首页|期刊导航|中医临床研究|怡神定志针法治疗紧张型头痛伴焦虑的临床疗效分析

怡神定志针法治疗紧张型头痛伴焦虑的临床疗效分析OA

Clinical efficacy of the Yi Shen Ding Zhi acupuncture in treating tension-type headache complicated with anxiety

中文摘要英文摘要

目的:本研究旨在探讨怡神定志针法治疗紧张型头痛伴焦虑的临床疗效.方法:选择80 例气滞血瘀证紧张型头痛伴焦虑患者,随机分为试验组和对照组.试验组接受怡神定志针法治疗,对照组接受盐酸文拉法辛缓释胶囊与盐酸乙哌立松片联合治疗,均治疗 4 周.对比两组患者的视觉模拟评分法(visual analogue scale,VAS)评分、头痛影响测试问卷-6(headache impact test questionnaire-6,HIT-6)评分、头痛症状积分、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分、中医证候积分,以评估治疗效果.结果:治疗后,试验组总有效率显著高于对照组.治疗后试验组的VAS 评分、HIT-6 评分、头痛症状积分、HAMA 评分疗效均优于对照组(P<0.05).结论:怡神定志针法能有效缓解紧张型头痛伴焦虑患者的头痛症状及焦虑情绪,提高生活质量,且治疗安全可靠.

Objective:To investigate the clinical efficacy of the Yi Shen Ding Zhi acupuncture(怡神定志针法)in the treatment of tension-type headache(TTH)with anxiety.Methods:Eighty patients with Qi(气)stagnation and blood stasis syndrome of TTH with anxiety were selected and randomly divided into experimental group and control group.The experimental group received the Yi Shen Ding Zhi acupuncture treatment,and the control group received the combination of venlafaxine hydrochloride extended-release capsules and eperisone hydrochloride tablets,both of which were treated for 4 weeks.Efficacy was compared by visual analogue scale(VAS),headache impact test questionnaire-6(HIT-6),headache symptom score,Hamilton anxiety scale(HAMA),and traditional Chinese medicine syndrome scale score.Results:After treatment,the total effective rate in the experimental group was significantly higher than that in the control group.The efficacy of VAS score,HIT-6 score,headache symptom score,and HAMA score in the experimental group was better than the control group after treatment(P<0.05).Conclusion:The Yi Shen Ding Zhi acupuncture can effectively relieve headache symptoms in TTH patients with anxiety,improve the quality of life,making the treatment is safe and reliable.

李一丹;李晓童;杨净雅;彭伟

山东中医药大学第一临床医学院,山东 济南,250000泰安市中医院,山东 泰安,271000济南市民族医院,山东 济南,250000山东中医药大学附属医院,山东 济南,250000

医药卫生

怡神定志针法紧张型头痛焦虑气滞血瘀临床研究

The Yi Shen Ding Zhi acupunctureTension-type headacheAnxietyQi-stagnation and blood stasisClinical research

《中医临床研究》 2026 (6)

78-83,6

山东省中医药科技项目(Z-2023035T).

10.3969/j.issn.1674-7860.2026.06.013

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