刺络放血结合针刺治疗无先兆偏头痛的临床随机对照研究

发布时间：2019-06-11 00:11

【摘要】：目的：观察刺络放血结合针刺与常规针刺治疗无先兆偏头痛的临床疗效,并比较二者差异,研究刺络放血疗法在治疗无先兆偏头痛中的优势,为临床治疗提供更多的方案。方法：将64例无先兆偏头痛受试者随机分为治疗组和对照组,两组各32例。治疗组采用刺络放血结合针刺,刺络放血治疗隔日1次,3次为一个疗程,疗程间休息2天,共治疗4个疗程;针刺治疗每日1次,5次为一个疗程,疗程间休息2天,共治疗4个疗程。对照组采用常规针刺,每日1次,5次为一个疗程,疗程间休息2天,共治疗4个疗程。分别于治疗前、治疗后及随访期对两组头痛情况进行评价。疗效评价指标包括每月头痛发作次数、视觉模拟评分(VAS)、偏头痛-特异生活质量问卷(MSQOL)评分、抑郁自评量表(SDS)评分和焦虑自评量表(SAS)评分。结果：1.两组基线资料：性别、年龄、病程、头痛发作次数、VAS评分、MSQOL评分、SDS评分、SAS评分之间比较,差异无统计学意义(P0.05),二者具有可比性。2.组间比较：治疗后与随访期,两组间头痛发作次数、VAS评分、MSQOL评分、SDS评分、SAS评分之间比较,差异均具有统计学意义(P0.05)。3.组内比较：两组组内在治疗前与治疗后,头痛发作次数、VAS评分、MSQOL评分、SDS评分、SAS评分比较,差异均有统计学意义(P0.05)。治疗组治疗后与随访期比较,头痛发作次数、VAS评分、MSQOL评分、SDS评分、SAS评分比较,差异无统计学意义(P0.05)。对照组治疗后与随访期比较,头痛发作次数、MSQOL评分比较,差异有统计学意义(P0.05);VAS评分、SDS评分、SAS评分比较,差异无统计学意义(P0.05)。结论：1.刺络放血结合针刺能有效治疗无先兆偏头痛,且可提高受试者生活质量及改善焦虑抑郁状态。2.刺络放血结合针刺在减少偏头痛的头痛发作次数、减轻疼痛程度、提高生活质量及改善焦虑抑郁状态方面具有较好的远期疗效。
[Abstract]:Objective: to observe the clinical efficacy of acupuncture combined with acupuncture and routine acupuncture in the treatment of migraine without threatened migraine, and to compare the difference between them, so as to study the advantages of acupuncture and bloodletting therapy in the treatment of migraine without threatened migraine, and to provide more schemes for clinical treatment. Methods: 64 subjects without threatened migraine were randomly divided into treatment group (n = 32) and control group (n = 32). The treatment group was treated with acupuncture combined with acupuncture once every other day, 3 times as a course of treatment, 2 days rest between the courses of treatment, a total of 4 courses of treatment; Acupuncture treatment once a day, 5 times as a course of treatment, 2 days rest between the courses of treatment, a total of 4 courses of treatment. The control group was treated with routine acupuncture, once a day, 5 times as a course of treatment, 2 days rest between the courses of treatment, a total of 4 courses of treatment. The headache status of the two groups was evaluated before treatment, after treatment and during follow-up period. The curative effect evaluation indexes included the number of headache attacks per month, visual simulation score (VAS), migraine-specific quality of life questionnaire (MSQOL) score, self-rating depression scale (SDS) score and self-rating anxiety scale (SAS) score. Results: 1. There was no significant difference in baseline data between the two groups: sex, age, course of disease, number of headache attacks, VAS score, MSQOL score, SDS score and SAS score (P 0.05). The two groups were comparable. 2. Comparison between the two groups: after treatment and follow-up period, the number of headache attacks, VAS score, MSQOL score, SDS score, SAS score between the two groups, the difference was statistically significant (P 0.05). Intra-group comparison: there were significant differences in the number of headache attacks, VAS score, MSQOL score, SDS score and SAS score between the two groups before and after treatment (P 0.05). After treatment, there was no significant difference in headache attack frequency, VAS score, MSQOL score, SDS score and SAS score between the treatment group and the follow-up period (P 0.05). Compared with the follow-up period, the number of headache attacks and MSQOL score in the control group after treatment were significantly different (P 0.05); VAS score, SDS score, SAS score, the difference was not statistically significant (P 0.05). Conclusion: 1. Acupuncture and bloodletting combined with acupuncture can effectively treat migraine without warning, and can improve the quality of life and anxiety and depression of the subjects. 2. Acupuncture combined with acupuncture has a good long-term effect on reducing the number of migraine headaches, reducing the degree of pain, improving the quality of life and improving anxiety and depression.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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