排针平刺治疗紧张型头痛的疗效观察  

Efficacy Observation of Aligned Horizontal Needling for Tension-type Headache

作　　者：王悦[1] 周文珠 罗妮莎 杨春滟 林祺[1] 范刚启[2] WANG Yue;ZHOU Wenzhu;LUO Nisha;YANG Chunyan;LIN Qi;FAN Gangqi(Nanjing University of Chinese Medicine,Nanjing 210046,China;Nanjing Hospital of Chinese Medicine,Nanjing 210001,China)

机构地区：[1]南京中医药大学,南京210046 [2]南京市中医院,南京210001

出　　处：《上海针灸杂志》2022年第1期14-19,共6页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察排针平刺治疗紧张型头痛(TTH)的临床疗效。方法将250例TTH患者随机分为观察组150例和对照组100例。观察组予排针平刺治疗;对照组口服盐酸乙哌立松,头痛发作时口服塞来昔布。比较两组治疗前后视觉模拟量表(VAS)、头痛持续时间及颅周压痛评分变化,并比较两组临床疗效。结果两组治疗后VAS、头痛持续时间及颅周压痛评分较治疗前明显下降(P<0.01);观察组治疗后VAS、头痛持续时间评分低于对照组(P<0.05),两组颅周压痛评分比较差异无统计学意义(P>0.05)。观察组的总有效率及愈显率(96.7%和60.0%)皆优于对照组(85.0%和46.0%)(P<0.05)。观察组中频发性TTH的愈显率(69.1%)优于慢性TTH(52.4%)(P<0.05);不伴颅周压痛的愈显率(65.4%)优于伴颅周压痛(54.2%),但差异无统计学意义(P>0.05);性别和年龄分层上愈显率比较差异无统计学意义(P>0.05);病程≤1年(88.2%)的愈显率优于病程1~4年(60.3%)和≥4年(34.2%)(P<0.05)。结论排针平刺可显著缓解TTH患者的头痛程度及持续时间,疗效优于单纯西药治疗;排针平刺治疗频发性TTH疗效优于慢性TTH;病程1年内疗效优于1年后。针刺疗效与是否伴有颅周压痛及性别、年龄无相关性。Objective To observe the clinical efficacy of the aligned horizontal needling in treating tension-type headache(TTH).Method A total of 250 TTH patients were randomized into an observation group of 150 cases and a control group of 100 cases.The observation group was treated with the aligned horizontal needling treatment;the control group was intervened by oral administration of Eperisone hydrochloride with Celecoxib used during the attack of headache.The visual analog scale(VAS),headache duration,and pericranial tenderness scores were compared before and after treatment.The clinical efficacy was also compared between the two groups.Result After treatment,the VAS,headache duration,and pericranial tenderness scores notably dropped in both groups(P<0.01);the VAS and headache duration scores were lower in the observation group than in the control group after treatment(P<0.05),but the between-group difference in the pericranial tenderness score was statistically insignificant(P>0.05).The total effective rate and markedly effective rate in the observation group(96.7%and 60.0%)were superior to those in the control group(85.0%and 46.0%)(P<0.05).In the observation group,the markedly effective rate in the frequent TTH(69.1%)was better than that in the infrequent TTH(52.4%)(P<0.05);the markedly effective rate in those without pericranial tenderness(65.4%)was higher than that in those accompanied by pericranial tenderness(54.2%),but the difference was statistically insignificant(P>0.05);different gender and age groups did not cause significant differences in the markedly effective rate(P>0.05);the markedly effective rate in those with a disease duration≤1 year(88.2%)was higher than those with a disease duration lasting for 1-4 years(60.3%)and≥4 years(34.2%)(P<0.05).Conclusion The aligned horizontal needling can significantly alleviate the headache intensity and duration in TTH patients and produce more significant efficacy than Western medication.The aligned horizontal needling works better for frequent TTH than for infre

关 键 词：针刺疗法 紧张型头痛 排针 横刺 透针 视觉模拟量表 

分 类 号：R246.6[医药卫生—针灸推拿学]