醒脑开窍法结合缪刺法治疗偏头痛的临床观察

Clinical observation on Xingnao Kaiqiao needling method combined with contralateral puncture therapy for treatment of migraine

目的观察醒脑开窍针刺法结合缪刺法治疗偏头痛的临床疗效。方法将2007年3月至2012年1月天津中医药大学第一附属医院收治的100例偏头痛患者按照随机数字表法随机分为治疗组和对照组，两组各50例。治疗组中，男24例，女26例，年龄最大60岁，最小18岁，平均年龄（28．3±0．6）岁，病程最短半年，最长30年，平均病程（10．2±0．3）年；对照组中，年龄最大60岁，最小18岁，平均年龄（29．4±0．6）岁，病程最短半年，最长30年，平均病程（11．2±0．5）年。治疗组采用醒脑开窍针刺法结合缪刺法治疗，对照组采用缪刺法治疗，观察治疗前后两组患者的头痛发作次数、程度、持续时间及伴随症状。两组患者同时期疗效评价采用两独立样本t检验，本组间治疗前后疗效评价采用配对t检验。结果治疗组47例有效，总有效率为94．0％，对照组41例有效，总有效率为82．0％，治疗组与对照组治疗偏头痛疗效比较，差异具有统计学意义（P〈0．05）。治疗组与对照组在改善头痛发作次数、头痛程度及头痛持续时间的疗效上比较，差异均有统计学意义（t=16．918、17．021、17．538，均P〈0．05），两组在伴随症状以及总评分上比较，差异均有统计学意义（t=17．521、17．598，均P〈0．05）。结论醒脑开窍针刺法结合缪刺法治疗偏头痛疗效满意。

Objective To observe the clinical effect of Xingnao Kaiqiao needling method combined with contralateral puncture on migraine. Methods A total of 100 patients with migraine, who were hospitalized in the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from March 2007 to January 2012, were randomly divided into two groups including treatment group （treated with Xingnao Kaiqiao acupuncture and contralateral puncture, 50 cases） and control group （treated with contralateral puncture, 50 cases）. In treatment group, there are 24 male and 26 female, the oldest patient was 60 years old and the youngest 18[average age： （28.3±0.6） years old], and the shortest course of the disease was half a year and the longest 30 years [average duration： （10.2±0.3） years] .In control group, the oldest patient was 60 years old and the youngest 18[average age： （11.2±0.5） years old], and the shortest course of the disease was half a year and the longest 30 years [average duration： （11.2±0.5）years]. Cases in treatment group were treated with Xingnao Kaiqiao Acupuncture combined with contralateral puncture, whiie cases in control group were only treated with contralateral puncture. The number of headache episodes, headache severity, duration of headache and accompanying symptoms were observed before and after treatment in two groups. Results were assessed by t-test of independent sample between two groups. The efficacies before and after the treatment within each group were evaluated by paired t-test. Results The totally effective rates were 94.0%（47/50） in treatment group and 82.0%（41/50） in control group. There were significant difference in the effective rate between two groups （P〈0.05）. There were better curative effects on number of headache attacks, headache severity and duration of headache in treatment group than those of control group（ t= 16.918,17.021,17.538, all P〈0.05 ）. There were significant differences in the accompanying symptoms and the total score between treatment and control groups （t=17.521,17.598, all P〈0.05）. Conclusion Xingnao Kaiqiao needling method combined with contralateral puncture is a satisfactory curative effect in treating migraine.