摘要
目的分析天麻钩藤饮加减配合针刺放血在肝阳上亢证偏头痛患者中的治疗效果。方法随机选取2022年11月—2023年3月龙口市中医医院收治的60例肝阳上亢证偏头痛患者,按随机数表法分为两组,各30例。对照组进行常规西医+针刺放血治疗,观察组加用天麻钩藤饮加减治疗,连续治疗4周。对比两组临床疗效、脑部血流状态、头痛程度、头痛控制情况、不良反应。结果观察组治疗总有效率为93.33%,高于对照组的73.33%,差异有统计学意义(χ^(2)=4.320,P<0.05);治疗后,观察组大脑前动脉、大脑中动脉、大脑后动脉、椎动脉、基底动脉血流速度与视觉模拟疼痛评分法评分低于对照组,头痛发作次数少于对照组,头痛持续时间短于对照组,差异有统计学意义(P均<0.05);两组不良反应对比,差异无统计学意义(P>0.05)。结论天麻钩藤饮加减配合针刺放血治疗肝阳上亢证偏头痛患者效果显著,可改善其脑部血流状态,减轻头痛,且不良反应较少。
Objective To analyze the therapeutic efficacy of Tianma Goutengyin plus reduction together with acupuncture and bloodletting in patients with migraine with liver-Yang upper hyperactivity evidence.Methods Sixty migraine patients with liver-Yang upper hyperactivity evidence admitted to Longkou Hospital of Traditional Chinese Medicine from November 2022 to March 2023 were randomly selected and divided into two groups of 30 patients each according to the randomized numerical table method.The control group was treated with conventional Western medicine+acupuncture and bloodletting,and the observation group was treated with the addition of Tianma Goutengyin plus reduction for 4 consecutive weeks.The clinical efficacy,cerebral blood flow status,headache degree,headache control and adverse reactions of the two groups were compared.Results The total effective rate of treatment in the observation group was 93.33%,higher than that of 73.33%in the control group,and the difference was statistically significant(χ^(2)=4.320,P<0.05).After treatment,the blood flow velocity of anterior cerebral artery,middle cerebral artery,posterior cerebral artery,vertebral artery and basilar artery and visual analogue scale score of the observation group were lower than those of the control group,and the number of headache episodes was less than that of the control group,and the duration of headache was shorter than that of the control group,and the differences were statistically significant(all P<0.05).There was no statistically significant difference in adverse reactions between the two groups(P>0.05).Conclusion The effect of Tianma Goutengyin plus reduction with acupuncture and bloodletting in the treatment of migraine patients with liver-Yang upper hyperactivity evidence is remarkable,which can improve their cerebral blood flow status,reduce headache,and have fewer adverse reactions.
作者
贾洪斌
JIA Hongbin(Department of Traditional Chinese Medicine,Longkou Hospital of Traditional Chinese Medicine,Yantai,Shandong Province,265700 China)
出处
《中外医疗》
2024年第2期1-4,共4页
China & Foreign Medical Treatment
关键词
偏头痛
肝阳上亢证
天麻钩藤饮
针刺放血
血流状态
Migraine
Liver-Yang upper hyperactivity evidence
Tianma Goutengyin
Acupuncture and bloodletting
Blood flow status
