针刺治疗慢性紧张型头痛随机对照研究  

Acupuncture Treatment of Patients with Chronic Tension-type Headache:A Randomized Controlled Clinical Trial

作　　者：张路[1] 张琰[1] 刘慧林[1] 刘红[1] 王麟鹏[1] 

机构地区：[1]首都医科大学附属北京中医医院针灸科

出　　处：《首都医科大学学报》2009年第4期441-444,共4页Journal of Capital Medical University

摘　　要：目的观察毫针治疗慢性紧张型头痛的临床疗效。方法应用随机数字表法将研究对象分为治疗组、对照组共纳入50例病人,治疗组27例,对照组23例,完成随访46例。治疗组针刺头部和辨证远端穴位,对照组接受安慰针刺加服艾司唑仑。针刺治疗每周3次,连续治疗4周,艾司唑仑0.5mg每晚睡前服用,连续4周。16周后进行随访。结果治疗组随机分组后第4周、16周时,在头痛天数变化率、头痛天数、头痛时间方面疗效优于对照组(P<0.05),在生活质量改善方面,治疗组仅在2个维度(社会功能、健康状况)得分上优于对照组(P<0.05),在头痛程度、情绪及生活质量等其他6个维度的改善方面组间差异无统计学意义。结论针刺治疗慢性紧张型头痛安全、不良反应小,疗效优于安慰针刺加服小剂量艾司唑仑。Objective To observer the efficacy of acupuncture on chronic tension-type headache. Methods Patients with chronic tension-type headache from acupuncture department of Beijing hospital of traditional Chinese medicine were randomized into treatment or control groups according to random number table. Totally 50 patients（ 27 in treatment group, 23 in control group） completed treatment and 46 patients were interviewed. Patients in treatment group received Verum acupuncture, while those in control group received sham acupuncture （ needling on non-acu-puncture points） and took estazolam 0.5 mg per night before going to bed. The medicine was taken for four weeks. Acupuncture and sham acupuncture consisted of 12 sessions and were administered by senior acupuncturists over 4 weeks. All patients were interviewed at the 16th week after randomization. Results After treatment and interview, the proportion of responders, defined as the headache day per month reduced more than 50% compared with that before treatment, in verum acupuncture is higher than that of sham acupuncture plus medicine by per-protocol analysis （ P 〈 0.05 ）. The number of headache days and headache hours in the treatment group decreased more than that in control group（ P 〈0.05 ）. Compared with that of patients in control group, the scores of social functioning and general health, two fields of The Medical Outcomes Study 36 Item Short Form Health Survey （ Chinese version） , were higher in the treatment group （ P 〈 0. 05 ）. Other outcomes were not found significantly different between groups. Conclusion The acupuncture intervention is effective and safe without serious side-effects in treatment of chronic tension-type headache. This trial witnessed that acupuncture is more effective than sham acupuncture plus medication.

关 键 词：慢性紧张型头痛 针刺疗法 艾司唑仑 随机对照试验 

分 类 号：R277[医药卫生—中医学]