针刺结合药线灸治疗紧张性头痛疗效观察

Clinical Observation on Acupuncture and Medicated Thread Moxibustion in Treating Tension-type Headache

目的:观察针刺结合药线灸治疗紧张性头痛的临床疗效。方法:将紧张性头痛患者96例随机分为针刺结合药线灸组、针刺组、黛力新组各32例。每组均隔日治疗1次,7次为1个疗程,中间休息2天,共治疗2个疗程。在治疗前、后及治疗后1月随访时依据汉密尔顿焦虑量表(Hamilton rating scale for anxiety,HAMA)及汉密尔顿抑郁量表(Hamilton rating scale for depression,HAMD)评定3组患者临床疗效。结果:临床疗效针刺结合药线灸组优于针刺组、黛力新组(P<0.05),针刺组与黛力新组比较无明显差异(P>0.05);3组患者HAMA、HAMD量表总评分治疗后及随访期均较治疗前改善(P<0.05),且针刺结合药线灸组优于针刺组、黛力新组(P<0.05),针刺组与黛力新组比较无明显差异(P>0.05)。结论:针刺结合药线灸治疗紧张性头痛疗效优于常规针刺及黛力新。

Objective:To survey clinical effects of acupuncture and medicated thread moxibustion in treating tension-type headache(TTH).Methods:All 96 patients were randomized into the combination group,acupuncture group and Deanxit group,32 cases each group.Three groups were treated once every other day,seven times were one course,the interval was two days,for two courses altogether.To assess clinical effects of three groups in light of HAMA and HAMD before and after treating and in one-month follow-up after treating.Results:The combination group was superior to acupuncture group and Deanxit group in clinical effects(P<0.05).no obvious difference could be found in the comparison between acupuncture group and Deanxit group(P>0.05);total scores of HAMA and HAMD in three groups improved after treating and in follow-up period compared with before treating(P<0.05),and the combination group was better than acupuncture group and Deanxit group(P<0.05),there was no obvious difference between acupuncture group and Deanxit group(P>0.05).Conclusion:Clinical effects of acupuncture and medicated thread moxibustion are superior to these of conventional acupuncture and Deanxit.