疏肝调神针刺法对紧张型头痛患者伴随焦虑和抑郁症状的疗效观察

Observations on the Efficacy of Liver-soothing and Mind-regulating Acupuncture in Treating Anxiety and Depression in Tension Headache Patients

目的观察疏肝调神针刺法对紧张型头痛患者伴有焦虑和抑郁症状的疗效。方法采用随机对照试验(RCT)的研究方法,将120例紧张型头痛伴有焦虑和/或抑郁症状的患者按随机数字表法随机分为疏肝调神针刺组、常规针刺组,2个疗程结束后进行对比观察。结果两组治疗后SAS、SDS分值均显著降低,与治疗前比较有非常显著性差异(P<0.01),组间比较差异有统计学意义(P<0.01),疏肝调神针刺组疗效优于常规针刺组(P<0.01);随访结果表明疏肝调神针刺法对于改善焦虑、抑郁症状有较好的远期效果,优于常规针刺法(P<0.05)。结论疏肝调神针刺法可显著改善紧张型头痛患者伴随的焦虑和抑郁症状,远期治疗效果明显。

Objective To investigate the efficacy of liver-soothing and mind-regulating acupuncture in treating anxiety and depression in tension headache patients.Methods A randomized controlled trial（RCT） was carried out.One hundred and twenty tension headache patients with anxiety and/or depression were allocated,using a random number table,to a liver-soothing and mind-regulating acupuncture group and a conventional acupuncture group.A comparison was made at the end of 2 treatment courses.Results The SAS and SDS scores decreased in both groups after treatment.There were statistically significant differences compared with before treatment（P0.01） and between the groups（P0.01）.The therapeutic effect was better in the liver-soothing and mind-regulating acupuncture group than in the conventional acupuncture group（P0.01）.The results of follow-up showed that liver-soothing and mind-regulating acupuncture had a marked and long-term improving effect on anxiety and depression and was better than conventional acupuncture（P0.05）.Conclusion Liver-soothing and mind-regulating acupuncture can noticeably improve anxiety and depression in tension headache patients and has a marked and long-term therapeutic effect.