温针灸联合刮痧治疗瘀阻脑络型紧张性头痛疗效观察及对颅脑血流动力学的影响  

The rapeutic effect of warming acupuncture combined with scraping on tension headache of stagnation of brain collaterals type and its effect on craniocerebral hemodynamics

作　　者：刘华英[1] 夏雪 谢沛霖[1] 罗琴琴 张孟维 LIU Hua-ying;XIA Xue;XIE Pei-lin;LUO Qin-qin;ZHANG Meng-wei(Wuhan Hospital of Traditional Chinese Medicine and Western Medicine,Wuhan 430030)

机构地区：[1]武汉市中西医结合医院,湖北武汉430030

出　　处：《湖北中医药大学学报》2024年第1期90-92,共3页Journal of Hubei University of Chinese Medicine

基　　金：武汉市卫生健康委员会中医药科研项目(项目编号:S202204210053)。

摘　　要：目的观察温针灸联合刮痧治疗瘀阻脑络型紧张性头痛临床疗效及对颅脑血流动力学的影响。方法将我院60例慢性紧张性头痛患者随机分为对照组与观察组各30例。对照组采用针刺联合刮痧治疗,观察组采用温针灸联合刮痧治疗。两组患者均予以阿米替林25~50mg/d治疗。比较两组患者的头痛程度、频率、发作时间、焦虑抑郁情绪、脑血流量的变化以及临床疗效。结果治疗后,观察组总有效率显著高于对照组(P<0.05);与治疗前比较,两组的头痛程度、频率、发作时间均显著降低(P<0.05),头痛影响测评量表-6(HIT-6)评分、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分明显降低(P<0.05),大脑前动脉(ACA)、大脑中动脉(MCA)、大脑后动脉(PCA)血流速度明显提升(P<0.05);与对照组比较,观察组上述各项指标改善情况更为明显(P<0.05)。结论温针灸联合刮痧疗法可以显著缓解患者头痛症状,减轻头痛对生活的影响,缓解焦虑抑郁情绪,改善头痛患者脑部血循环,可在临床进一步推广使用。Objective To observe the clinical efficacy of warming acupuncture combined with scraping in treatment of tension headache of stagnation of brain collaterals type and its effect on craniocerebral hemodynamics.Methods Sixty patients with tension headache of stagnation of brain collaterals type were randomly divided into control group and observation group,30 cases each.Control group was treated with acupuncture combined with scraping,while observation group was treated with warming acupuncture combined with scraping.The treatment lasted for 6 weeks with twice a week.Both groups were treated with amitriptyline 25~50 mg/d.The changes of headache,anxiety and depression,and cerebral blood flow of the patients were compared,and the clinical efficacy of the two groups was observed.Results After treatment,the total effective rate of observation group was significantly higher than that of control group(P<0.05);compared with before treatment,the degree,frequency and attack time of headache in both groups were significantly decreased(P<0.05);Headache Impact Test(HIT-6),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)scores decreased significantly(P<0.05),and the blood flow velocities of anterior cerebral artery(ACA),middle cerebral artery(MCA),and posterior cerebral artery(PCA)were significantly increased after treatment;the improvement of above indexes in observation group were more obvious than control group(P<0.05).Conclusion Warming acupuncture combined with scraping therapy can significantly relieve headache symptoms,relieve anxiety and depression,improve brain blood circulation in patients with headache.

关 键 词：紧张性头痛 温针灸 刮痧 血流动力学 

分 类 号：R246[医药卫生—针灸推拿学]