Objective To observe the clinical effect of blood-pricking therapy combined with electroacupuncture in the treatment of migraine. Methods 70 patients with migraine who were admitted to Chengbei Branch of Hangzhou First People's Hospital from October 2015 to October 2016 were randomly divided into two groups: blood-pricking therapy combined with electroacupuncture group (observation group) and oral western medicine control group (western medicine group) respectively, with 35 cases in each group. The observation group was given pricking for bloodletting combined with electroacupuncture. The oral Western medicine control group was orally given ergotamine caffeine tablets and flunarizine for treatment, with the course of treatment of 12 days. Visual analogue scores(VASscores) 30 minutes after the end of the first treatment and headache scores at the end of the treatment period were observed. The difference of the efficacy of the two treatment methods was compared. Results The decrease value of VASscore in the observation group 30 minutes after the end of treatment was better than that in western medicine group(P＜0. 05). Before and after treatment, the decrease value of the headache scores and the total effective rate in the observation group were better than those in the western medicine group(P＜0. 05). The adverse reaction rate in the observation group was significantly lower than that in the western medicine group(P＜0. 05). Conclusion The combination of blood-pricking therapy and electroacupuncture and oral administration of western medicine both have a good immediate analgesic effect on migraine. However, the immediate analgesic effect and the short-term efficacy of blood pricking combined with electroacupuncture in the treatment of migraine are significantly better than those of oral administration of western medicine, and the safety is high, which is worthy of promotion.%目的 观察刺血疗法结合电针治疗偏头痛的临床疗效.方法 将杭州市第一人民医院城北院区2015年10月~2016年10月期间70例偏头痛患者随机分为刺血结合电针治疗组(观察组)和口服西药对照组(西药组),每组均35例.观察组采用点刺放血结合电针的方法进行治疗,口服西药对照组采用口服麦角胺咖啡因片和氟桂利嗪进行治疗,疗程12 d,观察首次治疗结束30 min后的视觉模拟评分(VAS评分)及疗程治疗结束时的头痛积分,比较两种治疗方法的疗效差异.结果 观察组治疗结束30 min后VAS评分下降值优于西药组(P＜0.05),疗程治疗前后,观察组头痛积分下降值和总有效率均优于西药组(P＜0.05),且观察组不良反应率明显低于西药组(P＜0.05).结论 刺血结合电针治疗及口服西药治疗两种治疗方法对偏头痛均有较好的即刻止痛效果,但刺血结合电针治疗偏头痛的即刻止痛效果、近期疗效都明显优于口服西药治疗,而且安全性高,值得推广.
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