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。
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 （GV 20）, Taiyang （EX-HN 5）, Shuaigu （GB 8）, Fengchi （GB 20）, Benshen （GB 13 ） and L ieque （LU 7）. The acupuncture needles were retained for 30 m in 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 （10 mg/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 t
出处
《针刺研究》
CAS
CSCD
北大核心
2011年第2期128-131,149,共5页
Acupuncture Research
