浅刺针法治疗肝阳上亢型偏头痛的临床研究

发布时间：2019-01-19 21:18

【摘要】：目的:本研究分别使用浅刺针法或口服西药西比灵治疗肝阳上亢型偏头痛,观察两者的临床疗效,探讨浅刺针法在治疗肝阳上亢型偏头痛的临床优势,以期为肝阳上亢型偏头痛的临床治疗提供借鉴与参考。方法:收集符合纳入标准的肝阳上亢型偏头痛患者60例,按照随机数字表法随机分为治疗组(浅刺针法组)和对照组(口服西医药组)。治疗组通过浅刺针法进行治疗,主要取穴:太溪(双)、太冲(双)、颞三针(患侧)。对照组予口服药物西比灵(盐酸氟桂利嗪胶囊)进行治疗。两组患者均严格遵照医嘱进行治疗2个疗程。在治疗前和治疗后均对所有受试者进行视觉模拟评分(VAS)和《中药新药临床指导原则》中头痛的发作次数、持续时间、疼痛程度和伴随症状的评估,用于评价偏头痛的严重程度情况。结果:1、视觉模拟评分(VAS)比较:经过治疗后,两组受试者偏头痛的疼痛指数均有显著下降,且浅刺针法组VAS评分显著低于口服西药组。2、《中药新药临床指导原则》中相关指标比较:经过治疗后,两组受试者偏头痛的疼痛程度明显减轻、发作次数明显减少、持续时间明显下降、伴随症状明显减少。进一步分析显示,治疗后,两组受试者在偏头痛的发作次数、持续时间、伴随症状方面无显著性差异(P0.05);而治疗后浅刺针法组的疼痛程度和总分评分显著低于口服西药组(P0.05)。3、临床疗效比较:经过2个疗程治疗后,浅刺针法组临床治愈率13.33%,显效率30.00%,有效率46.67%,无效率10.00%,总有效率90.00%;口服西药组临床治愈率6.67%,显效率13.33%,有效率56.67%,无效率23.33%,总有效率76.67%。两组的综合疗效比较,差异具有统计学意义(P0.05),提示浅刺针法组的治疗效果显著优于口服西药组。结论:以浅刺针法为主的治疗方法能明显改善肝阳上亢型偏头痛患者的临床症状,并且安全性高,疗效优于口服西药的治疗方法,临床上值得推广应用。
[Abstract]:Objective: to observe the clinical effect of superficial needling or oral western medicine sibelium in the treatment of hyperactive migraine of liver-yang, and to explore the clinical advantages of superficial needling in the treatment of liver-yang hyperactive migraine. In order to provide reference and reference for the clinical treatment of liver yang hyperactivity migraine. Methods: 60 cases of migraine with liver yang hyperactivity were collected and randomly divided into treatment group (superficial needling group) and control group (oral medicine group). The treatment group was treated by superficial needling. The main points were Taixi (double), Taichong (double) and temporal three acupuncture (affected side). The control group was treated with sibelium hydrochloride (flunarizine hydrochloride capsule). Patients in both groups were treated for 2 courses in strict accordance with the doctor's orders. Before and after treatment, all subjects were assessed for the number, duration, pain degree and accompanying symptoms of headache by visual analogue score (VAS) and the Clinical guidelines for traditional Chinese Medicine (TCM). Used to evaluate the severity of migraine. Results: 1. Comparison of visual analogue score (VAS): after treatment, the pain index of migraine was significantly decreased in both groups, and the VAS score of shallow needling group was significantly lower than that of oral western medicine group. Comparison of related indexes in Clinical guidelines of traditional Chinese Medicine: after treatment, the pain degree of migraine in the two groups was obviously alleviated, the number of attacks was obviously reduced, the duration was obviously decreased, and the accompanying symptoms were obviously decreased. Further analysis showed that after treatment, there was no significant difference in the number of migraine attacks, duration and accompanying symptoms between the two groups (P0.05). But after treatment, the pain degree and total score of shallow needling method group were significantly lower than that of oral western medicine group (P0.05). The clinical curative effect was compared: after two courses of treatment, the clinical cure rate of shallow needling method group was 13.33, and the marked efficiency was 30.00. The effective rate is 46.67, the inefficiency is 10.00, the total effective rate is 90.00; In oral western medicine group, the clinical cure rate was 6.67, the effective rate was 13.33, the effective rate was 56.67, the non-effective rate was 23.333.The total effective rate was 76.67. Compared with the two groups, the difference was statistically significant (P0.05), suggesting that the treatment effect of the shallow needling method group was significantly better than that of oral western medicine group. Conclusion: the clinical symptoms of migraine patients with hyperactivity of liver-yang can be obviously improved by the treatment of superficial needling method, and the efficacy is better than that of oral western medicine, which is worth popularizing in clinic.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

【参考文献】