疏密波电针治疗紧张型头痛疗效观察

Therapeutic Effects of Electroacupuncture with Dilatational Wave on Tension-type Headache(TTH)

目的:观察疏密波电针治疗紧张型头痛临床治疗效果,比较疏密波电针和连续波电针治疗紧张型头痛之间的疗效差异。方法:84例紧张型头痛患者随机分为疏密波电针组46例和连续波电针组38例,两组取穴为阿是穴、完骨、风池、天柱、率骨、太阳、百会、印堂、上星、四神聪、合谷、内关及太冲穴,疏密波电针组电针时采用疏密波,而连续波电针组电针时采用连续波。观察两种治疗方法的临床疗效和对头痛强度的影响。结果:疏密波电针组46例患者,临床痊愈32例,好转13例,无效1例,总有效率97.8%,连续波电针组38例,临床痊愈18例,好转14例,无效6例,总有效率84.2%,两组总有效率比较存在明显差异(P<0.05);在治疗2周期后,两种治疗方法能有效地降低患者头痛强度(P<0.01),但疏密波电针组明显优于连续波电针组(P<0.01)。结论:疏密波电针疗法能明显缓解紧张型头痛患者头痛症状和头痛强度,其效果优于连续波电针法。

Objective ：To Compare the therapeutic effects of electroacupuncture with dilatational wave and elec- troacupuncture with continuous wave on tension - type headache. Methods： Eighty - four cases of tension - type headache were randomly divided into electroacupuncture with dilatational wave group and electroacupuncture with continuous wave group. Ashi acupoint, Wangu （ GB12 ）, Fengchi （ GB20 ）, Tianzhu （ BL10 ）, Shuaigu （ GB8 ）, Taiyang （ EX - HN 5 ）, Baihui （ DU20 ）, Yintang （ EX - HN 3 ）, Shangxing （ DU23 ）, Sishengcong （ EX - HN1 ） ,Hegu（ LI4 ）, Neiguan （ PC6 ） and Taichong （ LR3 ） were selected. Electroacupuncture with dilatational wave group （ n = 46 ） adopted dilatational wave, while electroacupuncture with continuous wave group （ n = 38 ） a- dopted continuous wave. Results：The total effective rate of electroacupuncture with dilatational wave was signifi- cantly increased compared with electroacupuncture with continuous wave group （ P 〈 0.05 ）, and the degree of headache relief of electroacupuncture with dilatational wave was more than electroacupuncture with continuous wave group（P 〈0.01 ）. Conclusion：Electroacupuncture with dilatational wave increases the total effective rate and decreases the degree of headache. The therapeutic effect of electroacupuncture with dilatation-a] wave is bet- tcr than that of electroacupuncture with continuous wave.