水突穴体表电刺激联合指趾端刺治疗偏头痛临床效果随机对照研究  

Transcutaneous Electric Stimulation on Point ST10 Combined with Digit-end Needling in the Treatment of Migraine: A Random Controlled Trial

作　　者：沈文[1] 谷婕 李芳[1] 赵鹏[1] 郜静[1] 李鑫[1] 朱红霞[1] 苏心镜[1] 

机构地区：[1]河北北方学院附属第二医院,河北张家口075100

出　　处：《针灸临床杂志》2017年第10期34-37,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:探讨与观察水突穴体表电刺激联合指趾端刺治疗偏头痛的临床效果。方法:选择临床确诊的偏头痛患者64例,按就诊顺序以随机数字表法分为观察组(水突穴体表电刺激联合指趾端刺)和对照组(药物治疗),每组32例。观察组水突穴体表电刺激隔日1次,4次为一疗程,每疗程结束后休息5日再开始下1个疗程,共3个疗程。指趾端刺与水突穴体表电刺激同步治疗,隔日1次,4次为一疗程。对照组口服阿米替林50 mg,1次/晚,疗程约2个月。两组患者均于治疗后3、6个月分别观察镇痛效果(VAS评分)、疼痛发作次数、综合症状评分及临床有效率。结果:观察组治疗后VAS评分低于对照组,发作次数少于对照组,两组比较差异均有统计学意义(P<0.05)。观察组治疗后3个月、6个月,对照组治疗后3个月综合积分与治疗前比较差异有统计学意义(P<0.05);观察组与对照组比较差异有统计学意义(P<0.05)。治疗后3个月、6个月总有效率两组比较差异有统计学意义(P<0.05)。结论:水突穴体表电刺激联合指趾端刺治疗偏头痛临床效果确切,且无长期应用药物治疗的副作用。Objective： To observe the clinical effect of transcutaneous electric stimulation on point ST10 combined with digit-end needling in the treatment of migraine. Methods： 64 patients were randomly divided into the observation group（ n = 32） and the control group（ n = 32）. The observation group was given transcutaneous electric stimulation and digit-end needling,the treatment was once every other day for four times,five-day break after each course,three courses altogether. The control group was treated with 50 mg Amitriptyline every night for two months. VAS,pain attack times,integral symptom score,and clinical effective rate were observed3 m and 6 m after the treatment respectively in the two groups. Results： VAS of the observation group was lower than that of the control group after the treatment,and pain attack times of the observation group was less than that of the control group,with statistical differences（ P〈0. 05）. In terms of integral symptom scores,there was statistical significance between 3 m and 6 m after the treatment and pre-treatment in the observation group; but in the control group,it only showed difference 3 m after the treatment（ P〈0. 05）; also there was difference between the observation group and the control group（ P〈0. 05）. The total effective rates of 3 m and 6 m after the treatment in the observation group were higher than those of the control group,which have statistical significances（ P〈0. 05）. Conclusion： The therapy of transcutaneous electric stimulation on point ST10 combined with digit-end needling has positive clinical efficacy for migraine without long-term side effect.

关 键 词：偏头痛 体表电刺激 水突穴 指趾端 针刺 阿米替林 

分 类 号：R246.1[医药卫生—针灸推拿学]