正念疗法在慢性紧张型头痛患者中的应用效果

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摘要目的探讨正念疗法在慢性紧张型头痛患者中的应用效果。方法选取2018年1月～2020年6月高州市人民医院收治的92 例慢性紧张型头痛患者作为研究对象，采用随机数字表法将其分为观察组（n=46）和对照组（n=46）。两组患者均给予口服盐酸乙哌立松片治疗，每次50 mg，每天3 次；观察组在此基础上给予正念疗法，两组患者均治疗8 周。评价两组患者的临床疗效；记录两组治疗前后临床症状改善情况；采用匹兹堡睡眠质量指数（PSQI）评估两组的睡眠情况，采用简明生活质量量表评估两组的生活质量。结果观察组患者的治疗总有效率高于对照组，差异有统计学意义（P＜0.05）。治疗后，观察组患者的头痛持续时间短于对照组，头痛程度评分、PSQI 总分均低于对照组，差异有统计学意义（P＜0.05）。治疗后两组患者生活质量均得到改善，且观察组患者的躯体疼痛、总体健康、精神健康、情感职能、生理功能、社会功能、活力生活质量项目评分均高于对照组，差异有统计学意义（P＜0.05）。结论常规治疗的基础上实施正念疗法有助于提高慢性紧张型头痛的临床疗效，改善患者临床症状和睡眠质量，从而提高生活质量。

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	李普华
	黄丹丹
	黄汉宁
	黄锦燕

关键词 ：正念疗法, 盐酸乙哌立松片, 慢性紧张型头痛, 临床疗效

Abstract：Objective To explore the application effect of mindfulness based therapy in patients with chronic tensiontype headache.Methods A total of 92 patients with chronic tension-type headache admitted to Gaozhou People′s Hospital from January 2018 to June 2020 were selected as the research objects.They were divided into the observation group(n=46)and the control group(n=46)by the random number table method.Both groups were given oral administration of Eperisone Hydrochloride Tablets, 50 mg each time, 3 times a day.In the observation group, mindfulness based therapy was added.Both groups were treated for 8 weeks.The clinical efficacy of the two groups was evaluated.The improvement of clinical symptoms before and after treatment was recorded.The sleep quality of the two groups was assessed using the Pittsburgh sleep quality index (PSQI), and the quality of life of the two groups was assessed using a concise quality of life scale.Results The total effective rate of treatment in the observation group was higher than that in the control group, and the difference was statistically significant (P＜0.05).After treatment, the duration of headache of the observation group was shorter than that of the control group, and the headache degree score and total PSQI score were lower than those of the control group, with statistical significances (P＜0.05).After treatment, the quality of life of the two groups was improved, and the scores of the quality of life items in the observation group such as physical pain,general health, mental health, emotional function, physiological function, social function, and vitality were higher than those in the control group, and the differences were statistically significant (P＜0.05).Conclusion On the basis of conventional treatment, implementing mindfulness based therapy can help improve the clinical efficacy of chronic tension-type headache, the clinical symptoms and sleep quality, and thus ameliorate the quality of life.

Key words： Mindfulness based therapy Eperisone Hydrochloride Tablets Chronic tension-type headache Clinical efficacy

基金资助:广东省茂名市科技计划项目（190308201704482）

引用本文:

李普华；黄丹丹；黄汉宁；黄锦燕. 正念疗法在慢性紧张型头痛患者中的应用效果[J]. 中国当代医药, 2021, 28(10): 109-112.
LI Pu-hua ；HUANG Dan-dan； HUANG Han-ning； HUANG Jin-yan. Application effect of mindfulness based therapy in patients with chronic tension-type headache. 中国当代医药, 2021, 28(10): 109-112.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I10/109

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