针刺推拿治疗肝阳上亢型头风临床研究

目的:观察针刺配合推拿治疗肝阳上亢型头风的疗效。方法:115例符合肝阳上亢型头风诊断的患者采用随机对照方法进行观察。治疗组58例给予针刺百会、风池、率谷、合谷、太冲、行间、肝俞、阿是穴,配合推拿手法治疗;对照组57例口服盐酸氟桂利嗪胶囊治疗。两组疗程均为4周,主要观察指标包括头痛程度、频率和持续时间,以及其他伴随症状和体征。结果:治疗组总有效率为91.4%,对照组为71.9%,组间差异有统计学意义(P<0.05),治疗后治疗组头痛程度、频率和持续时间的改善明显优于对照组,其他伴随症状和体征如头部压痛、急躁易怒、失眠多梦、口苦咽干的改善明显优于对照组(P<0.05)。结论:针刺配合推拿治疗肝阳上亢型头风能有效改善患者头痛程度、频率和持续时间,以及伴随症状和体征。

Clinical Observation on Acupuncture and Tuina in Treating Head Wind of Ascendant Hyperactivity of Liver Yang Type

Objective:To investigate the clinical efficacy of acupuncture and Tuina in treating head wind of ascendant hyperactivity of liver yang type. Methods:A total of 115 patients who were diagnosed with head wind of ascendant hyperactivity of liver yang type were randomly divided into the treatment group(58 patients) and the control group(57 patients). Patients in the treatment group were treated by acupuncturing the points of Baihui(DU16),Fengchi(GB20),Shuaigu(GB8),Hegu(LI4),Taichong(LR3),Xingjian(LR2),Ganshu(BL18) and Ashi point,combining with Tuina. Patients in the control group were treated with flunarizine dihydrochloride capsules. Both groups were treated for 4 weeks,the observation indexes included:the extent of headache,frequency and duration. Results:The efficiency rate of the treatment group was 91.4%,while that of the control group was 71.9%,the differences between the two groups were statistically significant(P< 0.05).After treatment,the improvement of main outcome measures(severity,frequency and duration of headache)and accompanied symptoms and signs(such as head tenderness,irritability,insomnia and dreaminess,dry throat with bitter taste) in the treatment group were better than those in the control group,the differences were statistically significant(P< 0.05). Conclusion:Acupuncture and Tuina therapy can effectively improve the severity,frequency and duration of head wind of ascendant hyperactivity of liver yang type,as well as accompanied symptoms and signs.