摘要
To observe the clinical efficacy of nape cluster acupuncture in treating migraine. Methods： Fifty patients with confirmed diagnosis of migraine were intervened by using nape cluster acupuncture, and were evaluated at the outset and after 2-month treatment by the short-form of McGill pain questionnaire （SP-MPQ） and self-rating depression scale （SDS）. Results： After treatment, the number of positive words, sensory pain rating index （S-PRI）, affective pain rating index （A-PRI）, total pain rating index （T-PRI）, visual analogue scale （VAS）, and present pain intensity （PPI） were significantly changed （P〈0.01）; the SDS score was （56.42＋8.12） points before treatment versus （41.08＋5.73） points after treatment, and the difference was statistically significant （P〈0.01）. The total effective rate was 86.0%; the therapeutic efficacy of the patients with a shorter disease duration was superior to that of the patients with a longer one （P〈0.05）; the efficacy of mild-moderate migraine was superior to that of severe one （P〈0.01）; the total effective rate of patients without depression was higher than that with depression, but without a significant difference in comparing the therapeutic efficacy （P〈0.05）. Conclusion： Nape cluster acupuncture is effective in treating migraine, significantly improving headache and depression.
目的:观察项丛刺治疗偏头痛的临床疗效。方法:对50例诊断明确的偏头痛患者采用项丛刺治疗,并于入选时和治疗2个月后分别采用简化M c Gill疼痛问卷(short-form of Mc Gill pain questionnaire,SF-MPQ)和抑郁自评量表(self-rating depression scale,SDS)进行临床评定。结果:患者治疗前后选词阳性项目数、疼痛分级指数(pain rating index,PRI)感觉分、P RI情绪分、P RI总分、视觉模拟量表评分(visual analogue scale,VAS)、现时疼痛强度(present pain intensity,PPI)差异均有统计学意义(均P<0.01);治疗前S DS评分为(56.42±8.12)分,治疗后为(41.08±5.73)分,治疗前后S DS评分差异有统计学意义(P<0.01)。治疗结束后总有效率为86.0%;病程短的患者疗效优于病程长者(P<0.05);轻中度头痛患者疗效优于重度头痛患者(P<0.01);不伴抑郁的患者总有效率优于伴抑郁的患者,但疗效差异无统计学意义(P>0.05)。结论:项丛刺治疗偏头痛疗效确切,对患者头痛和抑郁程度有明显的改善作用。
基金
supported by Shanghai Leading Academic Discipline Project~~
