平衡针疗法治疗无先兆偏头痛随机对照研究

发布时间：2018-06-22 13:25

本文选题：无先兆偏头痛 + 平衡针灸　；参考：《中国针灸》2017年08期

【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P0.05),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P0.05),但随访时VAS评分高于治疗后(P0.05)。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P0.05)。观察组治疗后及随访时上述指标均低于对照组(均P0.05)。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P0.05),而治疗后与随访时差值组间比较差异无统计学意义(均P0.05)。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。
[Abstract]:Objective: to evaluate the clinical effect of balanced acupuncture in the treatment of migraine without aura. Methods: in this study, 40 patients with no aura migraine were randomly divided into two groups: the control group (n = 19) and the control group (n = 19). The observation group took the headache point (the middle point of the first metatarsal bone combined with the anterior depression) and the control group took the corresponding false acupoint (the middle point of the third metatarsal bone combined with the anterior depression). The two groups were treated with the same needling method, once a day, 5 times a week, for 4 weeks. Comprehensive score and visual analogue pain scale (VAS) were evaluated before, after and 4 weeks after treatment. Results: after treatment, the comprehensive score and VAS score of the observation group were lower than those before treatment (P0.05), the cumulative headache duration and the times of headache attack per month were lower than those before treatment (P0.05), but the VAS score at follow-up was higher than that after treatment (P0.05). In the control group, there was no significant difference between the above indexes after treatment and follow-up (P0.05). The above indexes in the observation group were lower than those in the control group after treatment and follow-up (P0.05). The difference between the two groups before and after treatment, the comprehensive score before and after treatment and the VAS score were higher in the observation group than in the control group (P0.05), but there was no significant difference between the two groups after treatment and follow-up (P0.05). Conclusion: the treatment of migraine without aura is effective and can obviously improve the degree of headache.
【作者单位】：广州中医药大学第二附属医院急诊科;北京军区总医院全军平衡针灸中心;
【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
【分类号】：R246.6

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