不同针刺法对紧张型头痛的疗效评估

目的:观察比较疏肝调神针刺法和常规针刺法对紧张型头痛患者焦虑和抑郁症状的疗效.方法:120例紧张型头痛伴有焦虑和/或抑郁症状的患者按随机数字表随机分为疏肝调神针刺组(A组)和常规针刺组(B组),每组60例.采用焦虑自评量表(Self-rating Anxiety Scale,SAS)和抑郁自评量表(Self-rating Depression Scale,SDS)于治疗前后进行评估.2个疗程后对比观察两组疗效.结果:两组治疗后SAS、SDS分值均显著降低(P＜0.01),治疗后两组评分比较差异有统计学意义(P＜0.01,P＜0.05).A组疗效优于B组(P＜0.01).治疗结束后随访3个月,结果表明疏肝调神针刺法对于改善焦虑、抑郁症状的远期效果,优于常规针刺法(P＜0.05).结论:疏肝调神针刺法可有效缓解紧张型头痛患者的焦虑和抑郁症状,且有较好的远期疗效.

Therapeutic evaluation of different needling methods for tension-type headache

Objective：To observe the clinical efficacy of acupuncture combined with medication for treatment of post-stroke depression （PSD）.Methods：A total of 60 patients with PSD in conformity with the inclusion criteria were randomly allocated into a treatment group and a control group,with 30 in each.Those in the treatment group were treated with electroacupuncture combined with medication,and those in the control group were treated with medication alone.Before and after treatment,the patients of the two groups were evaluated by means of function independent measure （FIM） and the World Health Organization quality of life-BREF （WHOQOL-BREF）.Results：After the treatments,the changes of FIM scores have statistical significant in both of the two groups （P0.01）;and the improvement in the treatment group was more remarkable than that in the control group （P0.01）.The differences in the scores in various indexes of WHOQOL-BREF in the patients of the two groups before and after treatments were both statistically significant （P0.01,P0.05）.And the change in the treatment group was more remarkable than that in the control group （P0.01,P0.05）.Conclusion：Electroacupuncture on Niesanzhen （three points on the bitemporal） as major treatment can improve activities of daily living and quality of life for patients with PSD.