头部阿是穴留针治疗慢性紧张型头痛临床效果

目的观察头部阿是穴留针对慢性紧张型头痛的临床效果,探讨其取穴特点和作用机制。方法选取2016年1月至2017年12月我院门诊治疗的慢性紧张型头痛患者90例,将其随机分为头部阿是穴留针组和口服西药组,每组各45例。头部阿是穴留针组找头部压痛点8～12个,予以针刺并留针6 h,口服西药组服用芬必得胶囊和妙纳片。头部阿是穴留针组隔天治疗1次,每周3次,连续2周共6次;口服西药组予芬必得胶囊1粒bid,妙纳片1片tid,两种药物均连续口服2周。观察治疗前后两组患者头痛频率评分、NRS评分、头痛积分和头痛持续时间评分的变化,并比较两组临床效果。结果治疗前两组头痛NRS评分、头痛频率评分、头痛持续时间评分、头痛积分比较,差异均无统计学意义(P0.05)。头部阿是穴留针组总有效率为95.24%,口服西药组总有效率为74.42%,两组总体疗效经秩和检验,差异有统计学意义(P0.05)。两组治疗前后头痛NRS评分和头痛积分组内自身比较,差异有统计学意义(P0.05);两组治疗后的头痛NRS评分和头痛积分比较,差异有统计学意义(P0.05)。结论头部阿是穴留针取穴独特、方便,对慢性紧张型头痛有显著临床效果,其近远期疗效优于口服西药治疗。

Clinical effect of the treatment of chronic tension headache by acupunc- ture needle-retaining at Ashi point in head

Objective To observe the clinical effect of acupuncture needle-retaining at Ashi point in head on chronic tension headache,and to explore its acupoint selection characteristics and mechanism of action.Methods A total of 90 patients with chronic tension headache treated in the outpatient service of our hospital from January 2016 to December 2017 were selected and randomly divided into the group with acupuncture needle-retaining at Ashi point in head and the oral western medicine group with 45 patients in each group.For the group with acupuncture needle-retaining at Ashi point in head,8 to 12 tender points on the head were found,and acupuncture was performed and the acupuncture needle was retained for 6 h,while the oral western medicine group took ibuprofen sustained release capsules and eperisone hydrochloride tablets orally.The group with acupuncture needle-retaining at Ashi point in head received treatment qod,3 times per week,and altogether 6 times in 2 weeks.The oral western medicine group took 1 ibuprofen sustained release capsule orally bid and eperisone hydrochloride tablet orally tid for 2 week.The changes of headache NRS scores,headache frequency scores,headache duration scores and headache grade before and after treatment in the two groups of patients were observed,and the clinical efficacy was compared between the two groups.Results There was no statistically significant difference in headache NRS score,headache duration scores,headache frequency scores and headache grade between the two groups before treatment(P>0.05).The total effective rate was 95.24% in the group with acupuncture needle-retaining at Ashi point in head and 74.42% in the oral western medicine group,and the difference of total effective rate between the two groups was statistically significant(P<0.05) according to rank sum test.There were statistically significant differences in headache NRS scores and headache grade within the two groups before and after treatment (P<0.05).The difference of headache NRS scores and headache grade between the two groups after treatment was statistically significant(P<0.05).Conclusion It is unique and convenient to take the acupoint in acupuncture needle-retaining at Ashi point in head,which has a significant clinical effect on chronic tension headache and an efficacy superior to the therapy of oral western medicine both in a long term and in a short term.