摘要
目的:优选偏头痛针刺即刻镇痛的最佳方案。方法:以36例发作期偏头痛患者为研究对象,采用正交试验设计的方法,应用L9(34)正交表对体穴取穴组合、毫针及电针疗法、耳穴疗法、放血疗法4个因素及其各自不同的3个水平,对发作期偏头痛针刺即刻镇痛效应进行了分析。试验过程中同时应用了随机(分层随机、中心随机)和盲法(评价者盲)的方法。观察时点为治疗前、治疗后10min、20min。疗效评价采用视觉模拟评分法(VAS)。结果:与治疗前相比,在治疗后10min、20min这两个时点,缓解头痛效果最好的针刺方案组合均为:毫针刺法(局部+远端+辨证取穴)+耳穴电针+放血(太阳紫脉或太阳+阿是穴)。结论:在偏头痛发作期,采用局部和远端取穴,再结合辨证取穴进行毫针刺,同时配合耳穴电针以及在太阳紫脉或太阳和阿是穴进行放血治疗,可获得较为理想的即刻镇痛效果。
Objective To select the best solution of immediate analgesia of migraine treated with acupuncture. Methods Taken 36 cases of migraine in attack stage as research objects, by means of orthogonal experimental design, applying the L9 （3^4 ） orthogonal table, the therapeutic effect of immediate analgesia of acupuncture for migraine in attack stage was analyzed in four factors, which were effective aeupoints combination, electroacupuncture therapy, auricular therapy and bloodletting therapy, and three levels of each factors. In the test procession, random approaches （stratified random and central random） and blinding experiment （the appraiser blind） were used. The time points of observation were before treatment,and 10,20 minutes after treatment. Visual Analogue Scale （VAS） was used to evaluate therapeutic effect. Results Comparing with the headache before treatment, at the time points of 10 and 20 minutes after treatment, the best solution for headache relief was needling therapy （local and distal points and points selection according to the differentiation）, auricular electroacupuncture therapy and bloodletting at Tai- yang Zirnai （Extra） or Taiyang （EX-HN 5）and Ashi points. Conclusion In the attack stage of migraine, by the therapy combined with puncture on local and distal points and the points according to the differentiation, auricular electroacupuncture and bloodletting at Taiyang Zirnai or Taiyang （EX-HN 5）and Ashi points, the favorable effects of immediate analgesia are received.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第10期798-801,共4页
Chinese Acupuncture & Moxibustion
基金
中国中医科学院自主选题项目:ZZ2006084
关键词
偏头痛
针刺疗法
电针
耳穴贴压
放血
正交试验
Migrine
Acupuncture Therapy
Electroacupuncture
Auricular Point Sticking
Bloodletting
Or- thogonal Test
作者简介
第一作者：王巧妹（1959-），副主任医师。研究方向：针灸治疗疼痛性疾病、针灸养生保健。E—mail：abl2zhu@sina．com.
