电针联合天灸治疗瘀阻脑络型偏头痛的临床观察  

Clinical Observation of Electro-acupuncture Combined with Tianjiu Therapy for Treatment of Migraine with Blood Stasis Blocking Brain Collaterals Type

作　　者：高倩倩[1] 陈日兰[2] 谢桂鑫 颜家兴 邓凯烽 马颖露 盛福芳 梁美莹 朱英[2] GAO Qian-Qian;CHEN Ri-Lan;XIE Gui-Xin;YAN Jia-Xing;DENG Kai-Feng;MA Ying-Lu;SHENG Fu-Fang;LIANG Mei-Ying;ZHU Ying(Guangxi University of Chinese Medicine,Nanning 530001 Guangxi,China;Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530001 Guangxi,China)

机构地区：[1]广西中医药大学,广西南宁530001 [2]广西中医药大学附属瑞康医院,广西南宁530011

出　　处：《广州中医药大学学报》2021年第7期1364-1369,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(编号:GJJ14041);广西壮族自治区卫生和计划生育委员会中医药科技专项——电针为主治疗偏头痛(头痛)的规范化诊疗方案推广应用;广西中医药大学研究生教育创新计划资助项目(编号:YCSY20190013)。

摘　　要：【目的】观察电针联合天灸治疗瘀阻脑络型偏头痛的临床疗效。【方法】将60例瘀阻脑络型偏头痛患者随机分为治疗组和对照组,每组各30例,对照组给予盐酸氟桂利嗪胶囊口服,治疗组给予电针联合天灸疗法治疗,连续治疗5周。治疗5周后,评价2组患者的临床疗效,观察2组患者治疗前后视觉模拟量表(VAS)评分的变化情况,比较2组患者治疗前后头痛计分法评分的变化情况。【结果】(1)治疗后,2组患者的VAS评分明显改善(P<0.01),且治疗组在改善VAS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的头痛计分法评分明显改善(P<0.01),且治疗组在改善头痛计分法评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗组总有效率为96.67%(29/30),对照组为80.00%(24/30)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】电针联合天灸疗法治疗瘀阻脑络型偏头痛,能明显改善患者的疼痛症状,从而提高患者生活质量,疗效显著。Objective To observe the clinical efficacy of electro-acupuncture combined with Tianjiu therapy for the treatment of migraine with blood stasis blocking brain collaterals type.Methods Sixty cases of patients with migraine of blood stasis blocking brain collaterals type were randomly divided into treatment group and control group,30 cases in each group.The control group received oral use of Flunarizine Hydrochloride Capsules,and the treatment group received electro-acupuncture combined with Tianjiu therapy,the treatment lasting 5 continuous weeks.After 5 weeks of treatment,the curative effect in the two groups was evaluated.Before and after treatment,the changes in VAS score and headache scoring in the two groups were observed.Results(1)After treatment,the VAS scores of the two groups were improved(P<0.01),and the improvement in VAS scores of the treatment group was superior to that of the control group,the difference being significant(P<0.05).(2)After treatment,the headache scores of the two groups were improved(P<0.01),and the improvement in headache scores of the treatment group was superior to that of the control group,the difference being significant(P<0.05).(3)The total effective rate of the treatment group was 96.67%(29/30),and that of the control group was 80.00%(24/30).The therapeutic effect of the treatment group was superior to that of the control group,the difference being significant(P<0.05).Conclusion Electro-acupuncture combined with Tianjiu therapy is effective for improving headache symptoms in migraine patients with blood stasis blocking collaterals,thus promotes quality of life.

关 键 词：电针 天灸 偏头痛 瘀阻脑络型 生活质量 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]