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目的观察中西药联合治疗颅脑外伤后头痛的临床效果。方法将90例颅脑外伤后头痛患者随机分为治疗组和对照组各45例。对照组采用传统西药进行治疗。治疗组在传统西药治疗基础上加中成药川芎清脑颗粒口服,治疗疗程均为30d。观察2组患者的临床疗效,治疗前后大脑前动脉、大脑中动脉平均血流速度的变化和头痛缓解起效时间、复发率。结果治疗组总有效率明显高于对照组,起效时间明显短于对照组,复发率低于对照组(P均<0.05);治疗组在治疗后大脑前动脉、大脑中动脉平均血流速度明显下降,且治疗组低于对照组(P均<0.05)。结论中西药联合治疗颅脑外伤后头痛疗效好,复发率低。
Objective To observe the clinical effect of combining traditional Chinese and western medicine on headache after traumatic brain injury. Methods Ninety patients with craniocerebral headache were randomly divided into treatment group (45 cases) and control group (45 cases). The control group was treated with traditional western medicine. Treatment group in the traditional western medicine plus Chinese medicine Chuanxiong Qingnao granules orally, the treatment course was 30d. The clinical curative effect of two groups of patients was observed. The changes of average blood flow velocity of anterior cerebral artery and middle cerebral artery before and after treatment and onset time and recurrence rate of headache relief were observed. Results The total effective rate of the treatment group was significantly higher than that of the control group, the onset time was significantly shorter than that of the control group, and the recurrence rate was lower than that of the control group (all P <0.05). The mean blood flow velocity of the anterior cerebral artery, middle cerebral artery Significantly decreased, and the treatment group was lower than the control group (all P <0.05). Conclusion Chinese and Western medicine combined treatment of headache after traumatic brain injury with good effect, low recurrence rate.