“平肝潜阳”针法治疗肝阳上亢型血管性头痛的临床观察

发布时间：2018-04-02 23:01

本文选题：平肝潜阳针法　切入点：血管性头痛　出处：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:本研究采用"平肝潜阳"针法治疗肝阳上亢型血管性头痛,观察平肝潜阳针法的临床疗效。方法:将符合纳入标准的60例肝阳上亢型血管性头痛患者按照随机数字表法分为两组,即治疗组(30例)和对照组(30例)。治疗组采用"平肝潜阳"针法治疗,每次留针50min,每天针刺1次,7天为1个疗程,共治疗3个疗程;对照组患者采用常规针刺法治疗,每次留针50min,每天针刺1次,7天为1个疗程,共治疗3个疗程。对比治疗组和对照组治疗前后的头痛积分、中医证侯评分,评定平肝潜阳针法的临床疗效与优势。结果:1、两组患者治疗前后头痛积分比较治疗前后,两组自身前后比较,P＜0.01,均有显著差异,说明两组头痛治疗方式均可取得显著疗效。治疗前,两组比较,P＞0.05,两组无显著性差异,具有可比性;治疗后,两组比较,P＜0.05,说明"平肝潜阳"针刺法治疗明显优于常规针刺治疗。2、两组治疗前后中医证候评分比较治疗前,两组在中医证候评分均无明显差异,P＞0.05,具有可比性。治疗后,两组均明显下降,P＜0.01,提示两组治疗效果都非常显著;在头痛发作次数和持续时间方面,两组比较,P＞0.05,治疗组和对照组无明显差异;在伴随症状和头痛程度方面,两组有显著差异P＜0.05,所以在伴随症状、头痛程度上治疗组疗效优于对照组。3、两组中医证候疗效总有效率比较治疗组和对照组中医证候疗效总有效率有显著差异,P＜0.05,治疗组优于对照组。结论:1、"平肝潜阳"针法治疗肝阳上亢型血管性头痛疗效显著,明显缓解患者临床症状。2、"平肝潜阳"针法在伴随症状和头痛程度方面明显优于常规针刺组。
[Abstract]:Objective: to study the clinical effect of "calming the liver and Qianyang" acupuncture method in the treatment of vascular headache with hyperactivity of liver yang.Methods: sixty patients with hyperactivity of liver-yang vascular headache were divided into two groups according to random digital table: treatment group (n = 30) and control group (n = 30).The treatment group was treated with "Pinggan Qianyang" acupuncture for 50 minutes, acupuncture once a day for 7 days as a course of treatment, while the control group was treated with routine acupuncture for 50 minutes, acupuncture once a day for 7 days as a course of treatment, the control group was treated with routine acupuncture for 50 minutes, and acupuncture once a day for 7 days as a course of treatment.There were 3 courses of treatment.The headache score and TCM syndrome score before and after treatment were compared between the treatment group and the control group, and the clinical efficacy and advantage of Pinggan Qianyang acupuncture were evaluated.Results there were significant differences in headache score between the two groups before and after treatment (P < 0.01).There was no significant difference in TCM syndrome score between the two groups (P > 0.05), which was comparable.After treatment, both groups were significantly decreased (P < 0.01), indicating that the effect of treatment in both groups was very significant, in terms of the frequency and duration of headache attack, there was no significant difference between the treatment group and the control group in terms of the frequency and duration of headache attack, and there was no significant difference between the treatment group and the control group in the accompanying symptoms and the degree of headache.There was a significant difference between the two groups (P < 0.05).The total effective rate of TCM syndrome in the treatment group was better than that in the control group (P < 0.05), and the total effective rate of TCM syndromes in the treatment group was better than that in the control group (P < 0.05).ConclusionThe acupuncture therapy of "calming the liver and burifying yang in the liver" is effective in the treatment of vascular headache with hyperactivity of liver-yang, and can obviously relieve the clinical symptoms of the patients. The acupuncture of "Pinggan Qianyang" is superior to the routine acupuncture group in concomitant symptoms and headache degree.
【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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