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阿米替林联合丙戊酸钠治疗药物过度使用性头痛的疗效

张碧月 陈雅芳 黄银辉

中国实用神经疾病杂志2017,Vol.20Issue(22):9-12,4.
中国实用神经疾病杂志2017,Vol.20Issue(22):9-12,4.DOI:10.3969/j.issn.1673-5110.2017.22.003

阿米替林联合丙戊酸钠治疗药物过度使用性头痛的疗效

Efficacy of amitriptyline combined sodium valproate in treatment of medication overuse headache

张碧月 1陈雅芳 1黄银辉2

作者信息

  • 1. 福建医科大学附属第二医院神经内科,福建泉州362000
  • 2. 晋江市医院神经内科,福建晋江362200
  • 折叠

摘要

Abstract

Objective To observe the efficacy of amitriptyline combined sodium valproate in treatment of medication overuse headache.Methods Medication overuse headache (MOH) patients in our hospital were collected.They were asked to withdraw overused analgesics,and divided into two groups according to Random Number Table,treatment group and control group.Treat treatment group treated with amitriptyline combined sodium valproate (orally,amitriptyline tablets 25mg and sodium valproate 500mg per night).Control group treated with orally sodium valproate 500mg per night.The treatment was lasted for 3 months.The headache attack frequencies,headache severity as well as adverse drug reaction after treatment between two groups were compared.Results Compared with control group,patients who were treated with amitriptyline combined sodium valproate had obvious improvement on headache severity and headache attack frequencies (68.42% vs 25.00%,P<0.05).The overall efficient was obviously higher than that of control group(89.47% vs 55.00%,P <0.05).There is no obvious difference between treatment group and control group in adverse drug reaction occurrence rate(10.52 % vs 7.50 %,P <0.05).Conclusion Amitriptyline combined sodium valproate is effective and safe in MOH.

关键词

药物过度使用性头痛(MOH)/阿米替林/丙戊酸钠/头痛严重程度(VAS评分)/头痛致残程度(MIDAS评分)

Key words

Medication Overuse Headache(MOH)/Amitriptyline/Sodium valproate/Headache severity (VAS score)/Headache-attributed disability (MIDAS score)

分类

医药卫生

引用本文复制引用

张碧月,陈雅芳,黄银辉..阿米替林联合丙戊酸钠治疗药物过度使用性头痛的疗效[J].中国实用神经疾病杂志,2017,20(22):9-12,4.

基金项目

晋江市科技计划项目,编号201514001 ()

中国实用神经疾病杂志

1673-5110

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