针药并用治疗脑动脉瘤栓塞术后头痛临床研究

Clinic Research on the Treatment of Headache after Cerebral Aneurysm Embolization Surgery by Using Acupuncture plus Medication

目的观察针药并用治疗动脉瘤性蛛网膜下腔出血头痛的临床效果。方法将40例患者随机分为治疗组和对照组,每组20例。治疗组采用针刺配合药物治疗,对照组采用单纯药物治疗。采用视觉模拟评分(VAS)分别对两组治疗前后进行疼痛评分,并进行积分值统计分析。结果两组治疗3、5、7、10、14 d后VAS评分与治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗10、14 d后VAS评分与对照组比较,差异均具有统计学意义(P<0.05)。结论针药并用是一种治疗动脉瘤性蛛网膜下腔出血头痛的有效方法。

Objective To observe the therapeutic efficacy of acupuncture plus medication in treating headache induced by aneurysmal subarachnoid hemorrhage （aSAH）. Method Forty patients were randomized into a treatment group and a control group, 20 in each. The treatment group was intervened by acupuncture plus medication, and the control group was by medication only. Visual Analogue Scale （VAS） was adopted for evaluation of pain and the score was taken for statistical analysis. Result Both groups had significant improvements in VAS score on the treatment day 3, 5, 7, 10, and 14 （P〈0.05）. In comparing the VAS score on treatment day 10 and 14, the differences between the treatment group and the control group were statistically significant （P 〈0.05）. Conclusion Combination of acupuncture and medication is an effective approach in treating headache induced by aSAH.