针刺配合推拿治疗紧张型头痛的的疗效观察.docVIP

针刺配合推拿治疗紧张型头痛的的疗效观察 　　摘 要：目的：观察针刺配合推拿治疗紧张型头痛的疗效，并与复方羊角胶囊对照。方法：将96例紧张型头痛的患者按就诊顺序随机分为两组，治疗组49例，给与针刺配合推拿治疗；对照组47例，给予复方羊角胶囊每次5粒，每天3次口服；两组疗程均为28天。以治疗前后头痛指数为指标，观察两组疗效。结果：治疗组总有效率95.9%，对照组总有效率72.3%。结论：针刺配合推拿治疗紧张型头痛疗效确切，无副作用。 　　 　　关键词：针刺；推拿；紧张型头痛 　　中图分类号：R747.2 　　文献标识码：A文章编号： 　　1673-7717（2008）05-1112-02 　　 　　Therapeutic Observation of Method of Acupuncture ?and Massage to Treat Tehsion-type Hendache 　　? 　　JIN Guo?ying,BAI Li?（Affiliated Hospital of Liaoning University of TCM,Shenyang 110032,Liaoning,China 　　） 　　Abstract：Objective:To investigate the treatment efficacy on the patients suffering from the tension-type headache with the method of acupuncture and massage compared with the compound Yanggakdo capsule. Methods:96 cases of patients with the tension-type headache were randomly divided into two groups in the attendance order. The 49 cases of patients of the treatment group were treated with acupuncture and massage and 47 cases of the control group took orally 5 capsules of the compound Yanggakdo Capsule three times daily for 28 days. The therapeutic efficacy was observed according to the headache index of before and after treatment. Results:The total effective rate of the treatment group is 95.9%, and the control group is 72.3%. Conclusion: Acupuncture and Massage therapy is effective for the patients with the tension-type headache and has no side effects. 　　Keywords：acupuacture;massage;tension-type hendache 　　? 　　紧张型头痛是由于头部与颈部肌肉持久的收缩所致。长期工作紧张，姿势不良，头颈部肌肉紧张，痉挛性收缩等均可导致头痛。紧张型头痛，表现为头部重压感，紧缩痛或戴紧帽感，也可为痉挛牵扯性头痛，多为双侧性，持续性，同时还表现为紧张、焦虑、烦燥、头晕、失眠、记忆力减退、易激动等神经官能症状，青壮年女性多见。近年来，由于当代社会生活的节奏越来越快，人们的紧张程度越来越高，人与人之间的关系越来越复杂，患紧张型头痛的病人日益增多。笔者采用针刺配合推拿疗法治疗紧张型头痛96例，取得了较好的疗效，现报道如下。? 　　 　　1临床资料? 　　 　　1.1一般资料 　　全部96例病例均来自本科门诊患者,按就诊顺序随机将其分为治疗组和对照组,治疗组49例,男21例,女28例,年龄最大66岁,最小18岁，病程2个月～5年；对照组47例,男21例,女26例,年龄最大64岁,最小19岁，病程3个月～6年。两组性别、年龄、病程经统计学处理，无显著性差异(P0.05)，具有可比性。 ? 　　1.2诊断标准 　　参照国际头痛学会《内科疾病诊断标准》[1]全部病例均符合诊断标准,全部病例均经神经系统检查、实验室检查、CT等检查,无其他神经系统病变所致的头痛、癫痫、痴呆、意识障碍；排除青光眼等五官科疾病及糖尿病、高