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| 调神疏肝针刺法治疗紧张型头痛的临床对照研究 |
| Clinical controlled trial on tension-type headache treated with “TiaoshenShugan” needling acupncture |
| 投稿时间：2019-09-11 录用日期：2019-10-28 |
| DOI： |
| 中文关键词: 紧张型头痛 调神疏肝针刺法 阿米替林 传统针刺法 |
| 英文关键词: Tesion-type headache “TiaoshenShugan” needling method Amitriptyline Traditional acupuncture method |
| 基金项目:内蒙古自治区自然科学基金（博士基金）（No. 2016BS0803） |
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| 中文摘要: |
| 目的：比较调神疏肝针刺法与传统针刺法和西药阿米替林治疗紧张型头痛的疗效差异。方法：本研究共纳入88例慢性和频发性紧张型头痛(TTH)患者,按随机数字表法随机分为调神疏肝针刺组(29例)、传统针刺组(29例)和西药阿米替林组(30例),共治疗4周,治疗期间病例脱落5例,最终完成全部治疗及统计的数据为83例TTH患者,三组分别为28例、27例和28例。调神疏肝针刺组采用“调神疏肝,通络止痛”法；传统针刺组采用权威教材选穴方案；西药采用阿米替林片。观察周期为4周。从头痛程度(视觉模拟评分法)、头痛发作次数、头痛持续时间、头痛指数4个方面进行头痛改善情况的观察,从焦虑自评量表(SAS)、抑郁自评量表(SDS)进行焦虑、抑郁症状的观察,通过头痛指数进行疗效评定。结果：三组患者治疗后头痛程度、头痛发作次数、头痛持续时间、头痛指数均较治疗前明显降低(P＜0.05)；治疗后调神疏肝针刺组与传统针刺组和西药组比较有显著性差异(P＜0.05)；三组患者治疗后SAS、SDS评分均较治疗前明显减小(P＜0.05)；治疗后组间比较,调神疏肝针刺组和西药组均明显优于传统针刺组,差异性显著(P＜0.05),调神疏肝针刺组和西药组比较无显著性差异(P＞0.05)。调神疏肝针刺组总有效率96.4%,痊愈率60.7%；传统针刺组总有效率85.2%,痊愈率33.3%；西药组总有效率85.7%,痊愈率32.1%。调神疏肝针刺组与传统针刺组和西药组疗效及痊愈率比较均有显著性差异(P＜0.05)。结论：调神疏肝针刺法治疗紧张型头痛可以取得较好疗效,在缓解头痛症状方面明显优于传统针刺法和西药阿米替林；在改善患者焦虑抑郁症状方面优于传统针刺法,并可以达到西药阿米替林的治疗效果。 |
| 英文摘要: |
| Objective：To compare the clinical effect of “TiaoshenShugan” needling method with traditional acupuncture method and amitriptyline on tesion-type headache. Methods：Eighty-eight cases of tension-type headache diagnosed were randomly divided into a“TiaoshenShugan”needling group (n=29), a traditional acupuncture group (n=29) and an amitriptyline group (n=30). The treatment course was four weeks. Five cases were fallen off. Therefore, there were eighty-three cases of tension-type headache got accounted. Their therapuetic effects of headache improvement were evaluated by visual analogue scale (VAS)、the episodes of headache、the duration of headache and the index of headache. The depressive symptoms were evaluated by self-rating anxiety scale (SAS) and self-rating depression scale (SDS) .Results：The degree of headache、episodes of headache、duration of headache and index of headache level of three groups after therapy were significantly decreased than before, showing remarkably difference. “TiaoshenShugan”needling group was much better than traditional acupuncture group and amitriptyline group after treatment, showing remarkably difference. The depression scores of “TiaoshenShugan”needling group、traditional acupuncture group and amitriptyline group were significantly decreased than before after treatment, which has significant difference between “TiaoshenShugan”needling group and traditional acupuncture group.The total effective rate and cured rate of the three groups were as follows:“TiaoshenShugan”needling group were 96.4% and 60.7%; traditional acupuncture group were 85.2% and 33.3%; amitriptyline group were 85.7% and 32.1%. “TiaoshenShugan”needling group was much better than traditional acupuncture group and amitriptyline group, showing remarkably difference. Conclusions：“TiaoshenShugan” needling method has a better therapeutic effect for tension-tye headache.“TiaoshenShugan”needling method can significantly alleviate the pain level of tension-type headache, which has a better therapeutic effect than traditional acupuncture method and amitriptyline.“TiaoshenShugan”needling method can significantly improve the depressive symptoms, which has a better therapeutic effect than traditional acupuncture method and achieves considerable effect with amitriptyline. |
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