耳穴刺络法联合艾灸治疗慢性紧张型头痛疗效观察及对精神症状的影响  

Efficacy Observation of Collateral Pricking at Auricular Points Combined with Moxibustion for Chronic Tension-type Headache and Its Effects on Mental Symptoms

作　　者：裴丰[1] 胡玮佳[2] 毛昳楠[1] 谷婧[1] PEI Feng;HU Wei-jia;MAO Yi-nan;GU Jing(The Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;Shijiazhuang Fifth Hospital of Hebei Province,Shijiazhuang 050021,China)

机构地区：[1]河北医科大学第二医院,石家庄050000 [2]河北省石家庄市第五医院,石家庄050021

出　　处：《上海针灸杂志》2021年第9期1075-1080,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：河北省重点研发计划项目(182777183)。

摘　　要：目的观察耳穴刺络法联合艾灸治疗慢性紧张型头痛(CTTH)的临床疗效及对精神症状的影响。方法将128例CTTH患者,采用随机数字表法分为对照组(氟哌噻吨美利曲辛治疗)、针刺组(氟哌噻吨美利曲辛+耳穴刺络法治疗)、艾灸组(氟哌噻吨美利曲辛+艾灸治疗)、联合组(氟哌噻吨美利曲辛+耳穴刺络+艾灸治疗),每组32例。比较4组治疗前后头痛综合评分量表评分、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及阿森斯睡眠障碍评估量表(AIS)评分,并比较4组临床疗效及不良反应。结果与治疗前比较,治疗后4组患者头痛发作持续时间、发作频率、头痛程度、伴随症状评分及总分均下降(P<0.05);且联合组低于针刺组及艾灸组,针刺组及艾灸组低于对照组,差异有统计学意义(P<0.05)。与治疗前比较,治疗后4组患者HAMA、HAMD及AIS评分均下降(P<0.05);且联合组低于针刺组及艾灸组,针刺组及艾灸组低于对照组,差异有统计学意义(P<0.05)。4组临床疗效及总有效率比较,差异有统计学意义(P<0.05);两两临床疗效比较,差异有统计学意义(P<0.05);联合组总有效率明显高于对照组(P<0.01)。4组不良反应发生率比较,差异无统计学意义(P>0.05)。结论在常规药物治疗基础上,耳穴刺络法联合艾灸可缓解CTTH患者头痛,改善精神症状,疗效显著。Objective To observe the clinical efficacy of collateral pricking at auricular points plus moxibustion in treating chronic tension-type headache(CTTH)and its effects on mental symptoms.Method A total of 128 patients with CTTH were allocated using random number table method to a control group(treated with Flupentixol and melitracen tablets),an acupuncture group(treated with Flupentixol and melitracen tablets plus collateral pricking at auricular points),a moxibustion group(treated with Flupentixol and melitracen tablets plus moxibustion)and a joint group(treated with Flupentixol and melitracen tablets plus collateral pricking at auricular points and moxibustion),with 32 cases in each group.Before and after treatment,the composite headache scale,Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and Athens Insomnia Scale(AIS)scores were compared amongst the four groups,as well as the clinical efficacy and adverse reactions.Result The scores of headache duration,attack frequency,headache intensity and accompanied symptoms and general score dropped after treatment in the four groups(P<0.05);the scores were lower in the joint group than in the acupuncture and moxibustion groups,and were lower in the latter two groups than in the control group,all showing statistical significance(P<0.05).The HAMA,HAMD and AIS scores declined after treatment in the four groups(P<0.05);the scores were lower in the joint group than in the acupuncture and moxibustion groups,and were lower in the latter two groups than in the control group,presenting statistical significance(P<0.05).There were significant differences in the clinical efficacy and total effective rate among the four groups(P<0.05);the pair-wise comparison of the clinical efficacy also showed significant differences(P<0.05);the total effective rate was notably higher in the joint group than in the control group(P<0.05).There were no significant differences in the adverse reactions among the four groups(P>0.05).Conclusion Collateral pricking at auricular points plus mo

关 键 词：放血疗法 三棱针疗法 耳穴 神门 耳穴 耳尖 耳穴 皮质下 灸法 温灸器灸 针药并用 紧张型头痛 汉密尔顿焦虑量表 汉密尔顿抑郁量表 

分 类 号：R246.6[医药卫生—针灸推拿学]