绘画疗法治疗紧张型头痛的疗效分析

doi:10.3760/cma.j.issn.1007-1245.2021.06.009

国际医药卫生导报 ›› 2021, Vol. 27 ›› Issue (6): 822-824.DOI: 10.3760/cma.j.issn.1007-1245.2021.06.009

绘画疗法治疗紧张型头痛的疗效分析

刘芸芸¹, 伏兵¹, 李敏², 刘怀英³

¹连云港市第二人民医院神经内科 222023;
²连云港市第二人民医院康复医学科 222023;
³连云港师范高等专科学校 222006

收稿日期:2020-09-08 出版日期:2021-03-15 发布日期:2021-04-15
通讯作者: 刘怀英,Email:liuhuaiying_126@126.com
基金资助:
连云港市学科建设项目(SH1602)

Therapeutic effect of painting therapy on tension type headache

Liu Yunyun¹, Fu Bing¹, Li Min², Liu Huaiying³

¹Department of Neurology, The Second People's Hospital of Lianyungang, Lianyungang 222023, China;
²Department of Rehabilitation, The Second People's Hospital of Lianyungang, Lianyungang 222023, China;
³Lianyungang Normal College, Lianyungang 222006, China

Received:2020-09-08 Online:2021-03-15 Published:2021-04-15
Contact: Liu Huaiying, Email: liuhuaiying_126@126.com
Supported by:
The Subject Construction Project of Lianyungang (SH1602)

摘要/Abstract

摘要： 目的探讨绘画疗法在治疗紧张型头痛(TTH)中的疗效。方法选择2016年11月至2018年6月连云港市博雅女子学院的TTH患者(113例,均为女性)作为研究对象,随机分为观察组与对照组。对照组予常规治疗(止痛、调节情绪、改善睡眠等),观察组在对照组的基础上联合绘画疗法(自由绘画),采用视觉模拟评分(VAS)评估患者的头痛程度,采用Hamilton焦虑量表(HAMA)、Hamilton抑郁量表(HAMD)评价患者的精神心理状态,随访至入组后90 d。结果治疗后90 d时随访显示,观察组HAMA、HAMD评分分别为(5.88±2.31)分、(6.48±2.76)分,对照组分别为(6.91±2.67)分、(7.72±3.11)分,差异均有统计学意义(均P<0.05);观察组VAS评分为(1.23±0.63)分,明显低于对照组的(1.60±0.88)分(P<0.05);观察组头痛发作频次为(5.50±2.61)次/月,较对照组发作频次[(6.67±2.85)次/月]显著降低(P<0.05);观察组服用止痛药比例明显低于对照组[5.4%(3/56)比17.9%(10/57)],差异有统计学意义(P=0.042)。与对照组比较,观察组在治疗后60 d、90 d时应用抗焦虑抑郁药物比例均下降,治疗后90 d时两组比较差异有统计学意义(P<0.05)。结论联合绘画疗法可减轻TTH患者的头痛程度,减少其头痛发作频次,改善其焦虑抑郁症状。

关键词: 绘画疗法, 紧张型头痛, 疗效

Abstract: Objective To explore the effect of painting therapy in the treatment of tension type headache (TTH). Methods A total of 113 female patients with TTH from November 2016 to June 2018 in Boya Women's College of Lianyungang were randomly divided into observation group and control group. The control group was given routine treatment (relieving pain, regulating emotion, improving sleep, and so on), and the observation group was given painting therapy (free painting) on the basis of the control group. Visual analogue scale (VAS) was used to evaluate the degree of headache of the patients, Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) were used to evaluate the mental state of the patients. The patients were followed up for 90 days after admission. Results Follow-up on the 90th day showed that the HAMA and HAMD scores of the observation group were (5.88±2.31) points, (6.48±2.76) points respectively, and those of the control group were (6.91±2.67) points, (7.72±3.11) points respectively, with statistically significant differences (both P<0.05); the VAS score of the observation group was (1.23±0.63) points, which was significantly lower than that of the control group [(1.60±0.88) points] (P<0.05); the frequency of headache attack in the observation group was (5.50±2.61) times, which was significantly lower than that of the control group [(6.67±2.85) times] (P<0.05); the proportion of taking analgesics in the observation group was significantly lower than that in the control group [5.4%(3/56) vs 17.9%(10/57)] (P=0.042). Compared with the control group, the proportion of anti-anxiety and depression drugs used in the observation group decreased on the 60th and 90th days, and there was statistically significant difference between the two groups on the 90th day (P<0.05). Conclusion Combined painting therapy can relieve the degree of headache, reduce the frequency of headache attacks, alleviate anxiety and depression symptoms in patients with tension type headache.

Key words: Painting therapy, Tension type headache, Effect

刘芸芸, 伏兵, 李敏, 刘怀英. 绘画疗法治疗紧张型头痛的疗效分析[J]. 国际医药卫生导报, 2021, 27(6): 822-824.

Liu Yunyun, Fu Bing, Li Min, Liu Huaiying. Therapeutic effect of painting therapy on tension type headache[J]. International Medicine and Health Guidance News, 2021, 27(6): 822-824.

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绘画疗法治疗紧张型头痛的疗效分析

Therapeutic effect of painting therapy on tension type headache

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