王氏额针治疗紧张型头痛的临床观察  

Clinical Observation of Wang′s Frontal Needle in Treatment of Tension-Type Headache

作　　者：成芳平[1] 黄旭春[1] 曹晓静[1] 候佳睿 王小云[1] CHENG Fangping;HUANG Xuchun;CAO Xiaojing;HOU Jiarui;WANG Xiaoyun(Guangdong Provincial Hospital of Chinese Medicine,The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510006,Guangdong,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510006

出　　处：《辽宁中医杂志》2025年第3期154-158,共5页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82004411);第七批全国老中医药专家学术经验继承项目;国家中医药管理局王小云全国名老中医药专家传承工作室建设项目([2016]42);中国民族医药学会科研项目(2021Z1084-340103);广东省中医院项目岭南妇科流派传承工作室建设项目([2013]233)。

摘　　要：目的观察王氏额针治疗紧张型头痛的临床有效性和安全性。方法回顾分析120例紧张型头痛患者,将采用额针治疗的60例患者纳入观察组,将采用常规针刺治疗的60例患者纳入对照组,连续治疗3周。对比两组的临床疗效、疼痛视觉模拟量表(visual analogue scale,VAS)评分、中医证候积分、头痛发作频率及持续时间、健康调查简表(the MOS item short from health survey,SF-36)评分,记录不良反应。结果观察组的有效率92.98%(53/57),明显高于对照组的77.59%(45/58)(P<0.05);同一时间点比较,观察组患者的头痛VAS评分、中医证候总积分均明显低于对照组(P<0.01);与对照组比较,观察组治疗后降低头痛的发作频率,缩短疼痛持续时间,均优于对照组(P<0.01);治疗后随访3个月,观察组患者躯体疼痛、精神健康评分明显高于对照组,差异有统计学意义(P<0.01),生命活力、社会功能评分明显高于对照组,差异有统计学意义(P<0.05),其余各项评分均差异无统计学意义(P>0.05)。结论王氏额针能有效改善紧张型头痛患者的头痛程度,提高生活质量,安全有效,值得推广。Objective To observe the clinical effect of Wang′s frontal needle on tension-type headache.Methods Retrospective analysis of 120 patients with tension-type headache was carried out.Sixty patients treated with frontal acupuncture were included in the observation group,and 60 patients treated with conventional acupuncture were included in the control group.The treatment lasted for 3 weeks.The clinical efficacy,visual analogue scale(VAS)score,TCM syndrome score,frequency and duration of headache and the MOS item short from health survey(SF-36)score of the two groups were compared,and adverse reactions were recorded.Results The effective rate of the observation group was 92.98%(53/57),which was significantly higher than that of control group(77.59%,45/58)(P<0.05).Compared with those at the same time point,the headache VAS score and total TCM syndrome score of the observation group were significantly lower than those of control group(P<0.01).Compared with those of the control group,the frequency and duration of headache were significantly reduced in the observation group after treatment(P<0.05).After 3 months of follow-up,the physical pain and mental health scores of the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.01).The scores of vital vitality and social function were significantly higher than those of the control group,and the difference was statistically significant(P<0.05),while there were no significant differences in other scores(P>0.05).Conclusion Wang′s forehead needle is more beneficial to reduce the degree of headache in patients with tension-type headache and improve the quality of life.It is safe and effective,worthy of promotion.

关 键 词：王氏额针 紧张型头痛 肝郁气滞证 临床研究 

分 类 号：R255[医药卫生—中医内科学]