肌筋膜触发点针刺联合头部循经刮痧治疗紧张型头痛临床研究

Clinical Study on Acupuncture on Myofascial Trigger Points Combined with Scraping Along the Channels in the Head for Tension-Type Headache

目的:观察肌筋膜触发点针刺联合头部循经刮痧治疗紧张型头痛的临床疗效。方法:采用随机数字表法将96例紧张型头痛患者分为对照组、观察组各48例。2组均给予普瑞巴林治疗,对照组加用头部循经刮痧治疗,观察组加用肌筋膜触发点针刺联合头部循经刮痧。比较2组治疗前后视觉模拟评分法(VAS)、匹兹堡睡眠质量指数(PSQI)评分、中医证候积分及头痛发作频率、头痛发作持续时间,并评估2组临床疗效及不良反应发生情况。结果:治疗后,观察组总有效率91.67%,高于对照组72.92%(P<0.05)。治疗后,2组VAS评分、PSQI评分、中医证候积分及头痛发作频率较治疗前降低(P<0.05),头痛发作持续时间缩短(P<0.05),且观察组VAS评分、PSQI评分、中医证候积分及头痛发作频率低于对照组(P<0.05),头痛发作持续时间短于对照组(P<0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:肌筋膜触发点针刺联合头部循经刮痧治疗紧张型头痛疗效确切,能够有效缓解患者头痛症状,提高睡眠质量,安全性较高。

Objective:To observe the clinical effect of acupuncture on myofascial trigger points combined with scraping along the channels in the head on tension-type headache.Methods:A total of 96 patients with tension-type headache were divided into the control group and the observation group,with 48 cases in each group,using a random number table method.Both groups were treated with Pregabalin;the control group received treatment with scraping along the channels in the head,and the observation group received treatment with acupuncture on myofascial trigger points combined with scraping along the channels in the head.The scores of Visual Analogue Scale(VAS),Pittsburgh Sleep Quality Index(PSQI),and traditional Chinese medicine(TCM)syndromes,as well as frequency and duration of headache were compared between the two groups before and after treatment,and the clinical effects and incidence of adverse reactions were evaluated in both groups.Results:After treatment,the total effective rate was 91.67%in the observation group,which was higher than that of 72.92%in the control group(P<0.05).After treatment,the scores of VAS,PSQI,and TCM syndromes,as well as headache frequency in the two groups were reduced when compared with those before treatment(P<0.05),and the headache duration was shortened(P<0.05).The scores of VAS,PSQI,and TCM syndromes,as well as frequency of headache in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion:Acupuncture on myofascial trigger points combined with scraping along the channels in the head has adefinite therapeutic effect on tension-type headache,which can effectively alleviate headache symptoms,improve sleep quality,and have high safety.