电针针刺锥体交叉区治疗偏头痛60例效果观察

Effect Observation of Electroacupuncture in Pyramidal Cross Area in Treatment of 60 patients with Migraine

目的观察电针针刺锥体交叉区治疗偏头痛的临床效果。方法 2009年12月—2011年12月接诊的180例偏头痛随机分为电针组、普通针灸组和药物组,每组60例。电针组采用电针针刺锥体交叉区,普通针灸组依据《针灸治疗学》常规取穴,药物组口服氨咖苷片。于治疗后10 d评价视觉模拟评分(VAS)下降情况、头痛严重程度、临床疗效,随访3个月观察复发情况。结果 3组治疗后各时点VAS下降值、头痛严重程度、临床疗效、复发率比较差异均有统计学意义(P<0.05,P<0.01);电针组治疗后各时点VAS下降值、轻度头痛以下及无痛率、总有效率均高于普通针灸组和药物组,复发率低于普通针灸组和药物组(P<0.05,P<0.01)。结论电针针刺锥体交叉区治疗偏头痛近期及远期疗效确切,疗程短、见效快、作用持久。

Objective To observe clinical effects of electroacupuncture in pyramidal cross area in treatment of migraine.Methods A total of 180 patients with migraine during December 2009 and December 2011 were randomly divided into electroacupuncture group（group A,n = 60）,ordinary acupuncture group（group B,n = 60） and medicine group（group C,n = 60）.Group A was treated with electroacupuncture in pyramidal cross area;group B was treated with routine point locating according to Acupuncture Therapeutics;group C was treated with Ammonia glycosides tables.The descending scores of visual analogue score（VAS）,severe degrees of migraine and the clinical effects of the three groups were evaluated after treatment for 10 days,and relapse information was observed with follow-up for 3 month.Results There were significant differences on descending scores of VAS at each time point,severe degrees of migraine,clinical effects and relapse rates in three groups（P 0.05,P 0.01）;the descending scores of VAS at each time point,the slight headache and no headache rates and total efficiency rate in group A were significantly higher than those in group B and C;while after treatment relapse rate in group A was significantly lower than those in group B and C（P 0.05,P 0.01）.Conclusion The method of electroacupuncture in pyramidal cross area has obviously short-term and long-term effects in treatment of migraine.The treatment period is of short time,quick and lasting effect.