齐刺率谷穴治疗无先兆偏头痛急性发作即刻镇痛效应的临床疗效观察

发布时间：2018-01-01 07:19

本文关键词：齐刺率谷穴治疗无先兆偏头痛急性发作即刻镇痛效应的临床疗效观察　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过对古籍的整理和临床研究的观察,初步评价齐刺率谷穴对无先兆偏头痛急性发作期的即刻镇痛疗效。方法:将符合纳入标准的病例随机分为治疗组和对照组,每组各30例受试者。治疗组采用齐刺法针刺患侧率谷穴,常规针刺太阳,风池,外关,侠溪,丝竹空透刺向率谷的方法治疗;对照组则采用常规针刺太阳,风池,外关,侠溪,丝竹空透刺向率谷的方法治疗。两组只在急性发作期针刺1次,针刺前后分别进行简式McGill疼痛量表的数据采集和整理,通过对比对两组疗效进行评估。结果:1.对比治疗前和治疗后40分钟两组McGill评分,均有不同程度缓解(P0.05),且在简式McGill疼痛量表各项评分方面,齐刺组明显优于对照组,差异具有统计学意义(P0.05);而治疗前和治疗后10、20分钟两组McGill各项评分方面,两组差异无统计学意义(P0.05)。2.治疗组总有效率93.33%;对照组总有效率80%。两组临床疗效之间差异具有统计学意义(P0.05)。结论:1.齐刺率谷穴对无先兆偏头痛受试者有即刻镇痛效应,时程在40min即刻镇痛效应明显。2.经齐刺率谷穴治疗的无先兆偏头痛受试者在McGill量表的疼痛感觉项、情感项、视觉模拟项及现时疼痛强度评分均得到不同程度改善,临床疗效较普通针刺治疗偏头痛显著。
[Abstract]:Objective: to observe the arrangement of ancient books and clinical research. Objective: to evaluate the immediate analgesic effect of Ziziru acupoint on acute attack stage of migraine without aura. Methods: the patients who met the inclusion criteria were randomly divided into two groups: treatment group and control group. There were 30 subjects in each group. The treatment group was treated with Qi needling method to prick the points of the affected side, routine acupuncture to the Sun, Fengchi, Waiguan, Xiaxi, silk bamboo hollow penetration rate valley; The control group was treated with routine acupuncture of the sun, Fengchi, Waiguan, Xiaxi, Xianzhu empty penetration rate valley, the two groups were only acupuncture once in the acute attack period. The data of simple McGill pain scale were collected and sorted before and after acupuncture. Results: 1. Compare the McGill scores before treatment and 40 minutes after treatment, there was different degree of remission (P0.05). And in the simple McGill pain scale, the acupuncture group was better than the control group, the difference was statistically significant (P 0.05). However, there was no significant difference in the scores of McGill between the two groups before treatment and 10 ~ 20 minutes after treatment. The total effective rate of the treatment group was 93.33; The total effective rate of the control group was 80. The difference between the two groups was statistically significant (P 0.05). Conclusion: 1. The acupuncture rate of Qi Gu has an immediate analgesic effect on the subjects with no aura migraine. The analgesic effect was obvious at 40 minutes. 2. The pain sensation and emotion of the subjects without aura migraine treated by the prick rate of Gu points in McGill scale. The visual analogue item and the present pain intensity score were improved to some extent, and the clinical effect was significantly better than that of common acupuncture in treating migraine.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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