自拟头痛穴切割疗法治疗瘀阻脑络型偏头痛

Headache Acupoint Cutting Therapy in the Treatment of Hemicrania Induced by Blood Stasis in Cranial Nerve

目的:观察头痛穴(宁神穴)治疗瘀阻脑络型偏头痛的临床疗效,以及头痛穴切割疗法相对于普通针刺组的治疗优势。方法:选择符合瘀阻脑络型偏头痛诊断标准的患者60例,将其随机分为头痛穴切割组和普通针刺组,疗程为一周。以治疗前、治疗当天、治疗第三天、治疗一周为观察点,对两组患者进行视觉模拟评分,观察其镇痛疗效,并对两组患者在治疗前后进行临床症状综合评分和疗效评定。结果:头痛穴切割组愈显率96.7%,普通针刺组为53.3%,两组愈显率比较,差异有统计学意义(P<0.05);头痛穴切割治疗组总有效率100%,普通针刺组为83.3%,两组总有效率比较,差异有统计学意义(P<0.05);两组患者在治疗当天、治疗第三天、治疗一周VAS评分比较,差异有统计学意义(P<0.05);治疗后头痛穴切割组和普通针刺组临床综合症状评分比较,差异有统计学意义(P<0.05)。结论:头痛穴治疗偏头痛有效,且头痛穴切割疗法优于普通针刺组。

Objective：To observe the clinic efficacy of headache acupoint on the curing hemicrania resulted from blood stasis in cranial nerve ; as well as the advantage of headache acupoint cutting therapy compared with its counterpart of ordinary acupuncture on curing hemierania. Methods ： Divide 60 patients who suffered blood stasis hemicranias randomly into two groups, headache acupoint cutting treatment group and ordinary acupunc- ture treatment group respectively; and conducting corresponding treatments on them for one week. The two groups of patients would be observed before the treatment, on the 1~t day, the 3rd day and the 7th day of the treatment, whereby evaluating their effects on easing patients＇ pain; in the meanwhile, judging the efficacy of each treatment according to patients＇ clinic symptoms. Results：The curative rate of headache acupoint cutting group was 96.7% , and its counterpart of ordinary acupuncture group was 53.3%. This obvious difference （ P 〈 0.05 ） between two groups could make sense from statistics perspective. The total curative rate of head- ache acupoint cutting group was 100% with 83.3% in normal acupuncture group; the difference between two groups was significant（P 〈0. 05） ,which made sense from statistical perspective. The comparison on VAS sta- tistics between two groups of patients on the 1~t day, the 3rd day and the 7th day of the treatment had a statistical significance （P 〈 0.05 ）. Patients＇ general clinic symptom ＇after headache acupoint cutting and normal acupunc- ture treatments still had a statistical significance （ P 〈 0.05 ）. Conclusion ： Headache acupoint does play a cruci- al role in curing hemierania, and the efficacy of headache aeupoint cutting treatment is better than that of ordi- nary acupuncture.