锋钩针联合穴位埋线治疗原发性头痛的临床观察  

Clinical Observation on the Therapy Combining Fenggouzhen with Acupoint Catgut Embedding on Curing Primary Headache

作　　者：麦凤香 MAI Fengxiang(Traditional Chinese Medicine Hospital ofYinchuan,Yinchuan750001,China)

机构地区：[1]宁夏银川市中医医院

出　　处：《宁夏医科大学学报》2019年第9期957-960,共4页Journal of Ningxia Medical University

摘　　要：目的观察锋钩针联合穴位埋线疗法治疗原发性头痛的近期临床疗效和对复发率的控制。方法将64例原发性头痛患者随机分为A组(口服盐酸氟桂利嗪组)、B组:联合针刺组(锋钩针+穴位埋线疗法组)、C组(口服盐酸氟桂利嗪+联合针刺组),观察3组患者治疗12周后VAS评分、头痛发作次数、头痛指数变化情况;治疗结束后第25周随访比较3组患者的总有效率;观察3组患者治疗中不良反应情况。结果治疗第4、8周三组患者VAS评分、头痛发作次数、头痛指数差异均无统计学意义(P均>0.05),治疗第12周后,B组与C组各指标差异均无统计学意义(P均>0.05),B、C组各指标均低于A组(P均<0.05)。总有效率A组28.57%,B组95.45%,C组95.47%,3组患者总有效率差异有统计学意义(χ^2=147.336,P=0.000),B、C组总有效率均高于A组(P均<0.01)。3组患者均无严重不良反应发生。结论治疗原发性头痛,联合针刺比单用西药近期疗效更显著;且在控制复发率上较有优势。Objective To observe the short-term clinical efficacy of the therapy combining Fenggouzhen and acupoint catgut embedding on curing primary headache and its control on recurrence rate.Methods To randomly divide the 64 patients with primary headache into three groups,namely group A,patients who took flunarizine hydrochloride orally,group B,patients treated by the therapy combining Fenggouzhen and acupoint catgut embedding,and group C,patients treated by the treatments of both A and B at the same time.Then,VAS scores,frequency of headaches and index changes of headaches of the above-mentioned three groups were observed in 12 weeks’treatment.In 25 weeks after the treatment,the total effective rates of the three groups were compared and the adverse reactions of the patients in a follow-up survey were observed.Results There was no significant difference in VAS score,headache attack times and headache index between group B and group C(P all>0.05)on the 4th and 8th week of treatment.After 12 weeks of treatment,there was no significant difference in the above indexes between group B and group C(P all>0.05),but the indexes in group B and group C were lower than those in group A(P all<0.05).The total effective rate was 28.57%in group A,95.45%in group B and 95.47%in group C.There was a significant difference in the total effective rate among the three groups.(χ^2=147.336,P=0.000).The total effective rate of group B and C was higher than that of group A(P all<0.01).There were no serious adverse reactions in the three groups.Conclusion In comparison with purely taking western medicine,combined acupuncture therapy has more significant short-term efficacy and has advantages in controlling recurrence rate in regard to the treatment of primary headache.

关 键 词：原发性头痛 锋钩针 穴位埋线 盐酸氟桂利嗪 

分 类 号：R246[医药卫生—针灸推拿学]