祛湿通络针刺法治疗脾虚湿困型紧张型头痛的临床观察

发布时间：2018-11-15 06:32

【摘要】：目的:本研究主要目的是观察祛湿通络针刺法治疗脾虚湿困型紧张型头痛的临床疗效。方法:按照脾虚湿困型紧张型头痛的诊断标准选择60例门诊的患者,应用随机数字表法分为观察组和对照组,每组各30例。观察组采用祛湿通络针刺法,取穴为太阳、合谷、外关、百会、足三里、中脘、天枢、丰隆、阴陵泉,操作手法为常规针刺手法;对照组采用常规针刺法,取穴:太阳、头维、百会、风池、颈夹脊、神门、足三里、太冲,操作手法为常规针刺手法。患者每日一次针刺,留针45分钟,15天为一个疗程,连续3个疗程,每个疗程间隔一天。对于本观察的疗效,采用的观察指标为头痛指数评分法和中医证候评分法。通过统计数据的变化,观察祛湿通络针刺法治疗脾虚湿困型紧张型头痛的疗效。结果:1.头痛指数比较:观察组治疗前、后头痛指数相比较,P0.01,有极显著差异,具有统计学意义,说明治疗组经治疗后,头痛得到显著缓解,治疗有效;治疗后,观察组和对照组间比较,P0.05,有显著差异,具有统计学意义,说明在治疗后,观察组在改善头痛症状方面明显优于对照组。2.中医证候评分比较:观察组治疗前、后中医证候相比较,P0.01,有极显著差异,具有统计学意义,说明观察组经治疗后,患者全身症状有显著改变;治疗后,观察组和对照组间比较,P0.01,有极显著差异,具有统计学意义,说明在治疗后,观察组在缓解患者全身症状方面明显优于对照组。3.总有效率:祛湿通络针刺法组总显效率93.3%,常规针刺组总显效率83.33%,祛湿通络针刺组总有效率高于常规针刺组。结论:1.祛湿通络针刺法能明显减轻脾虚湿困型紧张型头痛患者的头痛程度、发病持续时间、发病频率且效果优于常规针刺组。2.祛湿通络针刺法能明显改善脾虚湿困型紧张型头痛患者的全身症状及体征,且效果优于常规针刺组。
[Abstract]:Objective: to observe the clinical effect of removing dampness and dredging collaterals acupuncture in the treatment of spleen asthenia dampness and tension type headache. Methods: according to the diagnostic criteria of spleen deficiency and dampness trapped tension type headache, 60 outpatients were selected and randomly divided into observation group and control group with 30 cases in each group. The observation group used the acupuncture method of removing dampness and unblocking collaterals, taking points as Sun, Hegu, Waiguan, Baihui, Zusanli, Zhongwan, Tianshu, Fenglong, Yin Lingquan, the operation method was routine acupuncture; The control group was treated with routine acupuncture. The acupoints were collected: sun, head Wei, Baihui, Fengchi, neck jiaji, Shenmen, Zusanli, Taichung. The patients were treated with acupuncture once a day for 45 minutes, 15 days as a course of treatment, 3 consecutive courses of treatment with one day interval. For the curative effect of this observation, the observation indexes are headache index scoring method and TCM syndrome scoring method. Through the change of statistical data, we observed the curative effect of the acupuncture method of removing dampness and dredging collaterals in the treatment of spleen deficiency and dampness trap type headache. The result is 1: 1. Comparison of headache index: before and after treatment, the headache index of the observation group was significantly different (P0.01), which showed that the headache of the treatment group was significantly relieved after treatment, and the treatment was effective. After treatment, there was significant difference between the observation group and the control group (P 0.05), which showed that the observation group was better than the control group in improving headache symptoms after treatment. Comparison of TCM syndromes score: before and after treatment in the observation group, P0.01, there was a significant difference, with statistical significance, indicating that the observation group after treatment, patients with systemic symptoms have a significant change; After treatment, there was a significant difference between the observation group and the control group (P 0.01), which showed that the observation group was better than the control group in relieving the systemic symptoms of the patients after treatment. The total effective rate: the total effective rate of the acupuncture group was 93.3%, the total effective rate of the routine acupuncture group was 83.33 and the total effective rate of the acupuncture group was higher than that of the routine acupuncture group. Conclusion: 1. The acupuncture method of removing dampness and dredging collaterals can obviously reduce the headache degree, duration, frequency and effect of routine acupuncture group. 2. The acupuncture method of removing dampness and dredging collaterals can obviously improve the whole body symptoms and signs of the patients with spleen deficiency and dampness trap type of tension headache, and the effect is better than that of the routine acupuncture group.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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