刃针治疗60例瘀阻脑络型卒中相关头痛临床疗效观察  

Clinical Observation on the Curative Effect of Blade Acupuncture on 60 Cases of Stroke Related Headache Caused by Blood Stasis and Obstruction of Brain Meridian

作　　者：林洁萍 郑雪峰 黄琰 LIN Jieping;ZHENG Xuefeng;HUANG Yan(Department of Psychiatry/Department of Encephalopathy,Fuzhou Hospital of Traditional Chinese Medicine,Fuzhou Fujian 350001,China)

机构地区：[1]福州市中医院神志病科/脑病科,福建福州350001

出　　处：《中国卫生标准管理》2023年第17期144-147,共4页China Health Standard Management

摘　　要：目的 观察刃针治疗瘀阻脑络型卒中相关头痛临床治疗效果和安全性。方法 采集福州市中医院2021年1—12月缺血性卒中瘀阻脑络型卒中相关头痛患者,从中依照纳入标准选择60例。采用随机数字表分为刃针治疗组与塞来昔布对照组,各30例,两组均治疗4周。对两组治疗前后的头痛中医证候积分作为治疗有效性的评估。结果 (1)治疗前,两组的一般资料、头痛中医证候积分对比,差异无统计学意义(P> 0.05)。治疗后,两组头痛中医证候积分均减少(P <0.05),但刃针治疗组更优(P <0.05)。(2)治疗后,刃针治疗组的痊愈率和显效率更高。(3)两组治疗前后血常规(WBC)、肝功(ALT、AST)均在正常范围。(4)两组的不良反应发生率对比,差异无统计学意义(P> 0.05)。结论 对比塞来昔布对照组,刃针治疗组在降低头痛中医证候积分时更出色。Objective To observe the clinical therapeutic effect and safety of blade acupuncture in the treatment of stroke-related headache due to blood stasis of brain collateral.Methods Collect patients with ischemic stroke related headache caused by blood stasis and cerebral collateral obstruction at Fuzhou Traditional Chinese Medicine Hospital from January to December 2021.According to the inclusion criteria,all patients randomly divided into blade needle treatment group and celecoxib control group,30 cases in each group,and both groups were treated for 4 weeks.The TCM syndrome scores of headache before and after treatment were evaluated for treatment effectiveness.Results(1) There was no significant difference between the two groups in general information and TCM syndrome score of headache(P>0.05).After treatment,the TCM syndrome scores of both groups of headache decreased(P<0.05),while the blade needle treatment group was more effective in reducing TCM syndrome scores of headache(P<0.05).(2) After treatment,compared with the two groups,the blade needle treatment group had a higher recovery rate and significant efficiency.(3) Both groups' blood routine(WBC)and liver function(ALT,AST) were within the normal range before and after treatment.(4) There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Compared with the celecoxib control group,the blade needle treatment group performed better in reducing the TCM syndrome score of headache.

关 键 词：刃针 筋结点 塞来昔布 卒中相关头痛 头痛中医证候积分 临床疗效 

分 类 号：R747[医药卫生—神经病学与精神病学]