三因止痛方结合针灸治疗偏头痛的临床效果观察  

Clinical Effect of Sanyin Zhitong Prescription(三因止痛方)Combined with Traditional Chinese Medicine Acupuncture on Migraine

作　　者：赵元琛 周围 程一升 ZHAO Yuanchen;ZHOU Wei;CHENG Yisheng(Wenzhou Combined Hospital of Traditional Chinese and Western Medicine,Wenzhou 325000,Zhejiang,China)

机构地区：[1]温州市中西医结合医院,浙江温州325000

出　　处：《中华中医药学刊》2025年第3期129-132,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号);温州市科研项目(Y2020437)。

摘　　要：目的探讨三因止痛方结合针灸治疗有外感诱因偏头痛临床效果。方法研究总计纳入神经内科收治的有外感诱因偏头痛患者90例进行分组(2022年6月—2023年6月),分组方法为随机数字表法,将其平均分为观察组(45例)与对照组(45例),对照组患者均采用氟桂利嗪进行治疗,观察组患者在对照组患者药物治疗基础上结合三因止痛方及针灸治疗,观察各组患者临床数据:治疗后临床疗效、治疗前后患者中医症候(头痛、胁肋胀痛、失眠多梦、心烦易怒、头晕目眩、喜叹息等)积分变化以及视觉模拟疼痛评分法(Visual Analogue Scale,VAS)评分变化、治疗前后每月头痛发生频率与每次头痛持续时间变化及患者生活质量评分(Medical Outcomes Study 36-Item Short-Form Health Survey,SF-36)变化、不良反应情况。结果观察组患者临床治疗总有效率(95.56%)显著高于对照组患者(80.00%),P<0.05;治疗前各组患者中医症候(头痛、胁肋胀痛、失眠多梦、心烦易怒、头晕目眩、喜叹息等)积分、VAS评分、每月头痛发生频率与每次头痛持续时间、SF-36评分等指标比较,P>0.05,治疗后各组患者中医症候(头痛、胁肋胀痛、失眠多梦、心烦易怒、头晕目眩、喜叹息等)积分、VAS评分、每月头痛发生频率与每次头痛持续时间、SF-36评分等指标显著改善,观察组患者治疗后中医症候(头痛、胁肋胀痛、失眠多梦、心烦易怒、头晕目眩、喜叹息等)积分、VAS评分、每月头痛发生频率与每次头痛持续时间、SF-36评分等指标明显优于对照组患者,P<0.05;观察组与对照组患者不良反应率分别为2.22%、4.44%,P>0.05。结论三因止痛方结合针灸治疗偏头痛临床效果良好,患者疼痛缓解,症状改善,生活质量提升,治疗不良反应少,治疗较为安全、可靠,值得进行应用。Objective To explore the clinical effect of Sanyin Zhitong Prescription(三因止痛方)combined with traditional Chinese acupuncture on migraine by external factors.Methods A total of 90 migraine patients by external factors admitted to the Department of Neurology from June 2022 to June 2023 were divided into two groups(observation group,45 cases)and (control group,45 cases)by random number table method.All patients in the control group were treated with flunarizine.The observation group combined with Sanyin Zhitong Prescription and traditional Chinese acupuncture on the basis of drug treatment treatment.The clinical data of patients in each group was observed,including clinical efficacy after treatment,changes in scores of TCM symptoms(headache,distension and pain,insomnia and dreaminess,irritability,dizziness,sighing,etc.)before and after treat-ment,changes in visual analogue pain scale(VAS)score,changes in monthly headache frequency and duration of each headache before and after treatment,changes in patients'quality of life score[Medical Outcomes Study 36-Item Short-Form Health Sur-vey(SF-36)]and adverse reactions.Results The total effective rate of the observation group(95.56%)was significantly higher than that of control group(80.00%)(P<0.05).Before treatment,the scores of TCM symptoms(headache,hypochondrial dis-tending pain,insomnia and dreaminess,irritability,dizziness,sighing,etc.),VAS score,monthly frequency of headache occur-rence,duration of each headache,SF-36 score and other indicators were significant between two groups(P>0.05).After treat-ment,the scores of TCM symptoms(headache,distension and pain,insomnia and dreaminess,irritability,dizziness,sighing,etc.),VAS scores,monthly headache frequency,duration of each headache,SF-36 scores and other indicators were significantly im-proved in each group.After treatment,the scores of TCM symptoms(headache,hypochondrial pain,insomnia and dreaminess,irri-tability,dizziness,sighing,etc.),VAS scores,monthly frequency of headache and duration of each headache

关 键 词：偏头痛 针灸 三因止痛方 氟桂利嗪 疗效 疼痛 

分 类 号：R277.7[医药卫生—中医学] R245.31