项丛刺治疗偏头痛50例临床观察

摘要

Objective:To observe the clinical efficacy of nape cluster acupuncture in treating migraine. Methods:Fifty patients with confirmed diagnosis of migraine were intervened by using nape cluster acupuncture, and were evaluated at the outset and after 2-month treatment by the short-form of McGill pain questionnaire (SP-MPQ) and self-rating depression scale (SDS). Results:After treatment, the number of positive words, sensory pain rating index (S-PRI), affective pain rating index (A-PRI), total pain rating index (T-PRI), visual analogue scale (VAS), and present pain intensity (PPI) were significantly changed (P<0.01); the SDS score was (56.42±8.12) points before treatment versus (41.08±5.73) points after treatment, and the difference was statistically significant (P<0.01). The total effective rate was 86.0%; the therapeutic efficacy of the patients with a shorter disease duration was superior to that of the patients with a longer one (P<0.05); the efficacy of mild-moderate migraine was superior to that of severe one (P<0.01); the total effective rate of patients without depression was higher than that with depression, but without a significant difference in comparing the therapeutic efficacy (P>0.05). Conclusion:Nape cluster acupuncture is effective in treating migraine, significantly improving headache and depression.%目的：观察项丛刺治疗偏头痛的临床疗效。方法：对50例诊断明确的偏头痛患者采用项丛刺治疗,并于入选时和治疗2个月后分别采用简化McGill疼痛问卷(short-form of McGill pain questionnaire, SF-MPQ)和抑郁自评量表(self-rating depression scale, SDS)进行临床评定。结果：患者治疗前后选词阳性项目数、疼痛分级指数(pain rating index, PRI)感觉分、PRI情绪分、PRI总分、视觉模拟量表评分(visual analogue scale, VAS)、现时疼痛强度(present pain intensity, PPI)差异均有统计学意义(均P＜0.01)；治疗前SDS评分为(56.42±8.12)分,治疗后为(41.08±5.73)分,治疗前后SDS评分差异有统计学意义(P＜0.01)。治疗结束后总有效率为86.0%；病程短的患者疗效优于病程长者(P＜0.05)；轻中度头痛患者疗效优于重度头痛患者(P＜0.01)；不伴抑郁的患者总有效率优于伴抑郁的患者,但疗效差异无统计学意义(P＞0.05)。结论：项丛刺治疗偏头痛疗效确切,对患者头痛和抑郁程度有明显的改善作用。