头针治疗非占位性血管性头痛的效果  

Effect of Scalp Acupuncture in the Treatment of Non-space Occupying Vascular Headache

作　　者：文香兰 龚海峰 黄亚萍 胡焱超 WEN Xianglan;GONG Haifeng;HUANG Yaping;HU Yanchao(Rehabilitation Hospital Affiliated of Xiangnan University,Chenzhou 423000,China;不详)

机构地区：[1]湘南学院附属康复医院,湖南郴州423000

出　　处：《中外医学研究》2024年第34期9-12,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：湘南学院青年医师培育项目(2021XJ75)。

摘　　要：目的:探讨头针治疗非占位性血管性头痛的效果。方法:将2022年4月—2023年1月湘南学院附属康复医院收治的70例非占位性血管性头痛患者作为研究对象,采用随机数表法将患者分为观察组与对照组,各35例。对照组接受常规西药治疗,观察组在对照组基础上给予头针治疗。比较两组疗效及治疗前后头痛症状、血流状况[大脑中动脉(MCA)、大脑后动脉(PCA)、基底动脉(BA)、椎动脉(VA)血流速度]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]及生活质量[36条简明健康状况量表(SF-36)]。结果:观察组总有效率为97.14%,高于对照组的82.86%,差异有统计学意义(P<0.05);治疗后,两组头痛发作次数少于治疗前,头痛持续时间短于治疗前,头痛程度评分、伴随症状评分低于治疗前,且观察组优于对照组,差异有统计学意义(P<0.05);治疗后,两组MCA、PCA、BA、VA血流速度低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组PSQI评分低于治疗前,SF-36评分高于治疗前,且观察组PSQI评分低于对照组,SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论:头针治疗非占位性血管性头痛患者效果显著,能有效改善头痛症状、睡眠质量和生活质量。Objective:To investigate the clinical effect of scalp acupuncture in the treatment of non-space occupying vascular headache.Method:A total of 70 patients with non-space occupying vascular headache who admitted to Rehabilitation Hospital Affiliated of Xiangnan University from April 2022 to January 2023 were selected as the research objects,the patients were divided into the observation group and the control group by random number table method,with 35 cases in each group.The control group was given conventional western medicine treatment,the observation group was treated by scalp acupuncture based on the control group.The efficacy,headache symptoms,blood flow status[blood flow velocity of middle cerebral artery(MCA),posterior cerebral artery(PCA),basilar artery(BA)and vertebral artery(VA)],sleep quality[Pittsburgh sleep quality index(PSQI)]and quality of life[36-item short form health survey(SF-36)]before and after treatment were compared between two groups.Result:The total effective rate of the observation group was 97.14%,which was higher than that 82.86%of the control group,the difference was statistically significant(P<0.05);after treatment,the number of headache attacks in two groups were less than those before treatment,the duration of headache were shorter than those before treatment,the scores of headache degree and accompanying symptoms were lower than those before treatment,and those in the observation group were better than those in the control group,the differences were statistically significant(P<0.05);after treatment,the blood flow velocities of MCA,PCA,BA and VA in two groups were lower than those before treatment,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05);after treatment,the PSQI scores of two groups were lower than those before treatment,the SF-36 scores were higher than those before treatment,and the PSQI score of the observation group was lower than that of the control group,and the SF-36 score was higher than that o

关 键 词：非占位性血管性头痛 头针 头痛症状 睡眠质量 生活质量 

分 类 号：R246.6[医药卫生—针灸推拿学]