针刺配合刺络放血治疗偏头痛近远期疗效观察

Clinical Observation on Acupuncture with Head and Face Bloodletting in Treatment of Migrain

目的:观察针刺配合头面部刺络放血治疗偏头痛的近期和远期疗效。方法:将74例偏头痛患者随机分为观察组和对照组,每组各37例。观察组采取针刺配合痛侧头面部穴位刺络放血治疗;对照组常规针刺治疗。分别在治疗结束后第1个月(近期),第6个月(远期)进行2次随访,并分别比较随访时两组的各项镇痛效应指标评分(包括头痛程度、持续时间、发作次数、伴随症状评分及综合评分)以及近远期临床疗效。结果:治疗结束后1个月两组的各项镇痛效应指标评分均低于治疗前(P<0.05);而治疗结束后6个月观察组各项镇痛效应指标评分均低于治疗前(P<0.05),对照组头痛程度、持续时间评分及综合评分均低于治疗前(P<0.05)。组间比较中,治疗结束后1、6个月观察组各项镇痛效应指标评分均低于对照组(P<0.05)。两组患者近期疗效比较,治疗结束后1个月,观察组总有效率为94.44%,对照组为83.78%,差异比较有统计学意义(P<0.05);远期疗效比较,试验组总有效率为91.43%,对照组为79.41%,差异比较有统计学意义(P<0.05)。结论:两种方法治疗偏头痛均有明显效果,但相比较而言,针刺配合头面部刺络放血治疗在改善偏头痛患者的头痛程度、发作持续时间方面优于常规针刺治疗,且近远期疗效也明显优于常规针刺治疗。

Objective ： To observe the short - term and long - term curative effects of acupuncture with head and face bloodletting in treatment of migraine. Methods ：74 patients with migraine were randomly divided into observation group and control group,37 ca- ses in each group. Observation group were treated with acupuncture points with the headache side bloodletting therapy while the con- trol group were given the treatment of conventional acupuncture. In the first month （ short - term） and the sixth month （ long - term） after the end of treatment conducted two follow - up respectively to compare the analgesic effect of index scores between the two groups （ including headache intensity, duration, concomitant symptom and composite scores） and the short - term and long - term curative effects. Results ：After the first month of treatment,the analgesic effect of index scores in both groups were lower than pre - treatment （P 〈 0. 05 ） while after the sixth month of treatment, the analgesic effect of index scores in the observation group were low- er than those of pre - treatment （ P 〈 0. 05 ）, and the headache intensity, duration and composite score were lower than those pre - treatment （P 〈 0. 05）. Compared between the two groups in the first month and the sixth month after the end of treatment, the anal- gesic effect of index scores of the observation group were lower than those of the control group （ P 〈 0. 05）. While compared the short - term curative effects between the two groups after the end of treatment and the total effective rate was 94. 44% in the observation group but 83.78% in the observation group, and the difference was statistically significant （P 〈 0. 05 ）. Relatively, in the comparison of long - term curative effects, the total effective rate was 91.43% in the observation group but 79. 41% in the control group, and the difference was statistically significant （P 〈 0. 05 ）. Conclusion：The two methods of treatment of migraine have a significant effect, but comparatively speaking,acupuncture with head and face bloodletting is superior to conventional acupuncture in the aspects of headache intensity and duration,and the short- term and long- term curative effects were significantly better than conventional acupuncture.