基于经络辨证的塞鼻法治疗急性发作期偏头痛  

Treatment of Migraine in Acute Attack Stage by Nasal Obstruction Method Based on Syndrome Differentiation of Meridians and Collaterals

作　　者：刘娇娇 李薇[1] 王莉茹 史华伟[2] 董兴鲁[2] 崔方圆[2] LIU Jiaojiao;LI Wei;WANG Liru;SHI Huawei;DONG Xinglu;CUI Fangyuan(Beijing University of Chinese Medicine,Beijing China 100105;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing China 100007)

机构地区：[1]北京中医药大学,北京100105 [2]北京中医药大学东直门医院,北京100007

出　　处：《中医学报》2022年第3期642-646,共5页Acta Chinese Medicine

基　　金：中国民族医药学会科研项目(2019KYXM-M159-143);北京中医药大学东直门医院2020科技创新专项(DZMKJCX-2020-061)。

摘　　要：目的:观察经络辨证塞鼻法对偏头痛急性发作期的治疗效果。方法:将62例偏头痛患者,按随机数字表法将患者分为治疗组和对照组,每组各31例。治疗组在经络辨证理论的指导下,根据头痛部位给予相应塞鼻药;对照组给予口服布洛芬缓释胶囊。比较两组患者治疗前与治疗后0.5 h、2 h视觉模拟评分(visual analogue scale, VAS)及差值、治疗前与治疗后2 h伴随症状积分及差值、治疗后药物起效时间。结果:治疗后0.5 h、2 h,两组患者VAS显著降低,与治疗前比较,差异具有统计学意义(P<0.05);治疗后0.5 h、2 h,两组患者VAS差值比较,差异无统计学意义(P>0.05)。治疗后2 h,两组患者伴随症状积分显著降低,差异具有统计学意义(P<0.05);两组患者治疗后2 h伴随症状积分差值比较,差异无统计学意义(P>0.05)。两组治疗起效时间比较,治疗组略优于对照组,差异无统计学意义(P>0.05)。结论:经络辨证塞鼻法在偏头痛急性发作期可快速减轻疼痛程度、改善伴随症状,疗效与布洛芬缓释胶囊相当。Objective: To observe the therapeutic effect of nasal obstruction based on syndrome differentiation of meridians and collaterals on migraine in acute attack stage.Methods: 62 migraine patients were randomly divided into treatment group and control group, with 31 cases in each group.Under the guidance of syndrome differentiation of meridians and collaterals theory, the treatment group was given corresponding nasal obstruction drugs according to the headache location;the control group was given oral ibuprofen sustained-release capsule.The visual analogue scale(VAS) and difference, the score and difference of concomitant symptoms before and 2 hours after treatment, and the onset time of drugs after treatment were compared between the two groups.Results: At 0.5 hour and 2 hours after treatment, VAS in the two groups decreased significantly, and compared with that before treatment, the difference was statistically significant(P<0.05);there was no statistically significant difference in VAS between the two groups at 0.5 hour and 2 hours after treatment(P>0.05).At 2 hours after treatment, the score of concomitant symptoms in the two groups decreased significantly(P<0.05),and the difference was statistically significant(P<0.05);there was no statistically significant difference between the two groups at 2 hours after treatment(P>0.05).Compared the onset time of the two groups, the treatment group was slightly better than the control group, and the difference was not statistically significant(P>0.05).Conclusion: Nasal obstruction based on syndrome differentiation of meridians and collaterals can quickly reduce the degree of pain and improve accompanying symptoms in the acute attack of migraine.The curative effect is equivalent to that of ibuprofen sustained-release capsule.

关 键 词：偏头痛 经络辨证 塞鼻法 急性发作 

分 类 号：R244[医药卫生—针灸推拿学]