针刺阿是穴及安神六穴治疗紧张型头痛伴情绪障碍的疗效观察

Observation on efficacy of acupuncture at Ashi points plus Six Mind-Calming points in treating tension-type headache concomitant with emotional disorder

目的:观察阿是穴配合安神六穴[心(耳穴)、肺(耳穴)、神门(耳穴)、迎香、神门、足三里]针刺治疗紧张型头痛伴情绪障碍(焦虑、抑郁)患者的临床疗效。方法:采用随机对照试验设计,将65例患者随机分为治疗组和对照组,治疗组33例,对照组32例;治疗组采用头项部阿是穴配合安神六穴针刺治疗;对照组采用常规穴位针刺治疗;两组均隔日治疗1次,每周3次,共6周,观察患者治疗前后头痛、抑郁和焦虑症状程度,并于治疗后3个月随访,评定两组临床疗效。结果:两组治疗后头痛评分、抑郁评分和焦虑评分均较本组治疗前明显降低(P<0.05),且治疗组比对照组降低更明显(P<0.05);治疗结束时治疗组总有效率为93.94%,对照组为84.38%,治疗组疗效更佳(P<0.05);3个月后随访,两组总有效率分别为87.88%,75.00%。结论:阿是穴配合安神六穴针刺治疗可显著降低紧张型头痛伴情绪障碍患者的头痛程度,改善抑郁、焦虑症状,近远期疗效优于常规穴位针刺治疗。

Objective: To observe the clinical efficacy of acupuncture at Ashi points plus the Six Mind-Calming points in treating tension-type headache (TTH) concomitant with emotional disorder (depression, anxiety). Methods: Using randomized controlled trial design, 65 patients were randomly divided into a treatment group (33 cases) and control group (32 cases). The treatment group was treated with acupuncture at Ashi points and Six Mind-Calming points, while the control group was treated with acupuncture at the routine points. The treatment was livened every other day in two groups, 3 times per week for 6 weeks. The migraine intensity, self-rating depression scale (SDS), and self-rating anxiety scale (SAS) were observed before and after treatment and in the follow-up study. The clinical efficacy in the two groups was evaluated. Results: Compared with those before treatment, the migraine intensity, SDS and SAS were reduced significantly after treatment in two groups (P<0.05), which were more obvious in the treatment group (P<0.05). At the end of the treatment, the total effective rate was 93.94% in the treatment group and 84.38% in the control group, which had a statistical difference (P<0.05). After 3-month follow-up, the total effective rate was 87.88% in the treatment group and 75.00% in the control group. Conclusion: Ashi points combined with Six Mind- Calming points acupuncture can significantly reduce the degree of a headache in patients with a tension-type headache and emotional disorders, improve the symptoms of depression and anxiety, and its short-term and long-term efficacy is better than that of conventional acupoint acupuncture.