头部及腹部推拿治疗痰浊型头痛疗效观察

Therapeutic observation on tuina at head and abdomen for headache due to phlegm turbidity

目的:观察头部及腹部推拿为主治疗痰浊型头痛的临床疗效。方法:将56例痰浊型头痛患者按随机数字表法分为推拿组和中药组,每组28例。推拿组接受头部及腹部为主的推拿治疗;中药组口服半夏白术天麻汤治疗。疗程30 d,观察两组治疗前后头痛指数评分、中医证候评分及临床疗效。结果:治疗过程中两组均脱落2例。推拿组总有效率92.3%,中药组总有效率76.9%,两组临床疗效具有统计学差异(P<0.05)。两组治疗后头痛指数评分与中医证候评分均较本组治疗前下降(均P<0.05),推拿组评分均低于中药组(均P<0.05)。结论:头部及腹部为主的推拿治疗痰浊型头痛有效,且疗效优于口服半夏白术天麻汤。

Objective:To observe the clinical efficacy of tuina at head and abdomen for headache due to phlegm turbidity.Methods:A total of 56 patients with headache due to phlegm turbidity were randomized into a tuina group and a Chinese medicine group by the random number table,with 28 cases in each group.The tuina group was treated mainly with tuina at the head and abdomen,while the Chinese medicine group was treated with oral administration of Ban Xia Bai Zhu Tian Ma Tang(Pinellio,Atractylodes Mocrocepholo and Gastrodio Decoction).The course of treatment was 30 d.The scores of headache index,traditional Chinese medicine syndrome scale,and the therapeutic efficacy were observed.Results:There were 2 dropouts in each group during treatment.The total effective rate was 92.3%in the tuina group,significantly higher than 76.9%in the Chinese medicine group(P<0.05).The scores of headache index and traditional Chinese medicine syndrome scale in both groups decreased after treatment(both P<0.05),and scores in the tuina group were lower than those in the Chinese medicine group(both P<0.05).Conclusion:Tuina mainly at head and abdomen is effective in treating headache due to phlegm turbidity,and has a better effect than Ban Xia Bai Zhu Tian Ma Tang(Pinellia,Atractylodes Macrocephalo and Gastrodio Decoction).