摘要
目的:观察焦顺发头针结合艾灸治疗肝郁气滞型慢性紧张型头痛及其伴随症状的疗效。方法:选取本院2021年1月—2022年6月收治的300例肝郁气滞型慢性紧张型头痛患者为研究对象,将符合纳入标准的病例按患者就诊顺序采用单盲掷骰子的随机方法,分为焦顺发头针组100例、艾灸组100例和联合组100例。所有患者除常规治疗外,焦顺发头针组患者应用焦顺发头针,艾灸组患者应用艾灸,联合组采用焦顺发头针结合艾灸治疗。在治疗前和治疗疗程结束后,检测各组患者头痛综合评分量表水平、精神症状评分、不良反应发生状况、生活质量水平与临床疗效变化情况。结果:与治疗前相比,治疗后各组患者发作频率、伴随症状、头痛程度与头痛发作的持续时长、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)与阿森斯睡眠障碍评估量表(AIS)评分下降,生理职能、机体疼痛、生理功能及精神健康评分升高,差异具有统计学意义(P<0.05)。与焦顺发头针组、艾灸组治疗后比较,联合组患者治疗后发作频率、伴随症状、头痛程度、头痛发作的持续时长、HAMD、HAMA与AIS评分降低,生理职能、机体疼痛、生理功能与精神健康评分水平上升,差异具有统计学意义(P<0.05)。焦发头针组、艾灸组不良反应发生率比较,差异无统计学意义(P>0.05);与焦顺发头针组、艾灸组比较,联合组不良反应发生率差异无统计学意义(P>0.05)。焦顺发头针组、艾灸组临床疗效比较,差异无统计学意义(P>0.05);与焦顺发头针组、艾灸组比较,联合组临床疗效较高,差异具有统计学意义(P<0.05)。结论:焦顺发头针结合艾灸治疗肝郁气滞型慢性紧张型头痛,可有效缓解患者的疼痛感,提高生活水平,降低不良反应的发生,并加强患者治疗的积极性。
Objective:To observe the clinical effect of JIAO Shunfa scalp acupuncture combined with moxibustion in treatment of chronic tension headache of Liver-Qi stagnation and its accompanying symptoms.Methods:A total of 300 patients with chronic tension headache of Liver-Qi stagnation were divided into the scalp acupuncture group(n=100),the moxibustion group(n=100)and the combination group(scalp acupuncture plus moxibustion,n=100)according to single-blinded dicing method.Headache Comprehensive Scale score,mental symptom scores,adverse reactions,quality of life,clinical curative effect changes were observed in the two groups.Results:Compared with those before the treatment,the attack frequency,the accompanying symptoms,the headache degree,the headache duration,as well as the scores of HAMD,HAMA and AIS were decreased(P<0.05);whereas,the scores of physical role,the physical pain,the physical function,the mental health were increased after the treatment in the three groups(P<0.05).The above improvements were more significant in the combination group than those in the scalp acupuncture group and the moxibustion group(P<0.05).There were no statistical differences in adverse reactions rate among the scalp acupuncture group,the moxibustion group and the combination group(P>0.05).There was no statistical difference in clinical efficacy between the scalp acupuncture group and the moxibustion group(P>0.05).The clinical efficacy of the combination group was higher than that in the scalp acupuncture group and the moxibustion group(P<0.05),but there was no statistical difference in clinical effect between the scalp acupuncture group and the moxibustion group(P>0.05).Conclusion:JIAO Shunfa scalp acupuncture combined with moxibustion can effectively relieve physical pain in treatment of chronic tension headache of Liver Qi stagnation,improve life of quality,reduce occurrence of adverse reactions,and strengthen desire for treatment.
作者
裴丰
胡玮佳
赵宇亮
PEI Feng;HU Weijia;ZHAO Yuliang(The Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Shijiazhuang Fifth Hospital,Shijiazhuang 050020,China)
出处
《针灸临床杂志》
2023年第8期23-28,共6页
Journal of Clinical Acupuncture and Moxibustion
基金
河北省中医药管理局科研计划,编号:2022128。
关键词
焦顺发头针
艾灸
肝郁气滞型
慢性紧张型头痛
JIAO Shunfa scalp acupuncture
Moxibustion
Liver-Qi stagnation pattern
Chronic tension headache
