针刺帽状腱膜筋结点治疗慢性紧张型头痛疗效观察

Efficacy observation on chronic tension-type headache treated with acupuncture at galea tendon-muscle node

目的:探寻治疗慢性紧张型头痛的较佳疗法。方法:将288例患者随机分为滞针术组(150例)和针刺组(138例)。滞针术组采用人工滞针术针刺头部帽状腱膜筋结点,针刺组采用常规针刺方法,穴取百会、四神聪、风池、太阳、头维、合谷等,均每天1次,30天为一疗程,治疗2个疗程并随访3个月,观察和比较两组治疗前后慢性紧张型头痛(CTTH)评分(包括头痛发作次数评分与头痛程度评分),并评定两组疗效。结果:治疗后两组CTTH评分均降低(均P<0.01),且滞针术组评分低于针刺组(2.38±1.22vs 4.16±2.54,P<0.01);滞针术组有效率为97.3%(146/150),优于针刺组的88.4%(122/138,P<0.05)。结论:人工滞针术针刺帽状腱膜筋结点治疗慢性紧张型头痛可减少疼痛的发作次数,减轻疼痛程度,其疗效优于常规取穴针刺方法。

Objective To explore the better therapy for chronic tension-type headache （CTTH）. Methods Two hundred and eighty-eight cases were randomized into a sticking needling group （150 cases） and an acupunc- ture group （138 cases）. In the sticking needling group, the manual sticking needling technique was adopted to stimulate the galea tendon-muscle node. In the acupuncture group, the conventional acupuncture therapy was applied to Baihui （GV 20）, Sishencong （EX-HN 1）, Fengchi （GB 20）, Taiyang （EX-HN 5）, Touwei （ST 18）, Hegu （LI 4）, etc. The treatment was given once a day, and 30 days made one session. After two sessions of treatment and after three months follow-up, CTTH score （including the score of headache attack frequency and the score of headache severity） was observed and compared before and after treatment separately. The efficacy was evaluated in two groups. Results CTTH score was all reduced after treatment in the two groups （both P（0.01）, the score in the sticking needling group was lower than that in the acupuncture group （2.38± 1.22 vs 4.16± 2.54, P〈0.01）. The effective rate was 97.3% （146/150） in the sticking needling group, which was better than 88.4% （122/138） in the acupuncture group （P%0.05）. Conclusion The manual sticking needling technique at galea ten- don-muscle node achieves the superior results of reducing the pain attack frequency and severity of CTTH as com- pared with the acupuncture therapy of the routine acupoint selection.