Clinical Observation Of Electric Nape Acupuncture Combined With Common Acupuncture In The Treatment Of Tension-type Headache

Objective:By observing the clinical curative effect of Gao’s electric nape acupuncture combined with ordinary acupuncture in the treatment of tension-type headache,in order to provide new ideas and better solutions for the clinical treatment of tension-type headache.Methods : Ninety patients who met the inclusion criteria were randomly divided into treatment group and control group by using SPSS26.0 software,with 45 patients in each group.The control group was selected bilateral Touwei,Taiyang,Fengchi,Jingjiaji,Zusanli,Taichong and Baihui.In the treatment group,on the basis of the control group,the new acupoints-Gongxue created by Professor Gao Weibin were added.After acupuncture for ST36 and Gongxue acupoints,connect the electro-acupuncture device up and down respectively,using sparse wave pattern(1.2Hz),and the intensity is based on the patient’s tolerance.Both groups were treated once a day for 30 minutes each time,5times as a course of treatment,5 days of treatment and 2 days of rest,and 4courses of continuous treatment.Before and after treatment and 1 month(follow-up 1)and 3 months(follow-up 2)after treatment,VAS score,headache score,HAMA score,HAMD score and PSQI score were used to evaluate the efficacy of patients.Results:1.Before treatment,baseline data such as gender,age,course of disease,VAS score,headache score,HAMA score,HAMD score,PSQI score and other subjects were compared between the two groups,all of which were comparable(p>0.05).2.The VAS score,headache score,HAMA score,PSQI score and HAMD score of the two groups after treatment,follow-up 1 and follow-up 2 were compared with those before treatment within the group,the all indicators were compared one by one between the two groups at different time nodes,and the differences were statistically significant(p<0.05).3.The VAS score,headache score,HAMA score,HAMD score and PSQI score of the two groups after treatment and follow-up 1 were compared within the group respectively,there was no significant difference in all indexes of the treatment group after treatment compared with the results of follow-up 1(p>0.05);there was no significant difference in VAS score and headache score between the control group and follow-up 1 after treatment(p>0.05),and there were statistical differences in other indicators compared with follow-up 1(p<0.05).Intra-group comparison of the above indicators between the two groups after treatment and follow-up 2 showed statistically significant differences(p<0.05).4.The VAS score,headache score,HAMA score,HAMD score and PSQI of follow-up 1 and follow-up 2 were compared within the two group respectively,there were statistically significant differences in all indexes within the group(p<0.05).5.The VAS score,headache score,HAMA score and HAMD score of the two groups were compared between the two groups at the same time point,and the differences were statistically significant(p<0.05).The PSQI scores of the two groups after treatment were compared between the two groups,and the difference was statistically significant(p<0.05).There was no significant difference in PSQI scores between the follow-up 1 and the follow-up 2 of the two groups(p<0.05).6.Comparing the comprehensive clinical efficacy of the two groups,the total effective rate of the treatment group was 95.3%,and the total effective rate of the control group was 81.4%.The total effective rate of the treatment group was better than that of the control group,and there was a statistical difference between the two groups(p<0.05).Conclusion:1.Both acupuncture treatments have clinical curative effects on ten sion-type headache,but the overall clinical curative effect of electro na peacupuncture combined with ordinary acupuncture is better than that of ordinary acupuncture alone,and the advantages in short-term and longterm curative effect and curative effect stability are more prominent.2.The anxiety,depression and sleep disturbance associated with ten sion-type headache patients were improved by both acupuncture regimens.However,electro nape acupuncture combined with ordinary acupuncture has more long-term efficacy in relieving anxiety and depression,and ha s better short-term efficacy in improving sleep state.