排针平刺穴位埋线法预防性治疗偏头痛疗效观察

发布时间：2018-01-05 00:30

本文关键词：排针平刺穴位埋线法预防性治疗偏头痛疗效观察　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：透过临床研究观察排针平刺穴位埋线法预防性治疗无先兆偏头痛的疗效,设计治疗组作埋线治疗和对照组作假埋线治疗,排除患者的主观心理因素引起的安慰剂效应对治疗疗效的影响。方法：于南京市中医院脑科门诊及病房收集病例,将符合无先兆偏头痛及预防治疗要求的患者分两组：穴位埋线组(治疗组)49例,假埋线组(对照组)22例。两组均取穴脑空透风池、脑户透风府。穴位埋线组采取埋线法治疗,方法为：①采用穴位埋线法。②患者取俯卧位,双手掌心向下交叠于额头下。③穴位常规消毒后,使用一次性无菌镊子取出2cm长的蛋白线置入埋线针内。④左手掐起脑空周围皮肤以减轻进针时患者痛觉,右手持埋线针与头皮保持15度快速穿透皮肤,及后调整针尖使埋线针保持在帽状腱膜层下平刺向风池穴。⑤然后边退针边推线将蛋白线埋在帽状腱膜下间隙。⑥拔针后马上按压止血。⑦同样的操作方法,在脑空向左右相隔约1.5cm,与脑空透风池的平行位置上埋下蛋白线。⑧同样的操作方法,在脑户穴进针,平刺向风府穴。假埋线组采用假埋线法,方法同穴位埋线组,但埋线针不注线。两组均15天进行一次治疗,共治疗三次。于治疗结束后第4个月进行随访。观察两组在治疗前后的偏头痛疼痛程度、每月发作次数、疼痛持续时间及伴随症状进行综合评分比较疗效,使用SPSS 21.0软件进行处理分析。结果：穴位埋线组的偏头痛疼痛程度、发作频次、疼痛持续时间在治疗前后对比有大幅改善,差异具统计学意义(P0.05),明显优于假埋线组。穴位埋线组的头痛综合评分及疗效评级均优于假埋线组,两组差异具统计学意义(P0.05)。结论：在脑空透风池、脑户透风府进行排针平刺埋线治疗,可能对预防性治疗偏头痛有效果,能减轻其疼痛程度、减低发作次数、持续时间,整体减低头痛综合评分。
[Abstract]:Objective: through the clinical curative effect of observation of pin horizontal Needling Acupoint Catgut Embedding and preventive treatment of migraine without aura, the design of treatment group and control group for embedding in the treatment of false catgut embedding therapy and placebo effects caused by the exclusion of subjective psychological factors of the patients of treatment. Methods: in Nanjing City hospital outpatient and ward collected cases of brain that will meet the requirements and the prevention and treatment of migraine without aura were divided into two groups: acupoint catgut implantation group (treatment group) 49 cases, sham embedding group (control group) 22 cases. Two groups were acupointed brain empty through naohu ventilated house. Fengchi, acupoint catgut embedding group adopted catgut embedding treatment. Methods: 1. The acupoint catgut embedding method. The patients in the prone position, hands palm down overlapping on the forehead. The acupoint after routine disinfection, the use of disposable sterile tweezers to remove protein 2cm into the long line. The left hand thread needle pinch from the empty brain surrounding skin In order to reduce the needle pain patients, the right hand holding a catgut embedding needle and scalp 15 degrees rapidly penetrate the skin, and after adjustment to maintain needle catgut embedding needle in the subgaleal layer. The horizontal needling Fengchi to the edge and edge needle to push the line will be buried in the protein line gap subgaleal. Press the needle immediately. The operation method of hemostasis. Similarly, a distance of about 1.5cm to the left and right brain in the empty position in parallel with the air permeability of the brain Fengchi buried protein. The operation method of the same line, the needle in the brain toana, flat thorn wind acupuncture point group was sham. Sham embedding catgut embedding method with catgut embedding group however, a catgut embedding needle not the filling line. The two groups were 15 days for a treatment, treatment for three times. After the end of treatment were followed up for fourth months. In the two groups were observed before and after treatment of migraine pain, monthly episodes, duration of pain and symptoms associated with comprehensive score to compare the efficacy, the use of SPSS Analysis of 21 software. Results: acupoint catgut embedding group migraine pain, seizure frequency, duration of pain are greatly improved in comparison before and after treatment, the difference was statistically significant (P0.05), significantly better than the sham embedding group. Headache scores and efficacy rating of acupoint catgut embedding group were better than sham embedding group, with the difference between the two groups statistical significance (P0.05). Conclusion: penetrating Fengchi in brain, brain ventilation house households thrust needle catgut embedding therapy, may have the effect of prophylactic treatment of migraine, can reduce the pain degree, reduce attack frequency, duration, reduce the overall headache scores.

【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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