子午流注'纳甲法'针刺治疗血管神经性头痛的临床观察

摘要

目的 观察子午流注"纳甲法"针刺治疗血管神经性头痛的临床疗效.方法 将我院收治的90例血管神经性头痛患者随机分为对照组和观察组,每组45例.对照组采取常规取穴和辨证加减穴位,针刺得气后接电针治疗;观察组采用子午流注纳甲法择时选穴原则配合常规针刺,每天1次,均治疗30 d.观察两组患者的临床疗效,治疗前后的头痛发作次数、持续时间、疼痛程度,检测相关血液流变学指标:全血高切粘度(HBV)、全血低切粘度(LBV)、血浆比粘度(PV)、纤维蛋白原(Fig),血细胞比容(HCT).结果 观察组总有效率为93.33%,高于对照组的86.66%,差异有统计学意义(P<0.05).两组患者治疗后头痛发作次数、 持续时间、 疼痛程度均较同组治疗前减少,HBV、LBV、PV、Fig、HCT均较同组治疗前降低,差异均有统计学意义(P<0.05或P<0.01),且治疗后观察组头痛发作次数、持续时间、疼痛程度、HBV、LBV、PV、Fig、HCT均低于对照组,差异有统计学意义(P<0.05或P<0.01).结论 运用子午流注纳甲法指导针刺治疗血管神经性头痛能够明显提高疗效,可广泛应用于指导临床研究和实践.%Objective To observe clinical effect of midnight-noon ebb-flow acupoint selection "Najia method" on an-gioneurotic headache. Methods The 90 angioneurotic headache patients collected from our university were randomly divided into control group and observation group, 45 cases in each group. The control group was given routine acupoint selection with syn-dromes differentiation, acupuncture needling followed by electroacupuncture treatment. The observation group was treated with midnight-noon ebb-flow acupoint selection combined with the conventional acupuncture, one time a day, treatment of 30 d. The frequency, duration time, pain degree of headache before and after treatment were observed. The related hemorheological indicators: high shear rate blood viscosity (HBV), low shear rate blood viscosity (LBV), plasma viscosity (PV) fibrinogen (Fig), hematocrit (HCT) were detected. Results The total effective rate of observation group was 93.33%, which was higher than 86.66% of control group, the difference was statistically significant (P<0.05). The frequency, duration time, pain degree of headache in the same group decreased after treatment, and the HBV, LBV, PV, Fig, HCT reduced after treatment, the differences had statisti-cal significance (P<0.05 or P<0.01). The above indicators in observation group were lower than thoses in the control group, the difference was statistically significant (P<0.05 or P<0.01). Conclusion Acupuncture therapy by using midnight-noon ebb-flow acupoint selection "Najia method" shows obvious effect on angioneurotic headache, which can be widely used in clinical research and practice.