排针平刺治疗紧张型头痛的临床观察

发布时间：2018-02-26 15:52

本文关键词： 排针平刺常规针刺紧张型头痛临床观察　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：紧张型头痛是临床常见的仅次于偏头痛的原发性头痛,主要表现为双侧颞部、枕项部、头顶、前额或全头部的紧缩性、压迫性疼痛。在社会生活节奏不断加快的当今,该病患病率呈上升趋势,成为影响患者生活质量的常见疾病。该研究通过对比常规针刺治疗紧张型头痛,观察排针平刺法对紧张型头痛患者不同时间段的疗效及对颅周肌肉压痛的作用。目的：观察排针平刺治疗紧张型头痛不同时间段的止痛效果,以及对颅周肌肉压痛的作用。方法：从南京市中医院脑病科头痛门诊及病房紧张型头痛患者中筛选出60例,根据随机编码表,随机分为排针针刺组(A组)和常规针刺组(B组),各30例。A组采用排针平刺法治疗,枕穴组+颞穴组+顶穴组留针6小时；B组采用常规针刺,取头维、太阳、风池、足三里、三阴交、太冲和颈夹脊穴,留针30分钟。两组均隔日治疗一次,一共治疗6次。记录针刺后即刻、6h、1周及两周后头痛评分及颅周肌肉压痛评分,将记录到的数据用SPSS17.0软件进行分析处理。结果：在减轻头痛程度上,两组治疗后较治疗前均明显改善,其中即刻、6h、1周时排刺组在缓解头痛程度方面明显优于常规针刺组(P0.01),在2周时两组评分无统计学差异(P0.05)；在改善颅周肌肉压痛方面,两组2周治疗后均较治疗前改善,差异无统计学意义(P0.05)。结论：(1)排针平刺法较常规针刺对紧张型头痛有良好的即刻止痛效果,且疗效稳定持久,在减轻疼痛幅度上优于常规针刺,但两组总疗效差异不具有统计学意义；(2)排针平刺与常规针刺均能够改善患者的颅周肌肉压痛,差异不具有统计学意义。
[Abstract]:Tension type headache is a common clinical migraine after primary headache, mainly for bilateral temporal, occipital head, forehead tight or whole head, compression pain. The accelerating pace of social life today, the prevalence of the disease is on the rise, as the common diseases affecting patients life the quality of the research. Through the comparison of the conventional acupuncture treatment of tension type headache, observation of curative effect of needle horizontal needling headache in patients with different time of tension type and effect on pericranial muscle tenderness. Objective: To observe the analgesic effect of acupuncture needling in treating tension type headache is not flat in the same period, and the role of pericranial muscle tenderness. Methods: from Nanjing City Hospital of traditional Chinese Medicine Department of encephalopathy headache clinic and ward patients with tension type headache in 60 cases were selected, according to the random encoding table, randomly divided into acupuncture acupuncture group (A group) and routine acupuncture group (B group), 30 patients in each group.A The pin horizontal needling therapy, pillow point group + temporal point group + top point group for 6 hours; B group was treated with conventional acupuncture, taking the first dimension, the sun, Fengchi, Zusanli, Sanyinjiao, Taichong and Jiaji points, 30 minutes for. The two groups were treated once a day, a total of 6 times of treatment. Recorded immediately after acupuncture, 6h score and pericranial muscle tenderness score of headache for 1 weeks and two weeks after the recorded data was analyzed by SPSS17.0. Results: in relieving headache degree, the two groups after treatment than before treatment were significantly improved, which immediately, 6h, 1 week row needling group to relieve headaches extent is superior to conventional acupuncture group (P0.01), at 2 weeks, scores of the two groups had no statistical difference (P0.05); in the improvement of pericranial muscle tenderness, two groups after 2 weeks of treatment were better than those before treatment, the difference was not statistically significant (P0.05). Conclusion: (1) thrust pin compared with the conventional method of acupuncture on tension type headache Have a good immediate analgesic effect and the curative effect is stable, ease the pain in amplitude is superior to conventional acupuncture, but the difference of the total effect of the two groups was not statistically significant; (2) pin horizontal needling and routine acupuncture can improve the patients with pericranial muscle tenderness, the difference was not statistically significant.

【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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