三棱針贊刺治療偏頭痛的臨床療效觀察
發(fā)布時間：2018-10-26 11:16
【摘要】：目的:觀察并對比三棱針贊刺配合普通針刺與單純普通針刺治療偏頭痛的臨床療效,為臨床提供一種安全有效的偏頭痛治療方案。方法:根據(jù)臨床納入標(biāo)準(zhǔn)選取偏頭痛的患者60例,按照隨機(jī)數(shù)字表法分為兩組,即治療組和對照組,每組30例。治療組給予三棱針贊刺配合普通針刺,放血頻率是每周1次,普通針刺每天1次,連續(xù)治療6天后休息1天,此為1個療程。對照組單純給予普通針刺治療,普通針刺每天1次,連續(xù)治療6天后休息1天,此為1個療程。每組4個療程。分別于治療前和首次治療后1h觀察兩組患者VAS評分變化,于治療前和總療程結(jié)束后觀察兩組患者的頭痛積分變化,運(yùn)用統(tǒng)計學(xué)方法進(jìn)行分析處理。結(jié)果:1.兩組患者的性別、年齡、病程等一般資料無統(tǒng)計學(xué)差異(P0.05),兩組間的一般資料具有可比性。2.即刻鎮(zhèn)痛效果:兩組患者治療前的VAS評分無統(tǒng)計學(xué)差異(P0.05),具有可比性。兩組患者首次治療1h后VAS評分較治療前均有明顯改善(P0.05)。治療組和對照組首次治療前后VAS評分下降程度進(jìn)行對比,治療組評分下降程度大于對照組(P0.05),說明治療組即刻止痛效果優(yōu)于對照組。3.臨床療效:兩組患者治療前頭痛積分無統(tǒng)計學(xué)差異(P0.05),具有可比性。經(jīng)過4個療程治療,兩組患者頭痛積分下降程度明顯(P0.05),治療組評分下降程度大于對照組(P0.05)。治療組總有效率為93.33%,對照組總有效率為83.33%,經(jīng)Ridit分析兩組間差異有統(tǒng)計學(xué)意義,說明治療組的療效優(yōu)于對照組。結(jié)論:1.三棱針贊刺配合普通針刺和普通針刺均有較快的止痛效果,可以降低發(fā)作次數(shù)、減輕疼痛程度并減少疼痛持續(xù)時間。2.三棱針贊刺配合普通針刺的即刻止痛效果和總體治療效果均優(yōu)于單純普通針刺。
[Abstract]:Objective: to observe and compare the clinical effect of Zanzan acupuncture combined with common acupuncture and simple common acupuncture on migraine, and to provide a safe and effective treatment scheme for migraine. Methods: 60 patients with migraine were randomly divided into two groups: treatment group and control group. The treatment group was treated with Zan prick and common acupuncture, the bleeding frequency was once a week, the common acupuncture was once a day, and after 6 days of continuous treatment, the treatment group had a rest for one day, which was a course of treatment. The control group was treated with common acupuncture once a day for 6 days and then rested for 1 day, which was a course of treatment. Each group had 4 courses of treatment. The changes of VAS score were observed before treatment and 1 hour after the first treatment. The headache scores of the two groups were observed before treatment and after the total course of treatment, and were analyzed by statistical method. The result is 1: 1. Gender, age, course of disease and other general data of the two groups have no statistical difference (P0.05), the general data between the two groups are comparable. 2. Immediate analgesic effect: there was no significant difference in VAS scores between the two groups before treatment (P0.05), which was comparable. The VAS scores of the two groups were significantly improved 1 h after the first treatment (P0.05). Compared with the control group before and after the first treatment, the VAS score of the treatment group decreased more than the control group (P0.05), which indicated that the immediate pain relief effect of the treatment group was better than that of the control group. 3. Clinical efficacy: there was no significant difference in headache score between the two groups before treatment (P0.05), which was comparable. After four courses of treatment, the headache score of the two groups decreased significantly (P0.05), the treatment group score decreased more than the control group (P0.05). The total effective rate of the treatment group was 93.33 and the total effective rate of the control group was 83.33. The difference between the two groups was statistically significant by Ridit analysis, which indicated that the curative effect of the treatment group was better than that of the control group. Conclusion: 1. Zan acupuncture combined with common acupuncture and common acupuncture has a faster analgesic effect, which can reduce the number of seizures, reduce the degree of pain and reduce the duration of pain. 2. The immediate analgesic effect and overall therapeutic effect of Zan acupuncture combined with common acupuncture are superior to that of simple acupuncture.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6
本文編號：2295542
[Abstract]:Objective: to observe and compare the clinical effect of Zanzan acupuncture combined with common acupuncture and simple common acupuncture on migraine, and to provide a safe and effective treatment scheme for migraine. Methods: 60 patients with migraine were randomly divided into two groups: treatment group and control group. The treatment group was treated with Zan prick and common acupuncture, the bleeding frequency was once a week, the common acupuncture was once a day, and after 6 days of continuous treatment, the treatment group had a rest for one day, which was a course of treatment. The control group was treated with common acupuncture once a day for 6 days and then rested for 1 day, which was a course of treatment. Each group had 4 courses of treatment. The changes of VAS score were observed before treatment and 1 hour after the first treatment. The headache scores of the two groups were observed before treatment and after the total course of treatment, and were analyzed by statistical method. The result is 1: 1. Gender, age, course of disease and other general data of the two groups have no statistical difference (P0.05), the general data between the two groups are comparable. 2. Immediate analgesic effect: there was no significant difference in VAS scores between the two groups before treatment (P0.05), which was comparable. The VAS scores of the two groups were significantly improved 1 h after the first treatment (P0.05). Compared with the control group before and after the first treatment, the VAS score of the treatment group decreased more than the control group (P0.05), which indicated that the immediate pain relief effect of the treatment group was better than that of the control group. 3. Clinical efficacy: there was no significant difference in headache score between the two groups before treatment (P0.05), which was comparable. After four courses of treatment, the headache score of the two groups decreased significantly (P0.05), the treatment group score decreased more than the control group (P0.05). The total effective rate of the treatment group was 93.33 and the total effective rate of the control group was 83.33. The difference between the two groups was statistically significant by Ridit analysis, which indicated that the curative effect of the treatment group was better than that of the control group. Conclusion: 1. Zan acupuncture combined with common acupuncture and common acupuncture has a faster analgesic effect, which can reduce the number of seizures, reduce the degree of pain and reduce the duration of pain. 2. The immediate analgesic effect and overall therapeutic effect of Zan acupuncture combined with common acupuncture are superior to that of simple acupuncture.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6
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