针刺治疗无先兆偏头痛临床随机对照观察

吴家萍; 谷世喆

doi:10.13702/j.1000-0607.2011.02.011

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针刺治疗无先兆偏头痛临床随机对照观察

临床研究 | 更新时间：2023-08-11

- 针刺治疗无先兆偏头痛临床随机对照观察
- Randomized Controlled Clinical Trials for Acupuncture Treatment of Aura-absence Migraine Patients
- 针刺研究 2011年36卷第2期页码：128-131
- 作者机构：
  
  1. 房山区中医医院
  2. 北京中医药大学针灸推拿学院
- 作者简介：
- 基金信息：
- DOI：10.13702/j.1000-0607.2011.02.011
  中图分类号：
- 纸质出版日期：2011
- 稿件说明：
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吴家萍, 谷世喆. 针刺治疗无先兆偏头痛临床随机对照观察[J]. 针刺研究, 2011,36(2):128-131.

WU Jia-ping, GU Shi-zhe1. Randomized Controlled Clinical Trials for Acupuncture Treatment of Aura-absence Migraine Patients[J]. Acupuncture research, 2011, 36(2): 128-131.
吴家萍, 谷世喆. 针刺治疗无先兆偏头痛临床随机对照观察[J]. 针刺研究, 2011,36(2):128-131. DOI： 10.13702/j.1000-0607.2011.02.011.

WU Jia-ping, GU Shi-zhe1. Randomized Controlled Clinical Trials for Acupuncture Treatment of Aura-absence Migraine Patients[J]. Acupuncture research, 2011, 36(2): 128-131. DOI： 10.13702/j.1000-0607.2011.02.011.

摘要

目的:观察针刺治疗无先兆偏头痛的疗效。方法:将60例无先兆偏头痛患者随机分为针刺组30例和对照组30例。针刺组采用针刺治疗

穴取阿是穴、百会、太阳、率谷、风池、本神、列缺

每次留针30 min

每周治疗6次

连续治疗4周;对照组采用口服西比灵治疗

10 mg/次

每晚服用1次

连续治疗4周。分别于治疗前、后采用SF-36生存质量表进行评分

统计偏头痛积分

并对两组的疗效进行评价。结果:两组患者治疗后生存质量各项评分均较治疗前明显提高(P<0.05)

且针刺组治疗后身体功能、生理职能、躯体疼痛3项评分的改善优于对照组(P<0.05)。两组患者治疗后偏头痛积分均较治疗前明显降低(P<0.05)

且针刺组低于对照组(P<0.05)。治疗后针刺组总有效率为63.33%(19/30)

优于对照组的36.67%(11/30)

差异有统计学意义(P<0.05)。结论:针刺治疗能够提高偏头痛患者生存质量

减少头痛发作次数及减轻发作程度

疗效优于口服西比灵。

Abstract

Objective To observe the therapeutic effect of acupuncture therapy for aura-absence migraine.Methods A total of 60 aura-absence migraine outpatients who signed an informed consent participated in the present study.They were randomized into medication group and acupuncture group(n=30/group) according to a randomized number table and their visiting sequence.Patients of acupuncture group were treated by acupuncture of Ashi-point

Baihui(GV20)

Taiyang(EX-HN5)

Shuaigu(GB8)

Fengchi(GB20)

Benshen(GB13) and Lieque(LU7).The acupuncture needles were retained for 30min after "Deqi"

and the treatment was conducted once daily

6 times every week and continuously for 4 weeks.Patients of the medication group were treated with oral administration of Flunarizine(10mg/time

once every night) for 4 weeks.The SF-36 Quality-of-Life Instrument(SF-36) and integral scores of headache were measured before and after the treatment.Results In comparison with the pre-treatment

scores of physical functioning(PF)

role-physical(RP)

bodily pain(BP)

social functioning(SF)

role-emotional(RE)

vitality(VT)

mental-health(MH) and general health(GH) of SF-36 in both medication and acupuncture groups were increased significantly(P<0.05)

and those of PF

RP and BP of the acupuncture group were significantly higher than the scores of the medication group(P<0.05).The integral scores of headache were decreased significantly in both medication group and acupuncture group(P<0.05)

and those of the acupuncture group were remarkably lower than the scores of the medication group after the treatment(P<0.05).Of the two 30 migraine patients in the medication and acupuncture groups

1(3.33%) and 9(30.00%) were cured

1(3.33%) and 2(6.67%) had a marked improvement in their symptoms

9(30.00%) and 8(26.67%) were effective

19(63.33%) and 11(36.67%) were ineffective

with the total effective rates being 36.67% and 63.33%

respectively.The cure rate and the total effective rate of the acupuncture group were significantly higher than those of the medication group(P<0.05).Conclusion Acupuncture therapy can raise the migraineurs' life quality

lessen the times and severity of headache attack

and its therapeutic effect is superior to that of medication.

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