针刺风池、率谷等经穴治疗无先兆偏头痛的临床评价研究  

Clinical Evaluation of Acupuncture at Acupoints: Fengchi( GB20), Shuaigu( GB8) and so on for Meridian without Aura

作　　者：许丽超[1] 岳增辉[1] 李朵朵[1] 谢涛[1] 胡岗珠 杨俊[1] 

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《中医药信息》2014年第2期81-84,共4页Information on Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.81273860);国家重点基础研究计划(No.2014CB543102)

摘　　要：目的:观察针刺风池、率谷等经穴治疗无先兆偏头痛的临床疗效,进一步证实经穴效应特异性。方法:采用随机、对照、单盲的研究方法,将符合纳入标准的60例偏头痛患者分为A组(循经取穴组)、B组(非经非穴组)和C组(等待治疗组),每组20例,治疗组均给予电针治疗30min。每组穴位与非经非穴取单侧,左右交替使用,每日针刺1次,5次为1个疗程,疗程间休息2天,共治疗4个疗程,研究周期共为28周。分别记录患者治疗前和治疗结束、4周随访、8周随访、12周随访、16周随访、20周随访的头痛强度;记录患者治疗前及治疗后的SAS评分及SDS评分。结果:在头痛强度级别变化上,与治疗前、B组、C组比较,A组治疗结束及随访各时相差异均有显著统计学意义(P<0.01);与治疗前、C组比较,B组只有在治疗结束及4周随访差异具有统计学意义(P<0.05),其余各时点均无统计学意义(P>0.05);在SAS评分及SDS评分上,与治疗前比较,A组和B组具有统计学差异(P<0.05);与治疗后三组组间比较,A组和B组间差异无统计学意义(P>0.05);B组和C组间差异有统计学意义(P<0.05),A组和C组间差异有统计学意义(P<0.05)。结论:针刺风池、率谷等经穴治疗无先兆偏头痛的临床疗效显著持久,进一步证明了经穴效应具有特异性。Objective ： To observe the clinical efficacy of acupuncture at the acupoints ： Fengchi （ GB20 ）, Shua- igu （GB8）and so on for meridian without aura, to confirm the specificity of the effect of acupoints. Methods： The randomized, controlled and single blind method was used , and 60 qualified cases were randomly divided into group A （ acupoint control group）, group B （ non - acupoint control group ） and group C （ waiting for treatment group）, 20 cases into each group, two treatment groups were treated with electro - acupuncture for 30 minutes. The headache intensity was respectively recorded before and after treatment, follow - up 4 weeks, 8 weeks, 12 weeks, 16 weeks,and 20 weeks ;the SAS scores and SDS scores were respectively recorded before and after treatment. Results：The headache intensity： compared with before treatment, B group and C group, A group at the end of treatment and each time point of follow- up was obviously significant（P 〈0. 01 ）;compared with before treatment and C group, B group only at the end of treatment and follow - up 4 weeks was sig- nificant（ P 〈 0.05 ）, the rest of the time was not statistically significant （P 〉 0.05 ） ;SAS and SDS scores：com- pared with before treatment, A group and B group were significant （ P 〈 0.05 ） ; compared with after treatment between three groups, A group and B group were not statistically significant （P 〉 0.05 ） ; B group and C group were significant（P 〈0.05） ;A group and C group were significant（P 〈0.05）Conclusion：The clinical efficacy of acupuncture at the acupoints ： Fengchi （ GB20 ）, Shuaigu （ GB8 ） and so on for meridian without aura is significant and persistent. It further confirms that the effect of acupoints has specificity.

关 键 词：针刺 无先兆偏头痛 经穴 非经非穴 

分 类 号：R246[医药卫生—针灸推拿学]