通督调神针刺法治疗腰部麻醉后头痛  

Efficacy of Tongdu Tiaoshen Acupuncture Therapy in Treatment of Headache after Lumbar Anesthesia

作　　者：甄麟 杜宁[1] ZHEN Lin;DU Ning(The Second Hospital of Tangshan City,Tangshan Hebei China 063000)

机构地区：[1]唐山市第二医院,河北唐山063000

出　　处：《中医学报》2020年第10期2257-2260,共4页Acta Chinese Medicine

基　　金：河北省中医药管理局2019年度中医药类科研计划课题项目(2019211)。

摘　　要：目的:探讨通督调神针刺法治疗腰部麻醉后头痛的疗效。方法:选择行腰部麻醉术后头痛的患者76例,根据随机数字表法分为对照组(38例)和观察组(38例),对照组采用常规治疗,观察组在此基础上联合通督调神针刺法治疗,两组均连续治疗5 d,对比两组疗效、血压、脑血流图及生活质量状况。结果:观察组治疗有效率97.37%高于对照组73.68%,差异有统计学意义(P<0.05);治疗后,两组收缩压和舒张压均下降,且观察组(133.16±6.31)mm Hg(1 mm Hg=0.133 kPa)、(76.34±7.13)mm Hg低于对照组(137.85±6.64)mm Hg、(82.17±6.72)mm Hg,差异有统计学意义(P<0.05);治疗后,观察组正常波占比86.84%高于对照组47.37%,三峰波、转折波占比2.63%、2.63%低于对照组26.32%、14.47%,差异有统计学意义(P<0.05);治疗后,观察组低平波占比7.89%与对照组11.84%相比,差异无统计学意义(P>0.05);治疗后,观察组SF-36的生理功能(89.39±7.61)分、生理职能(88.68±8.22)分、躯体疼痛(86.11±7.98)分、总体健康(82.51±7.53)分、生命活力(81.65±6.93)分、社会功能(89.72±8.43)分、情感职能(84.35±7.32)分和精神健康(82.54±6.86)分均高于对照组(78.69±6.38)分、(81.34±8.77)分、(79.26±7.42)分、(74.15±6.10)分、(72.58±5.42)分、(80.65±7.03)分、(78.87±8.02)分、(71.92±6.55)分,差异有统计学意义(P<0.05)。结论:对腰部麻醉后头痛患者采用通督调神针刺法治疗有助于降低血压,促进血液循环,增加脑部血液供应量,提高患者生活质量,疗效优于常规治疗。Objective:To explore the effect of acupuncture for the treatment of headache after lumbar anesthesia.Methods:76 patients with headache after lumbar anesthesia were selected and divided into control group(38 cases)and observation group(38 cases)according to the random number table method.The control group received conventional treatment,and the observation group was combined with Tong Du on this basis.Tiaoshen acupuncture treatment,the two groups were treated continuously for 5 days,and the efficacy,blood pressure,cerebral blood flow map and quality of life were compared between the two groups.Results:The effective rate of treatment in the observation group was 97.37%higher than that of the control group 73.68%,the difference was statistically significant(P<0.05);after treatment,the systolic and diastolic blood pressure of the two groups decreased,and the observation group(133.16±6.31)mm Hg,(76.34±7.13)mm Hg is lower than the control group(137.85±6.64)mm Hg and(82.17±6.72)mm Hg,the difference is statistically significant(P<0.05);after treatment,the observation group accounts for 86.84%of normal waves higher than the control group 47.37%,the proportions of three-peak wave and turning wave 2.63%and 2.63%were lower than those of the control group 26.32%and 14.47%,the difference was statistically significant(P<0.05);after treatment,the observation group accounted for 7.89%of the low flat wave compared with the control group Compared with group 11.84%,the difference was not statistically significant(P>0.05);after treatment,the observation group SF-36 had physiological function(89.39±7.61)points,physiological function(88.68±8.22)points,and body pain(86.11±7.98)Points,overall health(82.51±7.53)points,vitality(81.65±6.93)points,social function(89.72±8.43)points,emotional function(84.35±7.32)points,and mental health(82.54±6.86)points are all higher than Control group(78.69±6.38)points,(81.34±8.77)points,(79.26±7.42)points,(74.15±6.10)points,(72.58±5.42)points,(80.65±7.03)points,(78.87±8.02)points,(71.92�

关 键 词：头痛 腰部麻醉 通督调神针刺法 生活质量 血压 

分 类 号：R254.472[医药卫生—中医内科学]