浮针治疗频发性紧张型头痛随机对照研究
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摘要
目的:研究浮针疗法治疗频发性紧张型头痛的临床疗效。方法:选择频发性紧张型头痛患者60例作为研究对象,随机分为浮针组和传统针刺组,每组30例,共脱落3例(其中浮针组1例,传统针刺组2例),完成57例,分别对两组患者行浮针和传统针刺治疗,记录两组治疗效果、疼痛VAS评分、发作频率及持续时间,并计算出头痛指数。结果:浮针组患者在首次治疗结束后24 h内VAS评分下降程度大于传统针刺组患者,差异具有统计学意义(P <0. 01)。治疗结束28天后,浮针组总有效率为100%,传统针刺组总有效率为82%,浮针组高于传统针刺组,差异具有统计学意义(P <0. 05)。结论:浮针疗法治疗频发性紧张型头痛的即时镇痛效果较传统针刺有效,总有效率也比传统针刺高。浮针治疗频发性紧张型头痛安全、有效,值得进一步推广应用与研究。
Objective: To explore the clinical effect of Fu's subcutaneous needling( FSN) in the treatment of frequent episodic tension-type headache( FETTH). Methods: A total of 60 patients with FETTH were randomly divided into the FSN group( n = 30) and the traditional acupuncture group( n = 30). 57 cases completed the study with three cases lost,one in FSN group and two in traditional acupuncture group. Effective rate,adverse reactions,VAS score,attack frequency and duration were recorded in the two groups,and headache index was calculated. Results: VAS score was decreased significantly in the FSN group than that in the traditional acupuncture group within 24 hours after the end of the first treatment( P < 0. 01). After 28 days of the treatment,the effective rate was 100% in the FSN group,which was significantly higher than 82% in the traditional acupuncture group( P < 0. 05). Conclusion: FSN has significant instant analgesic effect than traditional acupuncture. Its total efficiency is also higher than the traditional acupuncture. Therefore,FSN is a safe and effective treatment for FETTH,which is worthy of further application and research.
Objective: To explore the clinical effect of Fu's subcutaneous needling( FSN) in the treatment of frequent episodic tension-type headache( FETTH). Methods: A total of 60 patients with FETTH were randomly divided into the FSN group( n = 30) and the traditional acupuncture group( n = 30). 57 cases completed the study with three cases lost,one in FSN group and two in traditional acupuncture group. Effective rate,adverse reactions,VAS score,attack frequency and duration were recorded in the two groups,and headache index was calculated. Results: VAS score was decreased significantly in the FSN group than that in the traditional acupuncture group within 24 hours after the end of the first treatment( P < 0. 01). After 28 days of the treatment,the effective rate was 100% in the FSN group,which was significantly higher than 82% in the traditional acupuncture group( P < 0. 05). Conclusion: FSN has significant instant analgesic effect than traditional acupuncture. Its total efficiency is also higher than the traditional acupuncture. Therefore,FSN is a safe and effective treatment for FETTH,which is worthy of further application and research.
引文
[1]世界卫生组织.头痛疾病[EB/OL]. http://www. who. int/zh/news-room/fact-sheets/detail/headache-disorders,2016-04-18.
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[10] Lundqvist C,Grande RB,Aaseth K,et al. Dependence scores predict prognosis of medication overuse headache:A prospective cohort from the Akershus study of chronic headache[J]. Pain,2012,153(3):682-686.
[11]隋鸿锦,于胜波,苑晓鹰,等.枕下区结构与硬脊膜联系的解剖学研究[J].中国临床解剖学杂志,2013,31(4):489-490.
[12]隋鸿锦.肌硬膜桥与脑脊液循环[J].大连医科大学学报,2017,39(3):209-213.
[13] Fernández DLPC,Fernández MDM,Ortega SR,et al. Referred pain from myofascial trigger points in head and neck-shoulder muscles reproduces head pain features in children with chronic tension type headache[J]. J Headache Pain,2011,12(1):35-46.
[14] Bendtsen L. Treatment guidelines:implications for community‐based headache treatment[J]. Int J Clin Pract Suppl,2015(182):13-16.
[15]符仲华.再灌注和再灌注活动——关于外治法中边治疗边活动的方法[J].中国针灸,2015,35(S1):68-71.
[2] International Headache Society. The International Classification of Headache Disorders,3rd edition(beta version)[J]. Cephalalgia,2013,33(9):625-808.
[3]头风诊断与疗效评定标准[J].山东中医学院学报,1993,17(5):69.
[4]梁繁荣.针灸学[M].北京:中国中医药出版社,2005:17.
[5]李万瑶.经筋病针灸临床治疗方法探讨[J].针灸临床杂志,2004,20(12):5-7.
[6]黄粤.从络病论治紧张性头痛[J].北京中医药,2013,32(6):441-443.
[7]施雯馨.内经经筋理论的现代发展[D].北京:北京中医药大学,2009.
[8]韩鹏,胡新颖.针刺治疗偏头痛的疗效及对TCD影响的临床研究[J].针灸临床杂志,2010,26(9):22-23.
[9]苑晓鹰.枕下肌群的临床解剖学研究及其与慢性头痛的关系[D].大连:大连医科大学,2017.
[10] Lundqvist C,Grande RB,Aaseth K,et al. Dependence scores predict prognosis of medication overuse headache:A prospective cohort from the Akershus study of chronic headache[J]. Pain,2012,153(3):682-686.
[11]隋鸿锦,于胜波,苑晓鹰,等.枕下区结构与硬脊膜联系的解剖学研究[J].中国临床解剖学杂志,2013,31(4):489-490.
[12]隋鸿锦.肌硬膜桥与脑脊液循环[J].大连医科大学学报,2017,39(3):209-213.
[13] Fernández DLPC,Fernández MDM,Ortega SR,et al. Referred pain from myofascial trigger points in head and neck-shoulder muscles reproduces head pain features in children with chronic tension type headache[J]. J Headache Pain,2011,12(1):35-46.
[14] Bendtsen L. Treatment guidelines:implications for community‐based headache treatment[J]. Int J Clin Pract Suppl,2015(182):13-16.
[15]符仲华.再灌注和再灌注活动——关于外治法中边治疗边活动的方法[J].中国针灸,2015,35(S1):68-71.