| Objective In this study,by observing the clinical efficacy of Tiaoqi Tongluo acupuncture in treating chronic tension-type headaches(liver stagnation and qi stagnation type),this study provides new ideas and methods for clinical research and treatment of chronic tension-type headaches.Methods The cases included in this experiment all originated from March to December 2019 in the Department of Encephalopathy and Acupuncture of the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine.A total of patients who met the diagnostic criteria for chronic tension headaches in western medicine and the diagnostic criteria for headaches in traditional Chinese medicine and were diagnosed as liver depression were collected.Sixty-four patients with stagnation syndrome were randomized number table generated by SPSS21.0 statistical software,and were divided into acupuncture group and control group by randomized controlled trial method,with 32 patients in each group.The acupuncture group was treated with acupuncture at the Qi and Tongluo points.The neck ridges 2-4,Fengchi,Neiguan,Gongsun,Lieque,Zhaohai,Waiguan,Foot Linwee,Shenmai,Houxi were taken.Treatment is performed once a day for 5 days.Control group: oral escitalopram oxalate.The course of treatment for both groups of patients was 4 weeks.During the treatment,headache patients who could not bear headaches could take loxoprofen sodium tablets to relieve pain.The two groups of patients were selected before treatment,after treatment and in the last week of 1 month follow-up,and recorded their headache score,TCM syndrome score,HAMD score,pain medication exposure score and other indicators.SPSS 21.0 statistical software was used to perform statistical analysis on related data.Comparison between data groups that meet the normal distribution was performed using independent sample t test,and comparison within the group was performed using paired sample t test.Comparison between data groups that did not meet the normal distribution was performed using rank sum Test,comparison within groups was performed using paired rank sum test.Counting data was tested by chi-square.Grade data were analyzed using Ridit.Efficacy evaluation uses the formula of Nimodipine: Efficacy index =(integral points before treatment-post-treatment points)/ pre-treatment points × 100%,which is divided into 4 levels of cure,markedly effective,effective and ineffective.Results 1 Analysis of baseline data: 2 cases of shedding in the control group(1 man and 1 woman),shedding due to patient loss of contact and discontinuation of medications,30 cases were actually completed,and no treatment cases were removed in the treatment group,and 32 cases were actually completed.Before treatment,the general information(sex,age,duration)and observation indicators(headache score,TCM syndrome score,HAMD score,pain medication exposure score)of the two groups of patients were compared.P values were greater than 0.05.There is no statistical difference and is comparable.2 Analysis of headache scores between the two groups of patients,comparison within the group: after treatment,at follow-up and before treatment,the differences were statistically significant(P <0.05).Comparison between groups: The difference in scores after treatment was statistically significant(P <0.05);the difference in scores at follow-up was statistically significant(P <0.05);the treatment group was better than the control group.3 Analysis of TCM syndromes between the two groups of patients,comparison within the group: after treatment,at follow-up and before treatment,the differences were statistically significant(P <0.05).Comparison between groups: The scores after treatment were compared,the difference was statistically significant(P <0.05);the scores were compared at follow-up,the difference was statistically significant(P <0.05);the treatment group was better than the control group.4 Analysis of HAMD score between the two groups of patients.Comparison within the group: After treatment,at follow-up and before treatment,the differences were statistically significant(P <0.05).Comparison between groups: The scores after treatment were compared,and the difference was statistically significant(P <0.05);the treatment group was better than the control group.5 Analysis of scores of painkiller exposure in the two groups,comparison within the group: after treatment,the painkiller exposure scores in the treatment group were lower than before the treatment,and the difference was statistically significant(P <0.05);There was a statistically significant difference in pain drug exposure scores before treatment(P <0.05),and there was no significant difference between follow-up and before treatment(P> 0.05).Comparison between groups: The scores after treatment were compared,the difference was statistically significant(P <0.05);the scores were compared at follow-up,the difference was statistically significant(P <0.05);the treatment group was better than the control group.6 The statistical results of the curative effect show that for the analysis of the efficacy of the headache score,32 patients in the treatment group,0 cases were cured,15 cases were significant(46.88%),13 cases were effective(40.63%),4 cases were ineffective(12.5%),and the total effective rate was 87.5 %;30 patients in the control group,0 cases recovered,5 cases were markedly effective(16.67%),19 cases were effective(63.33%),6 cases were ineffective(20%),and the total effective rate was 80% Among the 32 patients in the group,0 cases were cured,4 cases were markedly effective(12.5%),25 cases were effective(78.13%),3 cases were ineffective(9.38%),and the total effective rate was 90.64%.Among 30 patients in the control group,0 cases were cured,0 cases were markedly effective,23 cases were effective(76.67%),7 cases were ineffective(23.33%),and the total effective rate was 76.67%.Comparing the effects of the two groups,they were statistically significant by the level Ridit test(P <0.05),with significant differences The clinical efficacy and the total effective rate of TCM syndromes in the treatment group were better than those in the control group.Conclusion 1Tiaoqitongluo acupuncture and oral western medicine are effective for the treatment of chronic tension headache(liver depression and qi stagnation type).2 Tiaoqitongluo acupuncture is better than the western medicine control group in reducing the headache degree,reducing the frequency of headaches,shortening the duration of headaches,improving the depression state of patients,reducing the dosage of analgesics,and has a long-term maintenance effect.Effective treatments for the prevention and onset of tension headaches deserve further study. |
PDF Full Text Request