摘要
目的:评价平衡针疗法治疗无先兆偏头痛的临床疗效。方法:本研究采用评价者盲法、随机对照试验设计,将40例无先兆偏头痛患者随机分为观察组和对照组,每组脱落1例,各19例。观察组穴取头痛穴(足背第1、2跖骨结合前凹陷处中点),对照组取对应的假穴位(足背第3、4跖骨结合前凹陷处中点),两组采用相同刺法,每天1次,每周5次,共治疗4周。于治疗前、后和治疗后4周随访时进行患者综合评分和疼痛视觉模拟量表(VAS)评分。结果:观察组治疗后综合评分及VAS评分均较治疗前降低(均P<0.05),累计头痛持续时间及头痛每月发作次数亦均低于治疗前(均P<0.05),但随访时VAS评分高于治疗后(P<0.05)。对照组治疗后及随访时上述指标均较治疗前差异均无统计学意义(均P>0.05)。观察组治疗后及随访时上述指标均低于对照组(均P<0.05)。两组患者治疗前后差值、治疗前与随访时差值综合评分与VAS评分组间比较,观察组均高于对照组(均P<0.05),而治疗后与随访时差值组间比较差异无统计学意义(均P>0.05)。结论:平衡针疗法针刺头痛穴治疗无先兆偏头痛的疗效显著,能明显改善头痛程度。
Objective To assess the effect of balance acupuncture for migraine without aura. Methods Blind evaluation was conducted. Forty patients with migraine without aura were randomized into an observation group and a control group, 19 cases in each one with 1 patient dropped out respectively. In the observation group, Toutongxue, the middle point was used in the hollow before the 1, 2 metatarsal combination, and in the control group, a sham point was applied in the hollow before the 3, 4 metatarsal combination. The manipulation in the two groups was the same. The treatment was given for 4 weeks, once a day, 5 times a week. The comprehensive score and visual analogue scale （VAS） were used before and after treatment, as well as 4 weeks after treatment. Results The comprehensive score and VAS score after treatment in the observation group decreased after treatment （both P〈 0.05）, of which the total headache time and attack number for one month were lower than those before treatment （both P〈 0.05）, but at follow-up the VAS score was higher than that after treatment （P〈 0.05）. The above indices in the control group were not significantly different from those before treatment （all P〉 0.05）. All the indices in the observation group after treatment and at follow-up were lower than those in the control group （all P〈 0.05）. The different values for the comprehensive score and VAS score before and after treatment, before treatment and at follow-up in the observation group were better than those in the control group （all P〈 0.05）. The different values after treatment and at follow-up had no significant difference between the two groups （both P〉 0.05）. Conclusion Balance acupuncture at Toutongxue achieves obvious effect for migraine without aura, which can relieve pain.
出处
《中国针灸》
CAS
CSCD
北大核心
2017年第8期805-809,共5页
Chinese Acupuncture & Moxibustion
基金
广东省科技厅项目:2012 B061700109
王文远学术经验传承工作室项目:E43730
广东省中医院青年中医人才项目:E45212
关键词
无先兆偏头痛
平衡针灸
随机对照试验
migraine without aura
balance acupuncture
randomized controlled trial （RCT）
作者简介
王进忠（1982-），男，广州中医药大学2013级中医内科学同等学历在职博士研究生。E-mail：wjz2082@163．com
通信作者：覃小兰（1963-），女，主任医师、教授。研究方向：中西医结合内科及中医特色疗法临床应用与研究。E-mail：lanxqin@126．com
