依据肌筋膜理论刮痧治疗慢性紧张性头痛临床研究

Clinical study of treating tension-type headache by scrapping based on myofascial-theory

目的观察肌筋膜理论下刮痧治疗慢性紧张性头痛的临床疗效。方法将2011年10月至2013年6月在东宁第一人民医院康复医学科头痛门诊就诊的60例慢性紧张性头痛患者,按照随机数字表法分为治疗组与对照组,每组各30例,其中治疗组男5例,女25例,平均年龄(42.73±8.30)岁,平均病程(4.80±1.20)年,视觉模拟评分法(VAS)评分平均为(5.26±0.87)分;对照组男7例,女23例,平均年龄(42.26±8.70)岁,平均病程(4.60±1.00)年,VAS评分平均为(5.13±0.89)分。治疗组根据肌筋膜理论进行刮痧治疗,对照组采用传统按摩手法治疗。治疗8周后,按照中医病证诊断疗效标准进行疗效评价。采用SPSS13.0统计学软件进行统计学分析,计数资料采用x^2检验,以P<0.05为差异有统计学意义。结果治疗8周后,治疗组和对照组治愈率分别为73.33%(22/30)和46.67%(14/30),总有效率分别为100%(30/30)和73.33%(22/30),两组治愈率和总有效率比较,差异均有统计学意义(x2=4.44,7.07,均P<0.05)。随访3个月,失访5例,治疗组3例,对照组2例。随访后重新评定疗效,治疗组和对照组治愈率分别为55.56%(15/27)和28.57%(8/28),总有效率分别为96.3%(26/27)和57.14%(16/28),两组治愈率和总有效率比较,差异均有统计学意义(x^2=12.00,11.68,均P<0.05)。结论依据肌筋膜理论刮痧治疗慢性紧张性头痛具有显著临床疗效。

Objective To observe the clinical efficacy of treating tension-type headache by scrapping based on myofascial-theory.Methods Sixty patients with chronic tension headache were collected in headache clinic of dongning first people's hospital from October 2011 to June 2013,and were divided into the treatment group and control group,30 cases in each group respectively according to the random number expression method.In the treatment group,there were 5 male and 25 female cases,with an average age of(42.73 ±8.30) years,average disease duration(4.80 ± 1.20) years,and the average score of visual analogue scale(VAS)(5.26 ±0.87) points.In control group,there were 7 male and 23 female cases,with an average age of(42.26 ± 8.70) years,average disease duration(4.60 ± 1.00) years,and the average score of(5.13 ±0.89) points.The treatment group was treated by scrapping based on myofascial-theory and the control group was treated with traditional massage technique.After 8-week treatment,the curative effect was evaluated according to the disease diagnosis of traditional Chinese medicine efficacy standard.SPSS13.0statistical software was used for data analysis.x^2 test was used for counting data,and a value of P <0.05 was considered statistically significant.Results After 8-week treatment,the cure rate were 73.33%(22/30) in the treatment group and 46.67%(14/30) in the control group.The total effective rates were 100%(30/30)in the treatment group and 73.33%(22/30) in the control group.There were significant differences in the cure rate and total effective rate between treatment group and control group(x^2 =4.44 and 7.07,all P<0.05).During 3-month follow-up,5 cases were lost,3 cases in treatment group and 2 cases in control group.The curative effect was reassessed after the follow-up.The cure rate were 55.56%(15/27) in the treatment group and 28.57%(8/28) in the control group.The total effective rates were 96.3%(26/27) in the treatment group and 57.14%(16/28) in the control group.There were significant differences in the cure rate and total effective rate between treatment group and control group(x^2 = 12.00 and 11.68,all P <0.05).Conclusion The treatment of chronic tension-type headache by scrapping based on the theory of myofascial has significant clinical effects.