穴位埋线联合阿米替林治疗慢性紧张性头痛临床研究  

Clinical Study on Catgut Embedment in Point Combined with Amitriptyline for Chronic Tension Headache

作　　者：邵克祥 丁景景 林定艺 SHAO Kexiang;DING Jingjing;LIN Dingyi

机构地区：[1]温州市第七人民医院,浙江温州325000 [2]温州市中医院,浙江温州325000

出　　处：《新中医》2022年第14期160-163,共4页New Chinese Medicine

摘　　要：目的:观察穴位埋线联合阿米替林治疗慢性紧张性头痛的临床疗效。方法:选取104例慢性紧张性头痛患者,以随机数字表法分为对照组和观察组各52例。对照组给予阿米替林治疗,观察组在对照组基础上给予穴位埋线治疗。比较2组临床疗效及不良反应发生率;比较2组治疗前后头痛发作频率、头痛持续时间、疼痛程度及睡眠质量。结果:观察组总有效率94.23%,高于对照组80.77%(P<0.05)。治疗后,2组头痛发作频率及疼痛程度均较治疗前降低(P<0.05),头痛持续时间均较治疗前缩短(P<0.05);观察组头痛发作频率及疼痛程度均低于对照组(P<0.05),头痛持续时间短于对照组(P<0.05)。治疗后,2组失眠严重程度指数(ISI)、匹兹堡睡眠质量指数(PSQI)评分均较治疗前降低(P<0.05),观察组ISI、PSQI评分均低于对照组(P<0.05)。观察组不良反应发生率11.54%,与对照组7.69%比较,差异无统计学意义(P>0.05)。结论:穴位埋线联合阿米替林治疗慢性紧张性头痛可增强疗效,改善患者的睡眠质量,安全性高。Objective:To observe the clinical effect of catgut embedment in point combined with amitriptyline for chronic tension headache.Methods:A total of 104 cases of patients with chronic tension headache were selected and divided into the control group and the observation group according to the random number table method,with 52 cases in each group.The control group was treated with amitriptyline,and the observation group was additionally treated with catgut embedment in point based on the treatment of the control group.The clinical effects and the incidences of adverse reactions in the two groups were compared.Before and after treatment,the headache attack frequency,headache duration,pain degree and sleep quality in the two groups were compared.Results:The total effective rate was94.23%in the observation group,higher than that of 80.77%in the control group(P<0.05).After treatment,the headache attack frequency and pain degree in the two groups were decreased when compared with those before treatment(P<0.05),and the headache duration were shortened(P<0.05);the headache attack frequency and pain degree in the observation group were lower than those in the control group(P<0.05),and the headache duration was shorter(P<0.05).After treatment,the scores of insulin sensitivity index(ISI)and Pittsburgh Sleep Quality Index(PSQI)in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of ISI and PSQI in the observation group were lower than those in the control group(P<0.05).The incidence of adverse reactions was 11.54%in the observation group and 7.69%in the control group,there being no significance in the difference(P>0.05).Conclusion:Catgut embedment in point combined with amitriptyline for chronic tension headache can enhance the curative effect and improve sleep quality with high safety.

关 键 词：慢性紧张性头痛 穴位埋线 阿米替林 头痛发作频率 头痛持续时间 疼痛程度 睡眠质量 

分 类 号：R277.7[医药卫生—中医学] R245.91