间歇式柔肝调神针刺法预防性治疗偏头痛疗效观察

摘要

目的 观察间歇式柔肝调神针刺法预防性治疗偏头痛的临床疗效.方法 将120例偏头痛患者随机分为治疗组和对照组,每组60例.治疗组予以间歇式柔肝调神针刺法治疗,对照组予以口服盐酸氟桂利嗪胶囊治疗.分别于受试者治疗前和治疗结束、4星期随访、8星期随访、12星期随访、16星期随访、20星期随访记录偏头痛积分评定、视觉模拟评分(VAS)和头痛强度分级评价,于治疗前后接受焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表评分(self-rating depression scale,SDS)评分.结果 治疗1个疗程后,治疗组总有效率为98.3%,对照组为89.5%,两组比较差异有统计学意义(P<0.05).两组治疗结束时偏头痛积分与治疗前比较差异均有统计学意义(P<0.05);随访中两组同期比较差异均有统计学意义(P<0.05).两组治疗结束时VAS评分与治疗前比较差异均有统计学意义(P<0.05);随访中两组同期比较差异均有统计学意义(P<0.05).两组治疗结束时SAS与SDS评分与治疗前比较差异均有统计学意义(P<0.05);两组间比较差异有统计学意义(P<0.05).结论 间歇式柔肝调神针刺法预防性治疗偏头痛疗效明显,能提高总有效率,减少复发次数.%Objective To investigate the clinical efficacy of intermittent liver-nourishing and mind-regulating acupuncture in preventive treatment of migraine. Method One hundred and twenty migraine patients were randomly allocated to treatment and control groups, 60 cases each. The treatment group received intermittent liver-nourishing and mind-regulating acupuncture and the control group took flunarizine hydrochloride capsules orally. The migraine score, the visual analogue scale (VAS) score and the headache severity rating score were recorded in the subjects before treatment and at the end of treatment and the 4-week, 8-week, 12-week, 16-week and 20-week follow-ups. The Self-Rating Anxiety Scale (SAS) score and the Self-Rating Depression Scale (SDS) were recorded before and after treatment.Result After one course of treatment, the total efficacy rate was 98.3% in the treatment group and 89.5% in the control group; there was a statistically significant difference between the two groups (P<0.05). There was a statistically significant difference in the migraine score between before treatment and at the end of treatment in the two groups (P<0.05) and between the two groups at the same follow-ups (P<0.05). There was a statistically significant difference in the VAS score between before treatment and at the end of treatment in the two groups (P<0.05) and between the two groups at the same follow-ups (P<0.05). There were statistically significant differences in the SAS and SDS scores between before treatment and at the end of treatment in the two groups (P<0.05) and between the two groups after treatment (P<0.05).Conclusion Intermittent liver-nourishing and mind-regulating acupuncture has marked efficacy in preventive treatment of migraine. It can increase the total efficacy rate and reduce the number of relapses.