足三阳经循经井穴刺血联合针刺治疗偏头痛：随机对照试验  

Bloodletting acupuncture at jing-well points along three-yang meridians of foot combined with acupuncture on migraine:a randomized controlled trial

作　　者：刘丽琰 郭辉 任蒙强 申林 陈亮 马文珠[2] LIU Li-yan;GUO Hui;REN Meng-qiang;SHEN Lin;CHEN Liang;MA Wen-zhu(Department of Acupuncture and Moxibustion,Beijing FirstHospital of Integrated Chinese and Western Medicine,Beijing100026,China;School of Acupuncture-Moxibustion and Tuina,Beijing University of CM,Beijing100029)

机构地区：[1]北京市第一中西医结合医院针灸科,北京100026 [2]北京中医药大学针灸推拿学院,北京100029

出　　处：《中国针灸》2020年第1期32-36,共5页Chinese Acupuncture & Moxibustion

基　　金：中国中医科学院中医基础理论研究所第十批“院所协同创新科研专项基金”：YZ-1631

摘　　要：目的:比较足三阳经井穴刺血法联合常规针刺与单纯常规针刺治疗偏头痛的镇痛疗效。方法:将60例偏头痛患者随机分为观察组和对照组,每组30例(观察组脱落4例,对照组脱落1例)。观察组采用井穴刺血法联合常规针刺,按疼痛部位选取对应足三阳经井穴厉兑、至阴、足窍阴刺血,配合丝竹空、率谷、太阳、风池、合谷、太冲、足临泣、阳陵泉、外关常规针刺;对照组仅行常规针刺治疗,选穴与操作同观察组。两组均每日治疗1次,留针30 min,5 d为一疗程,疗程间休息2 d,共治疗2个疗程。观察并比较两组患者治疗前、起针即刻、起针4 h、2个疗程后视觉模拟量表(VAS)评分,比较两组患者治疗前后偏头痛综合评分,并进行疗效评定。结果:起针即刻、起针后4 h、2个疗程后,两组患者VAS评分均明显降低(P<0.05);观察组在起针即刻、起针4 h、2个疗程后VAS评分较对照组同时间点低(P<0.05)。治疗后两组患者偏头痛综合评分均明显降低(P<0.05),观察组较对照组评分降低幅度更显著(P<0.05)。观察组总有效率为92.3%(24/26),略高于对照组的89.7%(26/29),差异无统计学意义(P>0.05)。结论:足三阳经循经井穴刺血联合常规针刺与单纯常规针刺均有镇痛作用,联合疗法优于单纯常规针刺。Objective To compare the analgesic effect of bloodletting acupuncture at jing-well points along three-yang meridians of foot combined with routine acupuncture and simple routine acupuncture on migraine. Methods A total of 60 patients with migraine were randomized into an observation group and a control group, 30 cases in each one, of which, 4 cases were dropped out in the observation group, 1 case was dropped out in the control group. In the observation group, bloodletting acupuncture at jing-well points combined with routine acupuncture were applied. The bloodletting acupuncture was applied at corresponding jing-well points of three-yang meridians of foot [Lidui(ST 45), Zhiyin(BL 67), Zuqiaoyin(GB 44)] according to pain location. And routine acupuncture was adopted at Sizhukong(TE 23), Shuaigu(GB 8), Taiyang(EX-HN 5), Fengchi(GB 20), Hegu(LI 4), Taichong(LR 3), Zulinqi(GB 41), Yanglingquan(GB 34) and Waiguan(TE 5). In the control group, routine acupuncture was applied, acupoint selection and operation were the same as the observation group. The treatment was given once a day, 30 min a time, 5 days as one course with 2 days interval, and 2 courses were required. Before treatment, immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment, the visual analogue scale(VAS) score was compared in the two groups. Before and after treatment, the migraine comprehensive score was observed in the two groups, and the therapeutic effect was evaluated. Results Immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment, the VAS scores in the two groups were decreased(P<0.05), the VAS scores immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment in the observation group were lower than those in the same time of the control group(P<0.05). After treatment, the migraine comprehensive scores in the two groups were decreased(P<0.05), the reducing degree in the observation group was greater than the control group(P<

关 键 词：偏头痛 足三阳经 井穴 刺血法 针刺 随机对照试验 

分 类 号：R246.1[医药卫生—针灸推拿学]