电针针刺锥体区治疗偏头痛临床研究  

Clinical Study on Electro-acupuncture Treatment of Migraine in Surface Projection Zone of the Pyramid Decussation

作　　者：肖蕾[1] 王炎[1] 王胜 王立新[1] 崔祺[1] 张晨[1] 姚路红 邵靓宇 邢军[1] XIAO Lei;WANG Yan;WANG Sheng;WANG Li-xin;CUI Qi;ZHANG Chen;YAO Lu-hong;SHAO Jing-yu;XING Jun(Department of Rehabilitation Medicine, 254 Hospital of PLA, Tianjin 300142, China)

机构地区：[1]中国人民解放军第254医院康复医学科,天津300142

出　　处：《中国中医药信息杂志》2018年第1期19-22,共4页Chinese Journal of Information on Traditional Chinese Medicine

摘　　要：目的观察电针针刺锥体区治疗偏头痛的临床疗效。方法采用随机数字表法将120例偏头痛患者分为锥体区组、常规针灸组、西药组、非经非穴组各30例。锥体区组针刺锥体区(玉枕至天柱连线),常规针灸组双侧常规取穴,非经非穴组针刺锥体区旁开2寸,均予电针,8~20 m A,2/100 Hz疏密波,每次30 min,每日1次;西药组予双氯芬酸钠肠溶片,每次50 mg,每日2次,口服。均连续治疗10 d。观察治疗前后视觉模拟评分法(VAS)评分、中医症状积分、焦虑自评量表评分(SAS)和抑郁自评量表评分(SDS),分析临床疗效。结果锥体区组总有效率为93.33%,明显优于常规针灸组(86.67%)、西药组(70.00%)和非经非穴组(63.33%),差异有统计学意义(χ2=24.440,P=0.004)。与本组治疗前比较,4组治疗后VAS评分、中医症状积分均明显下降(P<0.05)。锥体区组治疗后VAS评分明显低于其他3组(P<0.05),中医症状积分明显低于西药组及非经非穴组(P<0.05)。与本组治疗前比较,非经非穴组SDS评分及其他3组的SAS、SDS评分均明显降低,差异有统计学意义(P<0.05),锥体区组治疗后SAS、SDS评分明显低于其他3组(P<0.05)。结论电针针刺锥体区治疗偏头痛疗效显著,可减少不良情绪的发生。Objective To observe the clinical effects of electro-acupuncture in surface projection zone of the pyramid decussation in treatment of migraine.Methods Totally120patients with migraine who met the inclusion criteria were randomly divided into four groups as projection zone group,ordinary acupuncture group,western medicine group and non-acupoint group,with30cases in each group.Projection zone group was treated with electro-acupuncture in pyramidal cross area(from Yuzhen to Tianzhu);Ordinary acupuncture group was treated with routine point locating according to acupuncture therapeutics;Non-acupoint group was treated with2inch acupoints opened beside projection zone,and3groups were treated with electro-acupuncture(8–20mA,2/100Hz)for30min.Western medicine group was treated with diclofenac sodium enteric-coated table.The treatment course was10day.Visual Analogue Scale(VAS)score,TCM syndrome score,self-rating anxiety scale score(SAS)and self-rating depression scale score(SDS)were evaluated before and after treatment.The therapeutic effects of the four groups were compared and analyzed.Results The total effective rate of projection zone group was93.33%,which was obviously better than the ordinary acupuncture group(86.67%),western medicine group(70.00%)and non-acupoint group(63.33%),with statistical significance(χ2=24.440,P=0.004).Compared with before treatment,the VAS score and TCM syndrome scores in the four groups after treatment decreased significantly(P<0.05).The VAS score in the projection zone group after treatment was significantly lower than the other three groups,and the TCM syndrome scores were significantly lower than the western medicine group and non-acupoint group(P<0.05).Compared with before treatment,the SDS score in the non-acupoint group and SAS and SDS scores in the other three groups decreased significantly,with statistical significance(P<0.05).SAS and SDS scores in projection zone group after treatment was significantly lower than the other three groups(P<0.05).Conclusion The method of electro-ac

关 键 词：偏头痛 电针 锥体区 

分 类 号：R277.772[医药卫生—中医学] R245