Clinical Observation of Vascular Headache Treated by Acupuncture plus Needle-Embedding Method

目的:探讨针刺治疗血管性头痛的临床疗效。方法:93例血管性头痛患者随机分为针刺组(n=30),以针刺患侧风池、阿是穴和三阴交穴治疗;针刺加埋针组(n=36),在针刺治疗的基础上加用患侧太阳和悬钟穴埋针治疗;西药组(n=27),口服西比灵5mg,每日2次。观察三组患者治疗前后临床症状的变化。结果:治疗后三组患者的临床症状均有减轻或消失。近期疗效针刺加埋针组优于对照组(P<0.05),针刺加埋针组与针刺组比较无显著差异(P>0.05),针刺组与对照组比较亦无显著差异(P>0.05)。远期疗效针刺加埋针组优于对照组(P<0.01),针刺组优于对照组(P<0.05),针刺加埋针组与针刺组比较则无显著差异。结论:针刺治疗血管性头痛具有良好的近、远期疗效,而针刺加埋针疗法的疗效更好。

Purpose： In order to explore the clinical effect in acupuncture treatment of vascular headache. Methods： 93 cases of vascular headache were randomly auocated into acupuncture group （n= 30）, treated by puncturing Fengchi （GB 20）, Ashi point and Sanyinjiao （SP 6） on the sick side, acupuncture plus needle-embedding group （n= 36）, treated by basic acupuncture treatment plus ncedle-embedding method in Taiyang （Ex HN 5） and Xuanzhong （GB 39） on the sick side, and control group （n = 27）, treated with oral administration of 5 mg Sibelium, twice a day, for observation of the changes in the clinical symptoms before and after treatments in the patients of three groups. Results： After treatment, the clinical symptoms in the patients of three groups were relieved or disappeared. The recent therapeutic effect was better in acupuncture plus needle-embedding group than in the control group （P〈 0.05）, and there was no sig nificant difference （P〉 0.05） between the acupuncture plus needle-embedding group and acupuncture group and there was no significant difference （P〉 0.05）between acupuncture group and control group, either. The long-term therapeutic effect was better in the acupuncture plus ncedle-embedding group than in the control group （P〈 0.01）, in the acupuncture group than in the control group （P 〈 0.05）, and there was no significant difference between the acupuncture plus needle-embedding group and acupuncture group. Conclusion： Acupuncture treatment of vascular headache offers a better recent and longterm therapeutic effect, and acupuncture plus needle-embedding method is much better in the therapeutic effect.