细药灸条治疗无先兆性偏头痛的临床研究  

Clinical Study of Fine Medicine Moxibustion Strip on Migraine without Aura

作　　者：苟春雁 李梦[1] 廖焦鲁 郭越之 樊沙沙[1] GOU Chunyan Ll Meng LIAO Jiaolu et al(Chongqing Hospital of Traditional Chinese Medicine, Chongqing 400021, China.)

机构地区：[1]重庆市中医院,重庆400021 [2]湖南中医药大学,湖南长沙410208

出　　处：《中国中医急症》2016年第10期1881-1883,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：重庆市卫生和计生委中医药科技项目(ZY201402040)

摘　　要：目的 观察细药灸条治疗无先兆性偏头痛的临床疗效。方法 将90例患者按随机数字表法为细药灸条组、针刺治疗组、艾条悬灸组,每组30例。细药灸条组选用细灸条灼灸,取穴百会、角孙、风池、列缺。水不涵木证配以太溪;痰热内阻证配以丰隆、肝风上扰证配以足临泣,每日1次,每次5 min,每次5穴共15壮;针刺治疗组进行针刺,取穴同细药灸条组,每日1次,每次30 min;艾条悬灸组选用纯艾条悬灸,取穴同细药灸条组,每日1次,每穴5~7 min,每次25~35 min。3组患者以10 d为1个疗程,观察期为30 d。分别在治疗第10日及治疗结束后,对3组患者、视觉模拟量表（VAS）评分、疼痛发作频次以及总有效率、不良反应进行对比分析。结果 1）在VAS评分方面,治疗10 d后,细药灸条组与其余两组差异明显（P〈0.01）;治疗30 d后,细药灸条组疗效优于常规艾条组（P〈0.05）,与针刺治疗组疗效相当（P〈0.01）;2）在疼痛发作频次方面,3种治疗方法疗效相当（P〈0.01）;3）在临床疗效方面,细药灸条组疗效优于常规艾条组（P〈0.01）,与针刺治疗组疗效相当（P〈0.01）;4）在不良反应方面,3组均为出现不良反应,说明安全性可靠。结论 细药灸条治疗无先兆性偏头痛的临床疗效明显优于常规艾条悬灸,与针刺治疗疗效相当,但见效较针刺治疗快,安全性可靠,临床费用较低。Objective： To explore the clinical curative effect of fine medicine moxibustion strip on migraine without aura. Methods： 90 patients with migraine without aura were divided into fine medicine moxihustion group, acupuncture treatment group, and moxa stick moxibustion group, 30 cases in each. Fine medicine moxibustion received fine medicine moxihustion and acupoints Baihui,Jiaosun,Fengchi ,Lieque with Taixi,Fenglong and Zulinqi,once a day,once for 5min,five points each time a total of 15 Zhuang;aeupuncture group received acupoints as fine medicine moxibustion group did, once a day ,once for 30min;moxa stick moxihustion group received pure moxa stick moxibustion and acupoint as fine medicine moxibustion group did, once a day, 5-7 minute/point, 25-35 minutes/each time. The treatment course lasted for 10 days for all the groups,observation period of 30 days. After tenth days of treatment and the end of the treatment, headache index, pain frequency, total effective rate and adverse reactions were compared and analyzed among all groups. Results： 1 ）As for the headache index, 10 days after treatment ,there were obvious differences between fine medicine moxibustion group and the other two groups, so fine medicine moxihustion group got a faster effect. 30 days after treatment ,fine medicine moxibustion group was more effective than moxa stick moxibustion group, and equal to acupuncture treatment group. 2）In pain onset frequency,three kinds of treatment were equal. 3）In clinical efficacy,fine medicine moxibustion group was more effective than moxa stick moxibustion group, and equal to acupuncture treatment group. 4）In adverse reactions,there was no adverse reaction in three groups,safe and reliable. Conclusion： Fine medicine moxibustion strip treatment on migraine without aura has an obvious clinical curative effect, superior to the conventional moxa stick moxibustion and acupuncture treatment,with a quick curative effect, effective than acupuncture, significantly higher than Western medicine, reliable and s

关 键 词：细药灸条 无先兆性偏头痛 临床疗效 

分 类 号：R245.8[医药卫生—针灸推拿学]