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目的:观察下关穴氦氖激光穴位照射模拟针刺治疗慢性每日头痛的有效性和比较该疗法与红光照射作为安慰剂对照之间存在的差异性。方法:以氦氖激光穴位照射模拟针刺和红光照射作为安慰剂对照进行比较,选取下关穴治疗慢性每日头痛,开展随机、对照、双盲的临床研究。采用头痛日记与中医证候疗效评分判定疗效。结果:受试者在激光照射组治疗4周后与治疗前比较,在发作次数、疼痛程度方面均有显著改善(P<0.05),与红光照射组同期相应指标比较均存在统计学差异(P<0.05)。受试者治疗后中医症候疗效评分均呈不同下降,主症评分相当,次症评分激光照射组优于红光对照组,存在统计学差异性(P<0.05)。结论:与红光照射作为安慰剂对照相比,下关穴氦氖激光穴位照射模拟针刺治疗慢性每日头痛确有一定疗效。
OBJECTIVE: To observe the effectiveness of simulating acupuncture treatment of chronic daily headache with He-Ne laser acupoint irradiation in Xiaguan Point and to compare the difference between this treatment and red light irradiation as a placebo control. Methods: Compared with simulated acupuncture and red light irradiation of He-Ne laser acupoints as placebo control, we selected Xiaguan acupoint to treat chronic daily headache and conducted randomized, controlled and double-blind clinical study. Using headache diary and TCM syndrome efficacy score to determine the efficacy. Results: Compared with before treatment, subjects in the laser irradiation group had significant improvement in the number of seizures and pain (P <0.05), compared with the corresponding indicators in the same period of the red light irradiation group (P <0.05) P <0.05). After treatment, the curative effect scores of TCM symptom were all decreased in different degrees. The score of main symptom was equal. The score of inferior symptom was better in laser irradiation group than that in red control group (P <0.05). CONCLUSIONS: Compared with red light irradiation as a placebo control, the acupuncture treatment of chronic daily headache by the He-Ne laser acupoint irradiation in Shimonoseki is effective.