文档介绍：中 文 摘 要
目的: 以灸涌泉穴结合普通针刺为研究手段,观察针灸治疗紧张性头痛的临床疗效,并探讨其作用机理。
方法:将 60 例紧张性头痛患者随机为治疗组 30 例,对照组 30 例,治疗组采用灸涌泉穴配合普通针刺治疗,对照组采用单纯普通针刺治疗。每天治疗 1 次,10 次为一个疗程,三个疗程结束后,分别检测下列观察指标:
(1)疼痛的轻重程度;持续时间等变化; 疼痛的频率变化; 临床体征和症状的改善;治疗前与治疗后积分比较;(2)1、西医诊断标准: 符合 2004 年的《国际头痛疾病分类(第 2 版)》(ICHD-Ⅱ)中紧张性头
痛的诊断标准。2、中医诊断标准:符合 1992 年国家中医药管理局全国脑病急症协作组制定的头风诊断标准。
结 果:
.两组患者治疗后头痛积分均有降低,有统计学差异(P <), 说明两种方法对紧张性头痛都有疗效,治疗组治疗后积分与对照组治疗后相比无统计学差异(P >),但在随访时治疗组头痛积分比较有统计学差异(P <)。
.两组治疗后头痛程度比较有统计学差异(P <),说明治疗组对降低紧张性头痛的头痛程度有意义。
3. 两组近期疗效比较无统计学差异(P >),但在愈显率上比较有统计学差异(P >)。
(P <),本疗效等级从高到低排列,R 的值越小越好,说明就远期止痛效果而言,灸涌泉穴法明显优于常规针刺法。
结 论: 灸涌泉穴结合常规针刺治疗紧张性头痛疗效显著,能显著缓解患者头痛程度,改善临床症状,近期疗效明显,远期疗效较好。关键词: 针灸;涌泉穴;紧张性头痛
Moxibustion Yongquan Acupuncture Treatment bining General Clinical Observation of Tension-type Headache
ABSTRACT
Objective: Combined with moxibustion Yongquan for ordinary research tools,and observe acupuncture treatment the clinical curative effect of tension-type headache (TTH),and discusses their action mechanism.
Methods: 60 patients with tension-type headache were randomized to 30 cases for the treatment group, 30 cases for control treatment group using moxibustion Yongquan, with control group using simple ordinary acupuncture therapy. The two groups were treated once a day,5 days equal one course of treatment,a total of 3 courses were preseribed,a 2 days break was allowed between are the following observations:(1) The degree of pain, duration of change, clinical signs and symptoms improved, the
scores before pared with after treatment.(2)1 、 Diagnosis
standard: conforms to the “2004 international headache disease classification (2nd edition) ”(ICHD - Ⅱ) tension-type headache diagnostic 、TCM diagnosis standard: comply with the national emergency,et al.
Encephalopathy of the state administration of traditional Chinese medicine which diagnostic criteria for headache in 1992.
Results:1. Two groups of patients after treatment,