捣刺法与提插法针刺治疗慢性紧张型头痛的疗效比较  

Efficacy Comparison Between Pounding Needling Method and Lifting-thrusting Needling Method for Chronic Tension-type Headache

作　　者：于学平[1] 郑心智 邹伟[1] YU Xueping;ZHENG Xinzhi;ZOU Wei(First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150000,China;Heilongjiang University of Chinese Medicine,Harbin 150000,China)

机构地区：[1]黑龙江中医药大学附属第一医院,哈尔滨150000 [2]黑龙江中医药大学,哈尔滨150000

出　　处：《上海针灸杂志》2022年第1期10-13,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：黑龙江省中医药管理局省级名中医专家传承工作室建设项目(20190529)。

摘　　要：目的比较捣刺法与提插法针刺治疗慢性紧张型头痛的临床疗效差异。方法将56例慢性紧张型头痛患者随机分为治疗组和对照组,每组28例。治疗组头部穴位采用捣刺法针刺,对照组头部穴位采用提插法针刺。观察两组治疗前后头痛强度评分、头痛指数变化,并比较两组临床疗效。结果两组治疗后头痛强度评分、头痛指数显著降低(P<0.05),治疗组下降幅度大于对照组(P<0.05);治疗组愈显率为78.6%(22/28),优于对照组的50.0%(14/28)(P<0.05)。结论捣刺法能明显减轻患者的头痛程度,缩短头痛持续时间,改善头痛症状,疗效优于提插法。Objective To compare the efficacy between the pounding needling method and lifting-thrusting needling method in treating chronic tension-type headache.Method Fifty-six patients with tension-type headache were randomized into a treatment group and a control group,with 28 cases in each group.The treatment group was treated with pounding needling at the acupoints on the head,and the control group was treated with lifting-thrusting needling at the acupoints on the head.The headache intensity score and headache index were observed before and after treatment,and the clinical efficacy was compared between the two groups.Result The headache intensity score and headache index significantly dropped after treatment in both groups(P<0.05),and the decreases were more notable in the treatment group than in the control group(P<0.05).The markedly effective rate was 78.6%(22/28)in the treatment group,which was better than 50.0%(14/28)in the control group(P<0.05).Conclusion The pounding needling method can notably reduce the headache intensity,shorten the duration of headache,and improve the headache symptoms in the patients,producing more significant efficacy than the lifting-thrusting needling method.

关 键 词：针刺疗法 捣刺法 提插法 紧张型头痛 头痛强度 头痛指数 

分 类 号：R246.6[医药卫生—针灸推拿学]