益气聪明汤治疗难治性腰穿后低颅压头痛的疗效观察

摘要

目的：探讨益气聪明汤治疗腰穿后低颅压头痛的有效性。方法：采用回顾性研究的方法，11例患者均为腰穿后出现低颅压头痛，给予益气聪明汤加减治疗。日1剂，疗程为5 d。分别记录患者治疗前和治疗后的视觉模拟评分（VAS评分）和头痛强度，以判定疗效，评分进行统计学处理。结果：治疗后所有患者的VAS评分平均为（2.85±1.76），较治疗前的（7.54±2.23）显著下降，差异具有统计学意义（P＜0.05）；治疗后患者头痛强度评分平均为（0.82±1.04），显著低于治疗前的（2.36±0.54），差异有统计学意义（P＜0.05），治疗后患者的头痛得到显著缓解。结论：益气聪明汤治疗腰穿后低颅压头痛疗效明显，治疗后患者的头痛得到缓解，值得在临床普遍推广与应用。%Objective:To observe the clinical efficacy of Yiqi Congming decoction in refractory low intracranial pressure headache after lumbar puncture.Methods:Retrospective study was conducted,and all the 1 1 patients showed low intracranial pressure headache after lumbar puncture.All the patients were given Yiqi Congming decoction once a day for five days.The visual analogue scale (VAS score) and headache intensity of patients were recorded before and after treatment to determine the efficacy.The efficacy score was rated for sta-tistical analysis.Results:After treatment,the VAS score of the patients was 2.85 ±1.76,which was significantly lower than that before treatment(7.54 ±2.23),and the difference was statistically significant (P<0.05);the headache intensity was 0.82 ±1.04,which was significantly lower than that before treatment(2.36 ±0.54),and the difference was statistically significant (P<0.05).Headache re-lieved significantly after treatment.Conclusion:The clinical efficacy of the treatment of Yiqi Congming decoction in refractory low in-tracranial pressure headache after lumbar puncture had significant efficacy.The symptoms of headache had been alleviated.It is worth popularization and application in clinical practice generally.