淺刺針法治療肝陽上亢型偏頭痛的臨床研究
發(fā)布時間：2019-01-19 21:18
【摘要】：目的:本研究分別使用淺刺針法或口服西藥西比靈治療肝陽上亢型偏頭痛,觀察兩者的臨床療效,探討淺刺針法在治療肝陽上亢型偏頭痛的臨床優(yōu)勢,以期為肝陽上亢型偏頭痛的臨床治療提供借鑒與參考。方法:收集符合納入標準的肝陽上亢型偏頭痛患者60例,按照隨機數(shù)字表法隨機分為治療組(淺刺針法組)和對照組(口服西醫(yī)藥組)。治療組通過淺刺針法進行治療,主要取穴:太溪(雙)、太沖(雙)、顳三針(患側(cè))。對照組予口服藥物西比靈(鹽酸氟桂利嗪膠囊)進行治療。兩組患者均嚴格遵照醫(yī)囑進行治療2個療程。在治療前和治療后均對所有受試者進行視覺模擬評分(VAS)和《中藥新藥臨床指導原則》中頭痛的發(fā)作次數(shù)、持續(xù)時間、疼痛程度和伴隨癥狀的評估,用于評價偏頭痛的嚴重程度情況。結(jié)果:1、視覺模擬評分(VAS)比較:經(jīng)過治療后,兩組受試者偏頭痛的疼痛指數(shù)均有顯著下降,且淺刺針法組VAS評分顯著低于口服西藥組。2、《中藥新藥臨床指導原則》中相關(guān)指標比較:經(jīng)過治療后,兩組受試者偏頭痛的疼痛程度明顯減輕、發(fā)作次數(shù)明顯減少、持續(xù)時間明顯下降、伴隨癥狀明顯減少。進一步分析顯示,治療后,兩組受試者在偏頭痛的發(fā)作次數(shù)、持續(xù)時間、伴隨癥狀方面無顯著性差異(P0.05);而治療后淺刺針法組的疼痛程度和總分評分顯著低于口服西藥組(P0.05)。3、臨床療效比較:經(jīng)過2個療程治療后,淺刺針法組臨床治愈率13.33%,顯效率30.00%,有效率46.67%,無效率10.00%,總有效率90.00%;口服西藥組臨床治愈率6.67%,顯效率13.33%,有效率56.67%,無效率23.33%,總有效率76.67%。兩組的綜合療效比較,差異具有統(tǒng)計學意義(P0.05),提示淺刺針法組的治療效果顯著優(yōu)于口服西藥組。結(jié)論:以淺刺針法為主的治療方法能明顯改善肝陽上亢型偏頭痛患者的臨床癥狀,并且安全性高,療效優(yōu)于口服西藥的治療方法,臨床上值得推廣應用。
[Abstract]:Objective: to observe the clinical effect of superficial needling or oral western medicine sibelium in the treatment of hyperactive migraine of liver-yang, and to explore the clinical advantages of superficial needling in the treatment of liver-yang hyperactive migraine. In order to provide reference and reference for the clinical treatment of liver yang hyperactivity migraine. Methods: 60 cases of migraine with liver yang hyperactivity were collected and randomly divided into treatment group (superficial needling group) and control group (oral medicine group). The treatment group was treated by superficial needling. The main points were Taixi (double), Taichong (double) and temporal three acupuncture (affected side). The control group was treated with sibelium hydrochloride (flunarizine hydrochloride capsule). Patients in both groups were treated for 2 courses in strict accordance with the doctor's orders. Before and after treatment, all subjects were assessed for the number, duration, pain degree and accompanying symptoms of headache by visual analogue score (VAS) and the Clinical guidelines for traditional Chinese Medicine (TCM). Used to evaluate the severity of migraine. Results: 1. Comparison of visual analogue score (VAS): after treatment, the pain index of migraine was significantly decreased in both groups, and the VAS score of shallow needling group was significantly lower than that of oral western medicine group. Comparison of related indexes in Clinical guidelines of traditional Chinese Medicine: after treatment, the pain degree of migraine in the two groups was obviously alleviated, the number of attacks was obviously reduced, the duration was obviously decreased, and the accompanying symptoms were obviously decreased. Further analysis showed that after treatment, there was no significant difference in the number of migraine attacks, duration and accompanying symptoms between the two groups (P0.05). But after treatment, the pain degree and total score of shallow needling method group were significantly lower than that of oral western medicine group (P0.05). The clinical curative effect was compared: after two courses of treatment, the clinical cure rate of shallow needling method group was 13.33, and the marked efficiency was 30.00. The effective rate is 46.67, the inefficiency is 10.00, the total effective rate is 90.00; In oral western medicine group, the clinical cure rate was 6.67, the effective rate was 13.33, the effective rate was 56.67, the non-effective rate was 23.333.The total effective rate was 76.67. Compared with the two groups, the difference was statistically significant (P0.05), suggesting that the treatment effect of the shallow needling method group was significantly better than that of oral western medicine group. Conclusion: the clinical symptoms of migraine patients with hyperactivity of liver-yang can be obviously improved by the treatment of superficial needling method, and the efficacy is better than that of oral western medicine, which is worth popularizing in clinic.
【學位授予單位】：廣西中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.6
本文編號：2411765
[Abstract]:Objective: to observe the clinical effect of superficial needling or oral western medicine sibelium in the treatment of hyperactive migraine of liver-yang, and to explore the clinical advantages of superficial needling in the treatment of liver-yang hyperactive migraine. In order to provide reference and reference for the clinical treatment of liver yang hyperactivity migraine. Methods: 60 cases of migraine with liver yang hyperactivity were collected and randomly divided into treatment group (superficial needling group) and control group (oral medicine group). The treatment group was treated by superficial needling. The main points were Taixi (double), Taichong (double) and temporal three acupuncture (affected side). The control group was treated with sibelium hydrochloride (flunarizine hydrochloride capsule). Patients in both groups were treated for 2 courses in strict accordance with the doctor's orders. Before and after treatment, all subjects were assessed for the number, duration, pain degree and accompanying symptoms of headache by visual analogue score (VAS) and the Clinical guidelines for traditional Chinese Medicine (TCM). Used to evaluate the severity of migraine. Results: 1. Comparison of visual analogue score (VAS): after treatment, the pain index of migraine was significantly decreased in both groups, and the VAS score of shallow needling group was significantly lower than that of oral western medicine group. Comparison of related indexes in Clinical guidelines of traditional Chinese Medicine: after treatment, the pain degree of migraine in the two groups was obviously alleviated, the number of attacks was obviously reduced, the duration was obviously decreased, and the accompanying symptoms were obviously decreased. Further analysis showed that after treatment, there was no significant difference in the number of migraine attacks, duration and accompanying symptoms between the two groups (P0.05). But after treatment, the pain degree and total score of shallow needling method group were significantly lower than that of oral western medicine group (P0.05). The clinical curative effect was compared: after two courses of treatment, the clinical cure rate of shallow needling method group was 13.33, and the marked efficiency was 30.00. The effective rate is 46.67, the inefficiency is 10.00, the total effective rate is 90.00; In oral western medicine group, the clinical cure rate was 6.67, the effective rate was 13.33, the effective rate was 56.67, the non-effective rate was 23.333.The total effective rate was 76.67. Compared with the two groups, the difference was statistically significant (P0.05), suggesting that the treatment effect of the shallow needling method group was significantly better than that of oral western medicine group. Conclusion: the clinical symptoms of migraine patients with hyperactivity of liver-yang can be obviously improved by the treatment of superficial needling method, and the efficacy is better than that of oral western medicine, which is worth popularizing in clinic.
【學位授予單位】：廣西中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.6
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