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紧张性头痛的心理与药物综合治疗临床观察 被引量:7

Combining Psychotherapy with Medication in treatment of Tension-type Headache
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摘要 目的 :通过随机分组、临床对照研究 ,对紧张性头痛的心理与药物的综合治疗模式进行客观评价。方法 :将 84例紧张性头痛患者 ,随机分为实验组和对照组。对照组给予常规药物治疗 ,实验组则在常规药物治疗的同时 ,由具备心理治疗技巧的医生给予心理治疗 ,每周 2至 3次 ,每疗程 6次。待一疗程结束后评定疗效 ,且随访至少一年。结果 :实验组总有效率为 95 2 4% ,显效率为 66 67% ,与对照组总有效率、显效率分别为 69 0 5 %和 3 8 10 %相比较 ,差别具有统计学意义 (P <0 0 1)。结论 :心理与药物的综合治疗模式对紧张性头痛是一种非常有效的治疗方式 ; Objective:to combine psychotherapy and medication in treatment of tension-type headache Method:84 patients with tension-type headache were randomly divided into study group (combining psychotherapy with medication) and control group (medication only) The psychotherapy was twice to three times a week, for 2 or 3 weeks and then follow up for at least 1 year Result:in the study group, the rate of improvement was 95%, that of marked improvement was 67%, were significantly higher than the counterparts in control group (were 69% and 38% respectively) Conclusion:combining psychotherapy with medication is more effective than medication only in treatment of tension-type headache
出处 《中国心理卫生杂志》 CSSCI CSCD 北大核心 2002年第10期690-692,共3页 Chinese Mental Health Journal
关键词 临床观察 紧张性头痛 心理治疗 药物治疗 psychotherapy medication tension-type headache
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参考文献5

  • 1Jensen R,Pathophysiological mechanisms of tension-type headache:a review of epidemiological and experimental stdies.Cephalalgia,1999,19(6):602-21.
  • 2Headache Classification committee of the International Headache Society.Classification and diagnosis criteria for headache disorders,cranial neuralgias and facial pains.Cephalalgia,1988,8(Suppl 7):1-96.
  • 3Jensen R,Olesen J.Tension-type headache:an update on mechanisms and treatment.Curr-Opin-Neurol.2000 Jun;13(3):285-9.
  • 4Ludin HP.Tension-type headache-diagnosis and therapy.Ther Umsch,1997,54(2):59-63.
  • 5Rollnik JD,tanneberger O,Schubert M,et al.Treatment of tension-type headache with botulinum toxin type A:a double-blind,placebo-controlled study.headache.2000,40(4):300-5.

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