割治法治疗偏头痛疗效与对侧取穴关系的研究

发布时间：2018-03-24 12:44

本文选题：割治法　切入点：偏头痛　出处：《长春中医药大学》2013年硕士论文

【摘要】：目的：通过研究“割治法”治疗偏头痛疗效与对侧取穴的关系，证实割治法治疗偏头痛的疗效是否与取穴位置（同侧取穴、异侧取穴）相关，以进一步完善割治法治疗偏头痛的技术操作规范，提高其疗效。方法：本研究采用前瞻性随机对照的研究方法，分为割治同侧治疗组、割治对侧治疗组，观察偏头痛病例60例（每组30例），，通过统计学处理观察两组疗效差异，并对其有效性及安全性作出客观评价。结果：两组总有效率分别为96.7%及90%，P值0.01；治愈率分别为73.3%及60%，P值0.01；半年复发率分别为9.1%及16.7%，P值0.01，有明显统计学意义，说明对侧取穴割治法治疗偏头痛的疗效显著优于同侧取穴割治法。两组头痛症状比较：对侧取穴割治法治疗偏头痛在改善头痛发作次数、持续时间、疼痛程度及伴随症状方面均优于同侧取穴割治法。对侧取穴割治法治疗偏头痛对心率、血压、血尿常规及肝肾功能均无不良影响。结论：对侧取穴割治法治疗偏头痛的疗效明显优于同侧取穴割治法，该方法治疗偏头痛简、便、验、廉，值得在临床进一步推广和使用。
[Abstract]:Objective: to study the relationship between the curative effect of "cutting and treating" for migraine and the contralateral point extraction, and to confirm whether the curative effect of cutting treatment on migraine is related to the location of the point (the same side point, the other side point). To further improve the cutting method for migraine treatment of technical specifications, improve its efficacy. Methods: a prospective randomized controlled study was conducted and divided into two groups: the ipsilateral group and the contralateral group. 60 cases of migraine were observed (30 cases in each group), and the difference of curative effect between the two groups was observed by statistical analysis. And the effectiveness and safety of the objective evaluation. Results: the total effective rate was 96. 7% and 90% P value was 0.01, the cure rate was 73. 3% and 60% P value was 0. 01, the recurrence rate in half a year was 9. 1% and 16. 710% P value, respectively. The results showed that the treatment of migraine with contralateral acupoint cutting was significantly better than that of ipsilateral acupoint cutting. Comparison of headache symptoms between the two groups: the treatment of migraine by contralateral acupoint cutting was used to improve the frequency and duration of migraine attack. The degree of pain and associated symptoms were better than that of the ipsilateral acupoint cutting method, and the contralateral acupoint cutting treatment for migraine caused by heart rate and blood pressure. Conclusion: the treatment of migraine by contralateral acupoint cutting is better than that by ipsilateral acupoint cutting. Headache simple, stool, test, cheap, worthy of further clinical promotion and use.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.6

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