远近取穴针刺治疗急性头痛的疗效对比研究

摘要

目的：观察远近取穴针刺治疗急性头痛的疗效差异。方法将60例急性头痛患者随机分为A组和B组,每组30例。A组采用远端取穴针刺治疗,B组采用局部取穴针刺治疗。观察两组治疗前后McGill疼痛询问表中的VAS评分和PPI评分,比较两组临床疗效。结果两组治疗后VAS评分和PPI评分与同组治疗前比较,差异均具有统计学意义(P＜0.01)。A组治疗前后VAS评分差值和PPI评分差值与B组比较,差异均具有统计学意义(P＜0.01)。A组总有效率为90.0%,B组为73.3%,两组比较差异具有统计学意义(P＜0.01)。结论远端取穴针刺治疗急性头痛疗效优于局部取穴。%Objective To observe the difference in therapeutic efficacy between acupuncture with distant acupoints selection and proximal acupoints selection in treating acute headache.Method Sixty patients with acute headache were randomized into group A and group B, 30 cases in each group. Group A was intervened by acupuncture with distant acupoints selection, while group B was by acupoints with topical acupoints selection. The Visual Analogue Scale (VAS) and Present Pain Intensity (PPI) from McGill Pain Questionnaire (MPQ) were observed before and after intervention, and the clinical efficacies were compared between the two groups. Result After treatment, the VAS and PPI scores were significantly different from that before treatment in both groups (P<0.01). The changes of VAS and PPI scores in group A after intervention were significantly different from that in group B (P<0.01). The total effective rate was 90.0% in group A versus 73.3% in group B, and the difference was statistically significant (P<0.01). Conclusion Acupuncture with distant acupoints selection can produce a better therapeutic efficacy than acupuncture with topical acupoints selection.