三棱针赞刺治疗偏头痛的临床疗效观察

发布时间：2018-10-26 11:16

【摘要】：目的:观察并对比三棱针赞刺配合普通针刺与单纯普通针刺治疗偏头痛的临床疗效,为临床提供一种安全有效的偏头痛治疗方案。方法:根据临床纳入标准选取偏头痛的患者60例,按照随机数字表法分为两组,即治疗组和对照组,每组30例。治疗组给予三棱针赞刺配合普通针刺,放血频率是每周1次,普通针刺每天1次,连续治疗6天后休息1天,此为1个疗程。对照组单纯给予普通针刺治疗,普通针刺每天1次,连续治疗6天后休息1天,此为1个疗程。每组4个疗程。分别于治疗前和首次治疗后1h观察两组患者VAS评分变化,于治疗前和总疗程结束后观察两组患者的头痛积分变化,运用统计学方法进行分析处理。结果:1.两组患者的性别、年龄、病程等一般资料无统计学差异(P0.05),两组间的一般资料具有可比性。2.即刻镇痛效果:两组患者治疗前的VAS评分无统计学差异(P0.05),具有可比性。两组患者首次治疗1h后VAS评分较治疗前均有明显改善(P0.05)。治疗组和对照组首次治疗前后VAS评分下降程度进行对比,治疗组评分下降程度大于对照组(P0.05),说明治疗组即刻止痛效果优于对照组。3.临床疗效:两组患者治疗前头痛积分无统计学差异(P0.05),具有可比性。经过4个疗程治疗,两组患者头痛积分下降程度明显(P0.05),治疗组评分下降程度大于对照组(P0.05)。治疗组总有效率为93.33%,对照组总有效率为83.33%,经Ridit分析两组间差异有统计学意义,说明治疗组的疗效优于对照组。结论:1.三棱针赞刺配合普通针刺和普通针刺均有较快的止痛效果,可以降低发作次数、减轻疼痛程度并减少疼痛持续时间。2.三棱针赞刺配合普通针刺的即刻止痛效果和总体治疗效果均优于单纯普通针刺。
[Abstract]:Objective: to observe and compare the clinical effect of Zanzan acupuncture combined with common acupuncture and simple common acupuncture on migraine, and to provide a safe and effective treatment scheme for migraine. Methods: 60 patients with migraine were randomly divided into two groups: treatment group and control group. The treatment group was treated with Zan prick and common acupuncture, the bleeding frequency was once a week, the common acupuncture was once a day, and after 6 days of continuous treatment, the treatment group had a rest for one day, which was a course of treatment. The control group was treated with common acupuncture once a day for 6 days and then rested for 1 day, which was a course of treatment. Each group had 4 courses of treatment. The changes of VAS score were observed before treatment and 1 hour after the first treatment. The headache scores of the two groups were observed before treatment and after the total course of treatment, and were analyzed by statistical method. The result is 1: 1. Gender, age, course of disease and other general data of the two groups have no statistical difference (P0.05), the general data between the two groups are comparable. 2. Immediate analgesic effect: there was no significant difference in VAS scores between the two groups before treatment (P0.05), which was comparable. The VAS scores of the two groups were significantly improved 1 h after the first treatment (P0.05). Compared with the control group before and after the first treatment, the VAS score of the treatment group decreased more than the control group (P0.05), which indicated that the immediate pain relief effect of the treatment group was better than that of the control group. 3. Clinical efficacy: there was no significant difference in headache score between the two groups before treatment (P0.05), which was comparable. After four courses of treatment, the headache score of the two groups decreased significantly (P0.05), the treatment group score decreased more than the control group (P0.05). The total effective rate of the treatment group was 93.33 and the total effective rate of the control group was 83.33. The difference between the two groups was statistically significant by Ridit analysis, which indicated that the curative effect of the treatment group was better than that of the control group. Conclusion: 1. Zan acupuncture combined with common acupuncture and common acupuncture has a faster analgesic effect, which can reduce the number of seizures, reduce the degree of pain and reduce the duration of pain. 2. The immediate analgesic effect and overall therapeutic effect of Zan acupuncture combined with common acupuncture are superior to that of simple acupuncture.
【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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