摘要
Objective：To observe and compare the therapeutic effect of two different needling methods,liver-soothing and mind-regulating needling method versus conventional needling method,in treating anxiety and depression in tension-type headache.Methods：A total of 120 patients with tension-type headache coupled with anxiety and/or depression were randomized into two groups according to the random number table,a liver-soothing andmind-regulating needling group （group A） and a conventional needling group （group B）,60 patients in each group.The self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were used for evaluation before and after treatment.The therapeutic effects of the two groups were compared after 2-treatment courses.Results：The values of SAS and SDS both significantly dropped in the two groups （P0.01）,and the differences between the two groups after treatment were statistically significant （P0.01,P0.05）.The therapeutic effect in group A was superior to that in group B （P0.01）.The 3-month follow-up study showed that the liver-soothing andmind-regulating needling method had better long-term effect in improving anxiety and depression than the conventional needling method （P0.05）.Conclusion：The liver-soothing andmind-regulating needling method can effectively relieve the anxiety and depression symptoms in patients with tension-type headache,and the long-term effect is also satisfactory.
目的:观察头皮针治疗脑梗死康复期认知障碍前后事件相关电位P300的变化,并评价其疗效。方法:66例年龄在70岁以下首次发病的脑梗死患者,处于疾病康复期,存在认知障碍,随机分为两组,即治疗组和对照组。两组均予神经内科常规药物治疗及康复科常规统一运动康复训练,治疗组加用头皮针治疗。治疗前及治疗3个月后,两组均采用事件相关电位P300测定潜伏期和波幅,比较两组治疗前后的变化。结果:治疗组治疗后P300潜伏期平均缩短39.1ms,对照组平均缩短16.7ms,两组P300潜伏期均有一定程度的改善。但治疗组改善幅度优于对照组,差异有统计学意义(P<0.05)。结论:事件相关电位P300能客观评价头皮针治疗脑梗死康复期认知障碍患者认知功能的疗效,头皮针对促进康复期脑梗死患者认知障碍的恢复有积极作用。
