远近配穴针刺对偏头痛患者即刻止痛效应及远期总体疗效的临床观察

Clinical Observations on the Immediately Analgesic Effect and Curative Effect of the Combination Adjacent and Remote Acupoints for Acute Migraine Attack

目的:观察远近配穴针刺对偏头痛患者急性发作期的即刻止痛效应及疗程结束4周后的远期总体疗效。方法:采用随机、对照、单盲的研究方法,选择符合无先兆偏头痛诊断、处于急性发作期的受试者60例,分为远近配穴组(A组)和非经非穴组(B组)各30例,每次治疗60 min,每周5次,连续治疗4周。分别记录患者治疗前、治疗60 min后的视觉模拟评分(VAS评分)以判定即刻止痛效应;以偏头痛计分法判断患者治疗前、疗程结束4周后的偏头痛症状,评价远期总体疗效。结果:针刺治疗60 min的即刻止痛效应,远近配穴针刺组明显优于非经非穴组;针刺疗程结束4周后的远期症状评分,远近配穴针刺组明显优于非经非穴组。结论:远近配穴针刺组在即刻止痛作用及远期总体疗效均明显优于非经非穴组,远近配穴针刺治疗偏头痛值得在临床推广。

Objective： To observe the immediately analgesic effect and the overall curative effect after 4-week treatment on acute Migraine attack by the combination adjacent and remote acupoints. Method： Randomized、controlled and singleblind research method were applied,60 cases of patients with Migraine without Aura at acute stage were divided into distalproximal point combination group（ A group） and non-acupoint group（ B group）,30 in each group,which were all treated with acupuncture for 60 minutes,5 times per week,four weeks of treatment in total. The immediately analgesic effect was determined on visual analogue scale（ VAS scale） before or after 60-min treatment. Migraine symptoms were determined on migraine scale before or after 4-week treatment to evaluate the overall curative effect. Results： Compared with non-acupoint group,the immediately analgesic effect of distal-proximal point combination group had statistical significance. After 4-week treatment,the migraine scale in long-term in distal-proximal point combination group was higher than that of non-acupoint group. Conclusion： The distal-proximal point combination group had a better and the total long-term efficacy in curing migraine than those in non-acupoint group,which was worth of further application.