经颅磁刺激治疗对不同类型慢性每日头痛患者功能障碍、疼痛程度及自我效能的影响

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摘要 目的：探讨经颅磁刺激治疗对不同类型慢性每日头痛患者功能障碍、疼痛程度及自我效能的影响。方法：选取2021年1月―2022年12月本院160例慢性每日头痛患者为研究对象。随机单盲法分组：对照组（80例）给予常规综合治疗,研究组（80例）在对照组基础上给予经颅磁刺激治疗。比较两组之间、组内不同类型患者之间治疗前后功能障碍分级、视觉模拟评分法（VAS）、头痛发作频率及一般自我效能感量表（GSES）评分,统计临床疗效。结果：治疗后2、3、4周,研究组功能障碍分级、VAS评分、头痛发作频率均低于对照组,GSES评分高于对照组,两组内不同类型患者功能障碍分级、VAS评分、头痛发作频率及GSES评分比较,差异无统计学意义。研究组总有效率为95.00%,高于对照组的73.75%;两组内不同类型患者之间总有效率比较,差异无统计学意义。结论：慢性每日头痛患者常规综合治疗同时应用经颅磁刺激可减轻功能障碍、疼痛程度,改善自我效能感,增强疗效,且不同类型慢性每日头痛患者效果相似。

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	陈莹
	舒孔亮
	李元
	周颖

关键词 ：慢性每日头痛, 慢性偏头痛, 慢性紧张性头痛, 经颅磁刺激, 功能障碍, 疼痛程度, 自我效能

Abstract：Objective To investigate the effects of transcranial magnetic stimulation on dysfunction, pain degree and self-efficacy in patients with different types of chronic daily headache. Method One hundred and sixty patients with chronic daily headache in our hospital from January 2021 to December 2022 were selected as the research objects. Randomized single-blind grouping: the control group (80 cases) received routine comprehensive treatment, while the research group (80 cases) received transcranial magnetic stimulation treatment on the basis of the control group. The functional classification, visual analog scale (VAS), headache frequency and general self-efficacy scale (GSES) scores before and after treatment were compared between the two groups and among different types of patients within the group. The clinical efficacy were statistically analyzed. Results 2, 3, 4 weeks after treatment, the dysfunction grade, VAS score and headache attack frequency of the study group were lower than those of the control group, while the GSES score was higher than that of the control group, there was no statistically significant difference between the two groups in functional impairment grade, VAS score, headache frequency and GSES score of different types of patients. The total effective rate of the study group was 95.00%, higher than 73.75% of the control group, there was no significant difference in total effective rate between different types of patients in the two groups. Conclusion Routine comprehensive treatment for patients with chronic daily headache combined with transcranial magnetic stimulation can alleviate dysfunction and pain, improve self-efficacy, and enhance efficacy, and the effects of different types of chronic daily headache patients are similar.

Key words： chronic daily headache chronic migraine chronic tension headache transcranial magnetic stimulation dysfunction the degree of pain self-efficacy

收稿日期: 2023-02-20

中图分类号:

R741.05

基金资助:长沙市2020年度指导性科技计划项目（kzd2001085）

通讯作者: 舒孔亮,E-mail：skl19770410@163.com

引用本文:

陈莹, 舒孔亮, 李元, 周颖. 经颅磁刺激治疗对不同类型慢性每日头痛患者功能障碍、疼痛程度及自我效能的影响[J]. 湖南师范大学学报(医学版), 2023, 20(5): 51-55. CHEN Ying, SHU Kongliang, LI Yuan, ZHOU Ying. Effects of transcranial magnetic stimulation on dysfunction, pain degree and self-efficacy in patients with different types of chronic daily headache. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(5): 51-55.

链接本文:

http://yxb.hunnu.edu.cn/CN/ 或 http://yxb.hunnu.edu.cn/CN/Y2023/V20/I5/51

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