电针四关穴治疗肝阳上亢型偏头痛:随机对照试验  

Electroacupuncture at Siguan points for migraine of liver yang hyperactivity:a randomized controlled trial

作　　者：蔡依妏 裴建[1] 傅勤慧[1] 徐佳[1] 沈凤娇 詹逸珺 戴明[1] CAI Yi-wen;PEI Jian;FU Qin-hui;XU Jia;SHEN Feng-jiao;ZHAN Yi-jun;DAI Ming(Department of Acupuncture and Moxibustion,Affiliated Longhua Hospital of Shanghai University of TCM,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院针灸科,上海200032

出　　处：《中国针灸》2022年第5期498-502,共5页Chinese Acupuncture & Moxibustion

基　　金：上海市中医药新型交叉学科资助计划项目:shxxjcxk201709;上海市科学技术委员会重点科研项目:14401971300。

摘　　要：目的:比较电针四关穴与口服盐酸氟桂利嗪胶囊治疗肝阳上亢型偏头痛的临床疗效。方法:将110例肝阳上亢型偏头痛患者随机分为电针组(55例,脱落2例)和西药组(55例,脱落2例)。电针组予电针四关穴(合谷、太冲)治疗,疏密波,频率2 Hz/100 Hz,电流强度0.1~1 mA,每次30 min,每天1次,每周5次,连续治疗4周。西药组口服盐酸氟桂利嗪胶囊,每次10mg,每天1次,连续服用4周。观察两组治疗前、治疗后及随访1、3、6个月的疼痛视觉模拟量表(VAS)评分、头痛发作天数以及治疗前后偏头痛症状评分。结果:治疗后及随访1、3、6个月时,两组VAS评分和头痛发作天数均较治疗前降低(P<0.05),且电针组均低于西药组(P<0.05)。治疗后,两组偏头痛症状评分均较治疗前降低(P<0.05),且电针组降低幅度大于西药组(P<0.05)。结论:电针四关穴治疗肝阳上亢型偏头痛疗效优于口服盐酸氟桂利嗪胶囊,在降低头痛强度、减少头痛发作天数及改善偏头痛症状方面疗效更佳。Objective To compare the clinical effect of electroacupuncture at Siguan points and flunarizine hydrochloride capsule on migraine of liver yang hyperactivity.Methods A total of 110 patients with migraine of liver yang hyperactivity were randomly divided into an electroacupuncture group(55 cases,2 cases dropped off)and a western medication group(55 cases,2 cases dropped off).In the electroacupuncture group,electroacupuncture was applied at Siguan points(Hegu[LI 4]and Taichong[LR 3]),with disperse-dense wave of 2 Hz/100 Hz in frequency and current intensity of 0.1-1 mA,30 min each time,once a day,5 times per week for 4 weeks.Flunarizine hydrochloride capsule was given orally in the western medication group,10 mg a day for 4 weeks.The visual analogue scale(VAS)score and the migraine attack days were observed before and after treatment,during follow-up of 1,3 and 6 months,and the migraine symptom score was observed before and after treatment in the two groups.Results After treatment,during follow-up of 1,3 and 6 months,the VAS scores and the migraine attack days in the two groups were decreased compared with before treatment(P<0.05),and above indexes in the electroacupuncture group were lower than the western medication group(P<0.05).After treatment,the migraine symptom scores in the two groups were decreased(P<0.05),the change in the electroacupuncture group was greater than the western medication group(P<0.05).Conclusion Electroacupuncture at Siguan points could effectively reduce headache intensity and migraine attack days,relieve migraine symptoms in patients with migraine of liver yang hyperactivity,and the efficacy is superior to oral flunarizine hydrochloride capsules.

关 键 词：偏头痛 肝阳上亢型 电针 四关穴 盐酸氟桂利嗪 随机对照试验(RCT) 

分 类 号：R246.6[医药卫生—针灸推拿学]