耳穴综合疗法对偏头痛血瘀证患者血流变指标及血小板聚集率的影响

Effect of Ear Point Comprehensive Therapy on Hemorheology Indexes and Platelet Aggregation Rate in Migraine Patients of Blood Stasis Syndrome

目的:观察耳穴综合疗法对偏头痛血瘀证的作用机制。方法:选择30例偏头痛血瘀证患者采用耳穴综合疗法(耳背放血,自血穴位注射风池、阳陵泉,耳穴点刺颞、胰胆、神门等)治疗1个疗程,进行临床疗效评价并观察血液流变学及血小板凝集率变化。结果:临床总有效率为93.3%,全血高切粘度、全血低切粘度、血浆粘度及血小板聚集率治疗前后差异有显著性意义(P<0.01)。结论:耳穴综合疗法可明显改善全血高切粘度、全血低切粘度、血浆粘度及血小板聚集率,是通过改善患者血液流变学及血小板凝集率来达到止痛作用。

Objective： To observe the mechanism of ear point comprehensive therapy on migraine at blood stasis. Methods：Selecting thirty patients with migraine at blood stasis using ear point comprehensive therapy,including blood- letting at ear back,injection of self- blood into Fengchi（ GB- 20）,Yanglingquan（ GB- 34）,and pricking at ear point Nie,Yidan（ pancreas and gallbladder）,Shenmen,etc. To evaluate the clinical curative effect and observe the change of hemorheology and platelet aggregation rate. Results： The effective rate was 93. 3%,whole blood high sheathed viscosity,whole blood low sheathed viscosity,plasma viscosity and platelet aggregation rate had very significant changes after treatment（ P 〈0. 01）. Conclusion： The ear point comprehensive therapy can adjust whole blood high sheathed viscosity,whole blood low sheathed viscosity,plasma viscosity and platelet aggregation rate. The mechanism maybe adjust hemorheology and platelet aggregation rate in the patient of migraine.