浮针治疗频发性紧张型头痛随机对照研究

A RCT of FSN Treating FETTH

目的:研究浮针疗法治疗频发性紧张型头痛的临床疗效。方法:选择频发性紧张型头痛患者60例作为研究对象,随机分为浮针组和传统针刺组,每组30例,共脱落3例(其中浮针组1例,传统针刺组2例),完成57例,分别对两组患者行浮针和传统针刺治疗,记录两组治疗效果、疼痛VAS评分、发作频率及持续时间,并计算出头痛指数。结果:浮针组患者在首次治疗结束后24 h内VAS评分下降程度大于传统针刺组患者,差异具有统计学意义(P <0. 01)。治疗结束28天后,浮针组总有效率为100%,传统针刺组总有效率为82%,浮针组高于传统针刺组,差异具有统计学意义(P <0. 05)。结论:浮针疗法治疗频发性紧张型头痛的即时镇痛效果较传统针刺有效,总有效率也比传统针刺高。浮针治疗频发性紧张型头痛安全、有效,值得进一步推广应用与研究。

Objective: To explore the clinical effect of Fu's subcutaneous needling(FSN) in the treatment of frequent episodic tension-type headache(FETTH). Methods: A total of 60 patients with FETTH were randomly divided into the FSN group( n =30) and the traditional acupuncture group( n =30). 57 cases completed the study with three cases lost, one in FSN group and two in traditional acupuncture group. Effective rate, adverse reactions, VAS score, attack frequency and duration were recorded in the two groups, and headache index was calculated. Results: VAS score was decreased significantly in the FSN group than that in the traditional acupuncture group within 24 hours after the end of the first treatment( P <0.01). After 28 days of the treatment, the effective rate was 100% in the FSN group, which was significantly higher than 82% in the traditional acupuncture group( P <0.05). Conclusion: FSN has significant instant analgesic effect than traditional acupuncture. Its total efficiency is also higher than the traditional acupuncture. Therefore, FSN is a safe and effective treatment for FETTH, which is worthy of further application and research.