【摘要】：目的:觀察刺血療法結(jié)合電針治療偏頭痛的臨床療效,并與單純電針治療偏頭痛和口服西藥治療偏頭痛對(duì)照,分別比較三種治療方法在首次治療結(jié)束30分鐘后的止痛效果及一個(gè)療程治療結(jié)束、結(jié)束后一個(gè)月、結(jié)束后三個(gè)月的治療效果。方法:本研究對(duì)收集的105例符合要求的偏頭痛患者,隨機(jī)分為刺血結(jié)合電針治療組(觀察組)和單純電針對(duì)照組(電針組),口服西藥對(duì)照組(西藥組),每組均35例。觀察組采用點(diǎn)刺放血結(jié)合電針的方法進(jìn)行治療,單純電針對(duì)照組采用單純電針的方法進(jìn)行治療,口服西藥對(duì)照組采用口服麥角胺咖啡因片和氟桂利嗪進(jìn)行治療,三組均進(jìn)行12天的治療,觀察首次治療結(jié)束30分鐘后的視覺模擬評(píng)分(VAS評(píng)分)及一個(gè)療程治療結(jié)束、結(jié)束后一個(gè)月、結(jié)束后三個(gè)月的頭痛積分,通過治療前后的積分對(duì)比來觀察刺血療法結(jié)合電針治療偏頭痛的療效,比較三種治療方法的療效差異。結(jié)果:1.首次治療結(jié)束30分鐘后:三組患者首次治療結(jié)束30分鐘后VAS評(píng)分顯著下降,但觀察組下降值優(yōu)于電針組和西藥組(p0.01)。2.一個(gè)療程治療結(jié)束:三組頭痛積分顯著下降,但觀察組頭痛積分下降值和總有效率優(yōu)于電針組和西藥組(p0.01)。3.治療結(jié)束1個(gè)月后,三組頭痛積分顯著下降,但觀察組頭痛積分下降值(p0.05)和總有效率(p0.01)優(yōu)于電針組和西藥組。4.治療結(jié)束3個(gè)月后,三組頭痛積分顯著下降,但觀察組頭痛積分下降值(p0.01)和總有效率(p0.05)優(yōu)于電針組和西藥組。5.觀察組治療后1個(gè)月、3個(gè)月療效穩(wěn)定,電針組治療后1個(gè)月療效穩(wěn)定、3個(gè)月療效下降,西藥組治療后1個(gè)月療效穩(wěn)定、3個(gè)月療效穩(wěn)定顯著下降。6.治療期間,觀察組不良反應(yīng)率與電針組相當(dāng)(p0.05),低于西藥組(p0.01)。結(jié)論:1.刺血結(jié)合電針治療、單純電針治療、口服西藥治療三種治療方法對(duì)偏頭痛均有較好的即刻止痛效果,但刺血結(jié)合電針治療偏頭痛的即刻止痛效果明顯優(yōu)于單純電針治療和口服西藥治療。2.刺血結(jié)合電針治療偏頭痛在近期療效、短期療效、中長期療效上都明顯優(yōu)于單純電針治療和口服西藥治療,而且療效持續(xù)穩(wěn)定。3.刺血結(jié)合電針治療偏頭痛療效確切,安全性高,值得推廣。
[Abstract]:Objective: to observe the clinical effect of blood pricking therapy combined with electroacupuncture on migraine, and to compare it with the treatment of migraine by electroacupuncture alone and by oral western medicine. The analgesic effects of the three treatments were compared 30 minutes after the first treatment and one month after the end of a course of treatment and three months after the end of the treatment. Methods: 105 patients with migraine were randomly divided into treatment group (observation group) and electroacupuncture control group (electroacupuncture group) and oral western medicine control group (western medicine group) 35 cases in each group. The observation group was treated by puncturing and bleeding combined with electroacupuncture, the control group was treated by electroacupuncture alone, and the control group by oral administration of ergohydrazine caffeine tablets and flunarizine. The visual analogue score (VAS score) 30 minutes after the first treatment and the headache score of one course of treatment, one month after treatment and three months after the end of the first treatment were observed in all the three groups. The curative effect of blood pricking therapy combined with electroacupuncture on migraine was observed by the integral comparison before and after treatment. The result is 1: 1. 30 minutes after the first treatment, the VAS score of the three groups decreased significantly after the first treatment, but the decreasing value of the observation group was better than that of the electroacupuncture group and the western medicine group (p0.01) .2. At the end of a course of treatment, the headache score of the three groups decreased significantly, but the decreasing value and the total effective rate of the headache score in the observation group were better than those in the electroacupuncture group and the western medicine group (p0.01) .3. One month after the treatment, the headache score of the three groups decreased significantly, but the decreasing value of headache score (p0.05) and the total effective rate (p0.01) in the observation group were better than those in the electroacupuncture group and the western medicine group. After 3 months of treatment, the headache score of the three groups decreased significantly, but the decreasing value of headache score (p0.01) and the total effective rate (p0.05) in the observation group were better than those in the electroacupuncture group and the western medicine group. In the observation group, the curative effect was stable at 1 month and 3 months after treatment. In the electroacupuncture group, the curative effect was stable at 1 month and decreased in 3 months. In the western medicine group, the curative effect was stable at 1 month and decreased significantly at 3 months. During the treatment, the adverse reaction rate in the observation group was similar to that in the electroacupuncture group (p 0.05), and was lower than that in the western medicine group (p 0.01). Conclusion 1. Blood pricking combined with electroacupuncture, simple electroacupuncture and oral western medicine have good immediate analgesic effect on migraine. But the immediate analgesic effect of blood pricking combined with electroacupuncture on migraine was better than that of electroacupuncture alone and oral western medicine. Blood pricking combined with electroacupuncture in the treatment of migraine in the short-term, medium- and long-term effects are significantly better than simple electroacupuncture treatment and oral western medicine treatment, and the efficacy is stable. 3. Blood pricking combined with electroacupuncture in the treatment of migraine is effective, safe and worth popularizing.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.6

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