Objective To observe the clinical efficacy of scalp cluster needling in treating essential tremor.Method Sixty patients with essential tremor were randomized into two groups, 30 cases each. The treatment group was intervened by scalp cluster needling plus acupuncture at the bilateral dancing tremor control zone; the control group was intervened by acupuncture at the dancing tremor control zone alone. The total effective rate and tremor score were observed after 30-day treatment, and the relapse rate was investigated 3 months after the intervention via telephone. Result The total effective rate was 96.7% in the treatment group, significantly higher than 73.3% in the control group (P<0.05); the tremor score of the treatment group was significantly lower than that of the control group at the end of the intervention (P<0.01); the 3-month telephone follow-up study showed that the relapse rate of the treatment group was significantly lower than that of the control group (P<0.05).Conclusion Scalp cluster needling plus acupuncture at bilateral dancing tremor control zone can produce a more notable efficacy in treating essential tremor compared to acupuncture at the dancing tremor control zone alone.%目的 观察头针丛刺法治疗特发性震颤的临床疗效.方法 将60例特发性震颤患者随机分为两组,每组30例.治疗组采用头针丛刺配合针刺双侧舞蹈震颤控制区治疗;对照组采用单纯针刺舞蹈震颤控制区治疗.治疗30 d后分别观察两组总有效率、震颤评分,且在疗程结束3个月后电话随访复发率.结果 治疗组总有效率为96.7%,显著高于对照组的73.3%(P<0.05);治疗组治疗结束后震颤评分低于对照组(P<0.01);治疗组疗程结束3个月后电话随访复发率显著低于对照组(P<0.05).结论 头针丛刺法配合针刺双侧舞蹈震颤控制区治疗特发性震颤相对单纯针刺舞蹈震颤控制区疗效较佳.
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