手法治疗紧张型头痛临床疗效的对比观察

To contrast and observe clinical therapeutic effect of manipulation therapy on tension-type headache

目的研究手法治疗对紧张型头痛的治疗效果。方法将347例符合ICHD-Ⅱ诊断标准的紧张型头痛病例随机分成观察组(175例)和对照组(172例),对照组给予基础的药物治疗,观察组给予基础药物治疗的同时给予手法治疗。结果观察组140例治愈,31例好转,总有效率97.7%。对照组39例治愈,56例好转,总有效率55.2%。2χ检验结果显示,两组的总有效率(P<0.01)及临床治愈率(P<0.01)均有显著差异,观察组的临床治愈率及总有效率均优于对照组。结论手法治疗是治疗紧张型头痛的有效方法之一。

Objective To study treatment effectiveness of manipulation therapy for tension-type headache. Methods 347 cases of patients consistenting with tension-type headache on the ICHD-Ⅱ Diagnostic code were random fractionated therapeutics group （175 cases） and control group （172 cases）. Control group was given basal pharmacotherapy. Therapeutics group was given basal pharmacotherapy and manipulation therapy. Results 140 cases of therapeutics group were cured, 31cases of therapeutics group got better. Total effectiveness rate 97.7%. 39 cases of control group were cured, 56cases of control group got better. Total effectiveness rate 55.2%. X^2 test consequence showed both of therapeutics group and control group clinical treatment effectiveness was different. Both of clinical recovery rate（P〈0. 01） and total effective rate （P〈0. 01） in treatment group are outweigh to control group. Manipulation therapy is one of the effective therapeutic method for tension-type headache.