Dalang Hospital of Dongguan，Dongguan 523770，China
doi：10.14033/j.cnki.cfmr.2016.15.003
紧张性头痛(tension-type headache，TTH)是最常见的一种头痛类型，常反复发作，占头痛患者的40%[1]。TTH的治疗仍然以药物为主，单一药物治疗模式疗效差、容易耐药、总体控制率较低，为了探索TTH的有效治疗方法，本文旨在探讨综合治疗模式治疗门诊紧张性头痛患者的临床疗效，对比单一药物治疗与综合治疗模式的差异性。
1 资料与方法
1.1 入选及排除标准
1.1.1 入选标准 收集2012年1月-2015年6月在本院神经内科门诊就诊的东莞地区慢性紧张性头痛患者共150例为研究对象，慢性紧张性头痛的诊断依据国际头痛协会2004年制订的诊断CTTH的标准：(1)病程>6个月(头痛>15次/月或>180次/年)；(2)疼痛表现为压迫或紧缩性，轻度或中度疼痛；(3)可伴有恶心，或畏光，或畏声，但无呕吐；(4)排除其他器质性疼痛或其他功能性头痛；(5)多为双侧头痛，日常活动不加重。, http://www.100md.com(卢翠玲 何松坚 郑书恭)
和药物+心理治疗+颅周肌肉放松治疗组(drug+phyc+phys组)，观察分析各组患者治疗6周后头痛临床疗效，治疗后1、3、6个月进行随访，分别计算各组患者治疗后的总控制率及复发率。结果：drug组治疗总有效率为62.0%，drug+phyc组为76.0%，drug+phyc+phys组为92.0%，drug+phyc+phys组治疗效果明显好于另两组，比较差异均有统计学意义(P<0.05)。随访6个月后各组患者治疗后的头痛复发率比较，drug+phyc+phys组治疗头痛总控制率高于另两组，复发率明显低于另两组，差异均有统计学意义(P<0.05)。结论：综合治疗模式可有效控制紧张性头痛患者的症状，并降低其复发率，是TTH的较佳防治模式。
, 百拇医药
【关键词】 紧张性头痛； 治疗模式； 临床疗效
中图分类号 R741.05 文献标识码 A 文章编号 1674-6805(2016)15-0007-03
【Abstract】 Objective：To explore the clinical effect of integrated mode in treatment of tension-type headache(TTH) of outpatients in Dongguan.Method：One hundred and fifty chronic tension-type headache patients in Dongguan Dalang Hospital from January 2012 to June 2014 were selected and randomly divided into three groups，the simple drug treatment group(group drug)，drug+psychological treatment group(group drug+phyc) and drug+psychological treatment+pericranial muscle relaxation therapy group(group drug+phyc+phys)，each group of 50 cases respectively.The clinical curative effect on headache of all groups after six weeks’ treatment were analysed，and the total control rate and recurrence rate were calculated after 6 months’ followed-up.Result：After treatment，the drug group total effective rate was 62.0%，the drug+phyc group was 76.0%，the drug+phyc+phys group was 92.0%，drug+phyc+phys group was obviously better than the other two groups，the differences were statistically significant(P<0.05).After 6 months’ followed-up，the total control rate of drug+phyc+phys group was higher than the other two groups，while its recurrence rate was obviously lower than the other two groups，the differences were statistically significant(P<0.05).Conclusion：The integrated treatment mode can effectively relieved the symptoms of patients with tension headache，and reduce the recurrence rate，it is a better prevention and treatment mode of TTH.
, http://www.100md.com
【Key words】 Tension-type headache； Treatment mode； Clinical effect
First-author’s address：Dalang Hospital of Dongguan，Dongguan 523770，China
doi：10.14033/j.cnki.cfmr.2016.15.003
紧张性头痛(tension-type headache，TTH)是最常见的一种头痛类型，常反复发作，占头痛患者的40%[1]。TTH的治疗仍然以药物为主，单一药物治疗模式疗效差、容易耐药、总体控制率较低，为了探索TTH的有效治疗方法，本文旨在探讨综合治疗模式治疗门诊紧张性头痛患者的临床疗效，对比单一药物治疗与综合治疗模式的差异性。
1 资料与方法
1.1 入选及排除标准
1.1.1 入选标准 收集2012年1月-2015年6月在本院神经内科门诊就诊的东莞地区慢性紧张性头痛患者共150例为研究对象，慢性紧张性头痛的诊断依据国际头痛协会2004年制订的诊断CTTH的标准：(1)病程>6个月(头痛>15次/月或>180次/年)；(2)疼痛表现为压迫或紧缩性，轻度或中度疼痛；(3)可伴有恶心，或畏光，或畏声，但无呕吐；(4)排除其他器质性疼痛或其他功能性头痛；(5)多为双侧头痛，日常活动不加重。, http://www.100md.com(卢翠玲 何松坚 郑书恭)