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中国中医科学院望京医院针灸脑病科
纸质出版日期:2020
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郭楠楠, 沈红强. “头九针”治疗紧张型头痛临床疗效观察[J]. 针刺研究, 2020,45(2):148-151.
GUO Nan-nan, SHEN Hong-qiang. Clinical effect of “head-nine-needle” therapy on tension headache[J]. Acupuncture research, 2020, 45(2): 148-151.
郭楠楠, 沈红强. “头九针”治疗紧张型头痛临床疗效观察[J]. 针刺研究, 2020,45(2):148-151. DOI: 10.13702/j.1000-0607.190819.
GUO Nan-nan, SHEN Hong-qiang. Clinical effect of “head-nine-needle” therapy on tension headache[J]. Acupuncture research, 2020, 45(2): 148-151. DOI: 10.13702/j.1000-0607.190819.
目的:观察"头九针"治疗紧张型头痛的疗效。方法:将150例紧张型头痛患者采用随机数字表法随机分为头九针组、西药对照组和针刺对照组
每组50例。头九针组采用头九针治疗;西药对照组采用每日3次盐酸乙哌立松片50 mg口服
每日睡前口服1次盐酸氟桂利嗪胶囊5 mg治疗;针刺对照组采用常规针刺法针刺百会、太阳、风池、阿是等穴。观察各组的临床疗效
评价治疗前后各组患者头痛程度视觉模拟量尺(VAS)评分及头痛持续时间计分改善情况。结果:治疗4周后
各组总有效率比较
头九针组(48/50
96.0%)与针刺对照组(47/50
94.0%)差异无统计学意义
两组临床疗效均优于西药治疗组(40/50
80.0%
P<0.05)。各组患者头痛程度VAS评分及头痛持续时间计分与本组治疗前比较均明显降低(P<0.05)
头九针组与针刺对照组相比差异无统计学意义(P>0.05)
两个针刺组治疗3周及4周时均优于西药对照组(P<0.01)。结论:"头九针"可减轻紧张型头痛患者头痛程度
其疗效较单纯西药优势明显
与普通针刺疗效相当。
Objective To observe the effect of the "head-nine-needle" therapy on tension headache. Methods A total of 150 patients with tension headache were divided into a head-nine-needle therapy group
a western medicine control group and an acupuncture control group according to the random number table
50 cases in each one. In the head-nine-needle therapy group
the head-nine-needle therapy was adopted. In the western medicine control group
epiperisone hydrochloride tablets were prescribed for oral administration
50 mg
three times a day as well as fluoguili hydrochloride capsules
5 mg
once a day
taking orally before sleep. In the acupuncture control group
the routine acupuncture technique was used at Baihui(GV20)
Taiyang(EX-HN5)
Fengchi(GB20) and Ashi(extra)
etc. The clinical effect was observed in each group. The scores of visual analogy scale(VAS) for headache severity and the scores of headache duration were assessed before and after treatment in the patients of each group. Results In comparison of the total effective rate among the groups
there was no significant difference between the head-nine-needle therapy group(48/50
96.0%) and the acupuncture control group(47/50
94.0%). The total effective rate of either of the two groups was higher than that of the western medicine control group(40/50
80.0%
P<0.05). The VAS score and the score of headache duration were reduced obviously as compared with those before treatment in each group(P<0.05)
and the score was not different significantly between the head-nine-needle therapy group and the acupuncture control group(P>0.05). After 3 weeks and 4 weeks of treatment
the scores in the two acupuncture groups were all better than those in the western medicine control group(P<0.05). Conclusion The "head-nine-needle" therapy achieves the obviously advantages in the alleviation of headache degree as compared with the simple western medicine and its effect is similar to the common acupuncture therapy in the patients with tension headache.
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