循经刮痧联合电针治疗慢性紧张性头痛临床疗效观察

Clinical observation on scraping along meridian combined with electroacupuncture in treatment of chronic tension-type headache

目的观察循经刮痧联合电针治疗慢性紧张性头痛的临床疗效。方法将我院60例慢性紧张性头痛患者随机分为对照组与观察组各30例。对照组采用电针治疗,观察组采用循经刮痧联合电针治疗,同时,两组患者均予以阿米替林25~50 mg/d药物治疗,观察两组患者的临床疗效,比较两组疼痛、焦虑抑郁情绪、睡眠的改善情况以及脑血流动力学变化。结果治疗后,观察组总有效率显著高于对照组(P<0.05);与治疗前相比,两组头痛程度、频率、发作时间均显著降低(P<0.05),头痛影响测定-6(HIT-6)评分、匹兹堡睡眠质量指数(PSQI)评分、汉密尔顿焦虑量表(HAMA)评分和汉密尔顿抑郁量表(HAMD)评分均有所下降,以及脑血流量速度明显提升(P<0.05);与对照组比较,观察组上述各项指标改善情况更为明显(P<0.05)。结论循经刮痧联合电针疗法可以显著缓解患者的头痛症状,减少头痛对生活的影响,减轻焦虑抑郁情绪,提高患者的睡眠质量,改善头痛患者脑部血循环。

Objective To observe the clinical efficacy of scraping along meridian combined with electro acupuncture(EA)in treatment of chronic tension headache.Methods Sixty patients with chronic tension headache were randomly divided into control group and observation group,with 30 cases in each group.Control group was treated with EA,while observation group was treated with EA combined with scraping along meridian,and the treatment of two groups lasted for 6 weeks with twice a week.Both groups were treated with amitriptyline 25~50 mg/d.The improvement of pain,anxiety and depression,sleep,and cerebral hemodynamic changes were compared,and the clinical efficacy of the two groups was observed.Results After treatment,the total effective rate of observation group was significantly higher than that of control group(P<0.05).Compared with before treatment,the degree,frequency and attack time of headache were significantly decreased in both groups,meanwhile(P<0.05),HIT-6 score,Pittsburgh sleep Quality Index(PSQI)score,Hamilton Auiety Scale(HAMA)score and Hamilton Depression Scale(HAMD)score decreased,and the speed of cerebral blood flow was significantly increased(P<0.05);compared with control group,the improvement of the above indexes in observation group was more significant(P<0.05).Conclusion Scraping along meridian combined with EA can significantly relieve headache symptoms,anxiety and depression,sleep quality,improve cerebral blood circulation and relieve blood vessels in patients with headache.The combination could obtain long-term efficacy.