通窍活血汤结合腕踝针治疗偏头痛疗效观察

Clinical effect of Tongqiao Huoxue Decoction combined with wrist-ankle acupuncture in the treatment of migraine

目的研究通窍活血汤结合腕踝针治疗偏头痛患者的临床效果,为患者的临床治疗提供指导。方法选择2016年9月至2018年9月宝鸡市中医医院接诊的40例偏头痛患者作为研究对象,按照随机数表法分为对照组和观察组,每组20例。对照组患者给予常规西药治疗,观察组患者在对照组患者治疗的基础上结合通窍活血汤治疗,7 d为一个疗程。服药两个疗程后,比较两组患者疼痛视觉模拟评分(VAS)、治疗前后的疼痛次数的情况、治疗前后的疼痛发作时间和治疗后不良反应发生率。结果治疗前,观察组患者的VAS评分为(6.76±1.71)分,与对照组的(6.54±1.97)分比较,差异无统计学意义(P>0.05);治疗后,两组患者的VAS评分均明显降低,且观察组患者的VAS评分为(2.90±2.12)分,明显低于对照组的(4.04±1.88)分,差异均有统计学意义(P<0.05);治疗前,观察组患者的疼痛发作次数为(4.31±1.02)次,与对照组的(4.29±1.03)次比较差异无统计学意义(P>0.05);治疗后,两组患者的疼痛发作次数均明显降低,且观察组的疼痛次数为(1.15±0.33)次,明显少于对照组的(1.48±0.52)次,差异均有统计学意义(P<0.05);治疗前,观察组患者的疼痛发作持续时间为(17.81±7.02)min,与对照组的(16.59±5.97)min比较差异无统计学意义(P>0.05);治疗后,两组患者的疼痛发作持续时间均明显降低,且观察组的疼痛发作持续时间为(6.97±1.33)min,明显少于对照组的(7.24±1.52)min,差异均有统计学意义(P<0.05);观察组患者的治疗总有效率为95.0%,明显高于对照组的60.0%,差异有统计学意义(P<0.05);观察组患者的不良反应发生率为5.0%,略高于对照组的0,但差异无统计学意义(P>0.05)。结论通窍活血汤结合腕踝针治疗偏头痛患者疗效显著,值得临床上推广应用。

Objective To study the clinical effect of Tongqiao Huoxue Decoction combined with wrist-ankle acupuncture in the treatment of migraine,and to provide guidance for clinical treatment.Methods Forty cases migraine patients admitted to Baoji Hospital of Traditional Chinese Medicine from September 2016 to September 2018 were selected as the study subjects.According to the random number table method,they were divided into the control group and observation group,with 20 cases in each group.The patients in the control group were treated with conventional western medicine,while the patients in the observation group were treated with Tongqiao Huoxue Decoction on the basis of the treatment of the control group,with 7 days as a course of treatment.After two courses of treatment,the pain visual analogue score(VAS),the number of pains before and after treatment,the onset time of pain before and after treatment,and the incidence of adverse reactions after treatment were compared between the two groups.Results Before treatment,there was no significant difference in VAS score between the study group and the control group:(6.76±1.71)vs(6.54±1.97),P>0.05;after treatment,the VAS scores of the two groups were significantly decreased(P<0.05),and the VAS score of the study group was 2.90±2.12,which was significantly lower than 4.04±1.88 of the control group(P<0.05).Before treatment,the number of pain episodes in the study group were(4.31±1.02)times vs(4.29±1.03)times in the control group(P>0.05);after treatment,the number of pain episodes in both groups decreased significantly(P<0.05),and the number of pains in the study group were(1.48±0.52)times,which were significantly lower than(1.15±0.33)times in the control group(P<0.05).Before treatment,there were no significant difference in the duration of pain onset between the study group and the control group:(17.81±7.02)min vs(16.59±5.97)min,P>0.05;after treatment,the duration of pain episodes in both groups was significantly reduced(P<0.05),and the duration of pain in the study group was(6.97±1.33)min,which was significantly lower than(7.24±1.52)min in the control group(P<0.05).The total effective rate of the study group was 95.0%,which was significantly higher than 60.0%of the control group(P<0.05);the incidence of adverse reactions in the observation group was 5.0%,slightly higher than 0 in the control group,but there were no significant difference(P>0.05).Conclusion Tongqiao Huoxue Decoction combined with wrist and ankle acupuncture has good clinical effect in treating migraine vertigo,which is worthy of further promotion and application in clinic.