透刺法结合电针治疗肝风上扰型无先兆性偏头痛的临床疗效观察  

Clinical Observation of Penetrating Needling Combined with Electro-Acupuncture in Treatment of Migraine Without Aura of Liver-Wind Disturbance

作　　者：程为平[1] 杨圆圆[2] 周海纯 王迪[4] 闫禹竹 CHENG Weiping;YANG Yuanyuan;ZHOU Haichun;WANG Di;YAN Yuzhu(The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China;Jixi Mining Group General Hospital,Jixi 158199,China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [2]黑龙江中医药大学,黑龙江哈尔滨150040 [3]鸡西矿业集团总医院,黑龙江鸡西158199 [4]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001

出　　处：《中医药信息》2022年第3期55-59,共5页Information on Traditional Chinese Medicine

基　　金：黑龙江省自然科学基金项目(LH2021H089);孙申田青年人才基金项目项目(2020KY-08)。

摘　　要：目的:通过观察透刺法结合电针对肝风上扰型无先兆性偏头痛患者的影响,探讨其临床疗效。方法:将60例符合纳入标准的肝风上扰型无先兆性偏头痛患者随机分为观察组和对照组,每组各30例。观察组采用透刺法结合电针治疗,对照组予以常规针刺结合电针治疗,均连续针刺10 d后休息1 d,以此为1个疗程,连续治疗3个疗程后随访1个月。观察两组患者治疗前后视觉模拟评分法(VAS)评分、偏头痛发作频率和偏头痛持续时间,并比较临床疗效。结果:观察组及对照组治疗后VAS评分均低于治疗前,且观察组评分低于对照组,差异具有统计学意义(P<0.05);观察组及对照组偏头痛症状发作频率和持续时间评分较治疗前均有所降低,且观察组评分低于对照组,差异具有统计学意义(P<0.05);观察组总有效率(28/30,93.33%)明显高于对照组(26/30,86.67%),差异具有显著统计学意义(P<0.05)。结论:透刺法结合电针对肝风上扰型无先兆性偏头痛患者有较好的镇痛作用,并能缩短偏头痛症状发作频率和持续时间,值得临床推广应用。Objective:To explore the clinical effect of penetrating needling combined with electro-acupuncture in the treatment of migraine without aura of Liver-wind disturbance.Methods:60 patients with migraine without aura of liver-wind disturbance were randomly divided into the observation group and the control group,with 30 patients in each group.The observation group was treated with penetrating needling combined with electro-acupuncture,whereas the control group was treated with routine acupuncture combined with electro-acupuncture.10 days of treatment was taken as one course,the two groups were treated for three courses with one day interval between each course,and were followed up for one month.The scores of VAS,the attack frequency and the duration of migraine were compared between before and after the treatment in the two groups.Clinical efficacy was also compared between the two groups.Results:The scores of VAS were lower after the treatment than those before the treatment in the two groups,and the scores in the observation group were significantly lower than those in the control group(P<0.05).The frequency and the duration of migraine were decreased after the treatment than those before the treatment in the two groups,and the decreases in the observation group were more significant(P<0.05).The total effective rate of the observation group was 93.33%(28/30),which was significant higher than 86.67%(26/30)of the control group(P<0.05).Conclusion:Penetrating needling combined with electro-acupuncture has a good analgesic effect on migraine without aura of Liver-wind disturbance,and it can shorten the attack frequency and the duration of migraine.The therapy is worthy of clinical promotion.

关 键 词：透刺法 电针 无先兆性偏头痛 视觉模拟评分法 镇痛 

分 类 号：R246.6[医药卫生—针灸推拿学]