摘要
紧张型头痛属于临床常见的原发性头痛,具体表现为双侧头部呈压迫感或紧缩感的轻、中度疼痛,发病特点为病程长、易反复、诱因多,且发病人数呈逐年上升趋势,中医学将其归于“头痛”“首风”“头风”等范畴。目前国内针对该病的治疗方法虽然以西医为主,但是近年来各项研究数据显示,中医内服用药及外治疗法所达到的成效也不容小觑,而中西医相结合治疗紧张型头痛在临床中的效果则更为突出。除了必要的治疗措施外,从病因源头着手,分析出紧张型头痛的社会原因,如焦虑、抑郁和睡眠质量差等因素,也可能导致头痛症状的恶化,故患者的心理健康及压力疏解在诊治过程中也应当引起重视。文章通过整理近年来有关治疗紧张型头痛的国内外相关文献,讨论了治疗紧张型头痛的三种方法:中医、西医和中西医结合。中药内服从肝、痰、瘀、湿、虚五个角度切入,中医外治法以针灸为主进行阐述,将西药治疗归纳为急性期和预防期,以心理行为干预、重复经颅磁刺激、触发点注射、物理治疗为例分析了西医非药物治疗,最后从中西医结合治疗方面举例论证,旨在对紧张型头痛的中西医治疗现状进行全面论述,以期在临床上为预防诊治该病提供有益参考。
Tension-type headache is a common primary headache in clinical practice,which is characterised by mild to moderate pain with a feeling of pressure or tightness on both sides of the head,and is characterised by a long duration,easy recurrence and many incentives.It is classified in TCM as“headache”and“head wind”.Although the current domestic treatment for the disease is mainly Western medicine,in recent years,various research data has shown that the effectiveness of traditional Chinese medicine and external treatment can not be underestimated,and the combination of TCM and Western medicine is more prominent in the clinical treatment of tension-type headache.In addition to the necessary therapeutic measures,the social causes of tension-type headache,such as anxiety,depression and poor sleep quality and other factors may also lead to the deterioration of headache symptoms,so the patients’mental health and stress relief should also be taken into account in the process of diagnosis and treatment.This paper discusses three approaches in the treatment of tension-type headache:TCM,Western medicine and the integrative medicine,by collating the relevant domestic and international literature on the treatment of tension-type headache in recent years.The internal treatment of traditional Chinese medicine is mainly elaborated from the five perspectives of liver,phlegm,stasis,dampness and deficiency.The external treatment of TCM is based on acupuncture and moxibustion.Western medicine treatment is categorized into the acute stage and the preventive phases.The non-pharmacological treatment of Western medicine is analyzed in terms of psycho-behavioural interventions,repetitive transcranial magnetic stimulation,trigger point injections and physiotherapy.Finally,the paper discusses the integrative medicine treatment of tension-type headache with examples,in order to provide a useful reference for the prevention and treatment of the disease in clinical practice.
作者
雷芳
刘德英
谢苗莹
黄柳瑛
刁丽梅
LEI Fang;LIU Deying;XIE Miaoying;HUANG Liuying;DIAO Limei
出处
《中医临床研究》
2023年第30期75-81,共7页
Clinical Journal Of Chinese Medicine
基金
广西中医脑病临床研究中心项目(桂科AD20238028)
广西高等学校高水平创新团队及卓越学者计划(桂教人才(2020)6号)
广西中医药大学第一附属医院学术团队建设项目(院字[2018]146号)
广西中医药重点学科建设项目(GZXK-Z-20-13)。
关键词
紧张型头痛
中西医结合
治疗方案
文献综述
Tension-type headache
The integrative medicine
Therapeutic schedule
Literature review
作者简介
雷芳(1993-),女,湖南怀化人,硕士,研究方向为中西医结合脑病;通讯作者:刁丽梅(1972-),山东黄县人,主任医师,博士,研究方向为中西医结合脑病。
