头穴丛刺长留针法治疗偏头痛的疗效观察  

Observations on the efficacy of cluster acupuncture at head points with long retention of needles for migraine

作　　者：王佳妮 陈英华[2] 孙玮 李俊峰 王浩宇 苏晓庆 秦瑞琦 WANG Jiani;CHEN Yinghua;SUN Wei;LI Junfeng;WANG Haoyu;SU Xiaoqing;QIN Ruiqi(Heilongjiang University of Chinese Medicine,Harbin 150040,China;First Affilliated Hospital,Heilongjiang University of Chinese Medicine,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150040 [2]黑龙江中医药大学附属第一医院,哈尔滨150040

出　　处：《上海针灸杂志》2024年第1期53-58,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家自然科学基金项目(82074530);黑龙江省自然科学基金项目(ZD2021H007)。

摘　　要：目的 观察头穴丛刺长留针法治疗偏头痛的临床疗效。方法 将88例偏头痛患者随机分为观察组(44例,脱落2例)和对照组(44例,脱落3例)。观察组采用常规针刺联合头穴丛刺长留针法治疗,对照组采用常规针刺方法治疗。比较两组临床疗效,观察两组治疗前后的视觉模拟量表(visual analog scale, VAS)评分、偏头痛特异性生活质量问卷(migraine-specific quality of life questionnaire, MSQ)、血清5-羟色胺(5-hydroxytryptamine, 5-HT)浓度。结果 观察组总有效率为92.9%,高于对照组的78.0%,差异有统计学意义(P>0.05)。两组治疗后VAS评分较治疗前降低(P<0.05),两组随访时VAS评分较治疗前和治疗后降低(P<0.05);观察组治疗后及随访时,VAS评分均低于对照组(P<0.05)。两组治疗后MSQ评分较治疗前升高(P<0.05),两组随访时MSQ评分较治疗前和治疗后升高(P<0.05);观察组治疗后及随访时,MSQ评分均高于对照组(P<0.05)。两组治疗后血清5-HT浓度均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论 在常规针刺基础上,头穴丛刺长留针法治疗偏头痛临床疗效优于常规针刺方法,且在减轻偏头痛患者疼痛程度,改善其生活质量及提高5-HT浓度方面优于常规针刺方法。Objective To observe the clinical efficacy of cluster acupuncture at head points with long retention of needles for migraine.Method Eighty-eight migraine patients were randomized to an observation group(44 cases,2 dropped out)and a control group(44 cases,3 dropped out).The observation group received conventional acupuncture plus cluster acupuncture at head points with long retention of needles and the control group,conventional acupuncture alone.The clinical therapeutic effects were compared between the two groups.The visual analog scale(VAS)score and the migraine-specific quality of life questionnaire(MSQ)score were recorded and serum 5-hydroxytryptamine(5-HT)concentration was measured in the two groups before and after treatment.Result The total efficacy rate was 92.9%in the observation group,which was higher than 78.0%in the control group with a statistical significant difference(P<0.05).The VAS score decreased in the two groups after treatment compared with before(P<0.05)and at the follow-up compared with before treatment and after(P<0.05).The VAS score was lower in the observation group than in the control group after treatment and at the follow-up(P<0.05).The MSQ score increased in the two groups after treatment compared with before(P<0.05)and at the follow-up compared with before treatment and after(P<0.01). The MSQ score was higher in the observation group than in the control group after treatment and at the follow-up (P< 0.05). After treatment, serum 5-HT concentration increased in the two groups (P<0.05) and was higher in the observation group than in the control group with a statistical significant difference (P<0.05). Conclusion Cluster acupuncture at head points with long retention of needles based on conventional acupuncture is clinically more effective than conventional acupuncture alone in treating migraine. It can also reduce the severity of pain in migraine patients and is better than conventional acupuncture alone in improving the quality of life and increasing5-HT concentration.

关 键 词：针刺疗法 穴位 头颈部 丛刺 留针 偏头痛 5-羟色胺 视觉模拟量表 偏头痛特异性生活质量问卷 

分 类 号：R246.6[医药卫生—针灸推拿学]