针刺八荒穴治疗偏头痛急性发作期的临床研究

摘要

Objective To observe the clinical effect of acupuncture at Bahuang acupoints in the treatment of acute attack of migraine.Methods Sixty patients with migraine acute attacks in Outpatient Department of Prevention and Healthcare,Special Outpatient of Migraine,some Outpatient Departments of Acupuncture,Guang'anmen Hospital,China Academy of Chinese Medical Sciences from January 2016 to January 2017 were selected,and they were divided into two groups according to the random number table,with 30 cases in each group.The treatment group was treated with acupuncture at Bahuang acupoints,and the control group was treated with acupuncture at regular acupoints,each group for 30 min.After treatment for 1,2,4,24 hours,the visual analogue scale (VAS) of headache and cerebral blood flow velocity after treatment of the two groups were observed,and the curative effect of the two groups was evaluated.Results After treatment,the VAS scores of headache and cerebral artery blood flow velocity in the two groups were lower than those before treatment,the differences were statistically significant (P ＜ 0.05),while there were no statistically significant differences between the two groups after treatment (P ＞ 0.05).After treatment for 2 hours,the number of 50％ relieved degree of headache in the treatment group was 24 cases (80.0％),which of the control group was 22 cases (73.3％),the difference between the two groups was not statistically significant (P ＞ 0.05).The routine blood and urine routine,and liver and kidney function of the two groups had no obvious changes before and after treatment,and the safety of acupuncture was guaranteed.Conclusion Acupuncture at Bahuang acupoints can improve the clinical symptoms of patients with migraine,and it is safe and easy to operate.%目的 观察针刺八荒穴治疗偏头痛急性发作期的临床效果.方法 选择2016年1月～2017年1月就诊于中国中医科学院广安门医院预防保健科门诊及偏头痛专题门诊、针灸科部分门诊的急性发作期偏头痛患者60例,按随机数字表法将其分为两组,每组30例.治疗组给予针刺八荒穴治疗,对照组给予针刺常规穴位治疗,留针30 min.治疗后观察两组患者在治疗后1、2、4、24 h的头痛视觉模拟评分(VAS)和脑动脉血流速度,并评价两组治疗效果.结果 两组治疗后均能改善偏头痛急性发作期患者的头痛VAS和脑动脉血流速度,与治疗前比较,差异有统计学意义(P＜0.05),两组间比较,差异无统计学意义(P＞0.05).治疗组治疗2h后头痛程度缓解50％的例数为24例(80.0％),对照组为22例(73.3％),两组比较差异无统计学意义(P＞0.05).两组治疗前后血、尿常规及肝、肾功能无明显变化,其针刺安全性可以保障.结论 针刺八荒穴可改善偏头痛患者急性发作期临床症状,且安全性好,易于操作.