透刺法治疗偏头痛45例临床研究  

Clinical Study of Penetration Needling Treating 45 cases of Migraine

作　　者：边东玲 李娴[1] 郑艳霞[1] 林清 杜宁[1] BIAN Dongling;LI Xian;ZHENG Yanxia;LIN Qing;DU Ning(The Second Hospital of Tangshan,Tangshan 063000,China)

机构地区：[1]唐山市第二医院,河北唐山063000

出　　处：《山东中医杂志》2020年第5期466-471,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局科研计划项目(编号:2019211)。

摘　　要：目的:探讨透刺法治疗偏头痛疗效。方法:根据随机数字表法将90例偏头痛患者分为对照组与研究组,各45例。对照组接受常规取穴治疗,研究组接受透刺法治疗,治疗2个疗程后,评估并对比两组治疗效果,记录治疗期间患者不良反应发生率,治疗结束后随访1个月。分别于入院时、治疗第1个疗程后、治疗结束时、随访时对比两组证候总积分、视觉模拟评分法(VAS)得分变化情况;各时点检测并对比两组脑动脉血流值及血清人降钙素基因相关肽(CGRP)表达。结果:研究组临床总有效率(91.11%)优于对照组(73.33%),差异有统计学意义(P<0.05);两组治疗期间均无严重不良事件发生;治疗各时点,两组VAS评分、证候总积分均呈下降趋势,且研究组下降速度快于对照组,两组组间、时点、组间·时点比较,差异均有统计学意义(P<0.05);治疗各时点,两组各脑动脉血流值、血清CGRP表达均呈下降趋势,且研究组下降速度高于对照组,两组组间、时点、组间·时点比较,差异有统计学意义(P<0.05)。结论:一针两穴透刺法治疗偏头痛疗效较常规取穴针刺法理想,能够缩短疗程,且安全可靠。Objective:To investigate the effects of penetrating needling on migraine. Methods:Ninety patients with migraine were divided into control group and experimental group with the random number table,45 patients in each group. Control group was given conventional acupuncture,while experimental group was treated with penetrating needling. After 2 courses of treatment,the efficacy in both groups were evaluated and compared. The incidence of adverse reactions during treatment were recorded,and the patients were given 1-month follow-up after treatment. The total syndrome scores and visual analogue scale(VAS) scores of both groups at the time point of admission,after1 therapeutic course,at the end of treatment,after1-month follow-up were recorded and compared.The changes of cerebral artery blood flow and expression of serum calcitonin gene related peptide(CGRP) in the two groups at each time point were compared. Results:The efficacy in the experimental group(91.11%) were better than that in the control group(73.33%)(P<0.05);there was no severe adverse event in the two groups during treatment. The VAS scores and total syndrome scores in the two groups showed the decreased trend at each time point,and the decreased speed in the experimental group was higher than that in the control group,with statistically significant difference between two groups,time points,groups and time points(P<0.05). The cerebral artery blood flow and expression of serum CGRP in the two groups showed decreased trend at each time point,and the decreased speed in the experimental group was higher than that in the control group,with statistically significant difference between two groups,time points,groups and time points(P<0.05). Conclusion:Penetrating needling treating migraine is of more satisfactory effect than conventional acupuncture,and patients could more quickly improve symptoms and signs,with higher safety.

关 键 词：偏头痛 透刺法 脑血流值 血清人降钙素基因相关肽 视觉模拟评分法 

分 类 号：R246.6[医药卫生—针灸推拿学]