针刺对无先兆偏头痛患者中医体质的影响

Effect of Acupuncture on TCM Constitution of Patients with Migraine without Aura

目的探讨针刺对无先兆偏头痛患者中医体质的影响。方法将150例无先兆偏头痛患者以2∶2∶1比例随机分配到真针刺、假针刺和常规护理组。真针刺组和假针刺组患者在随机分配后第1~8周内给予20次真/假针刺治疗,常规护理组仅给予健康教育,并随访12周,比较各组患者治疗前后中医体质的动态变化。结果治疗前,无先兆偏头痛患者的中医体质依次为阳虚质(42.2%)、气虚质(40.8%)、血瘀质(28.9%)、痰湿质(28.6%)、湿热质(27.9%)、气郁质(23.8%)、阴虚质(12.3%)、平和质(11.6%)、特禀质(9.5%)。治疗8周后,真针刺组平和质患者比例显著高于常规护理组(P=0.008)。随访12周后,真针刺组气郁质患者比例显著低于假针刺组(P=0.030)、平和质患者比例显著高于常规护理组(P=0.022)。结论针刺可能改善无先兆偏头痛患者的中医体质,促进患者向平和质发展。

Objective To explore the effect of acupuncture on TCM constitution of patients with migraine without aura(MWoA).Methods A total of 150 patients with MWoA were randomly assigned to verum acupuncture(VA),sham acupuncture(SA)and usual care(UC)groups at a ratio of 2∶2∶1.The patients in the VA group and the SA group were treated with 20 times of true/false acupuncture within 1 to 8 weeks after randomization,while the UC group was only provided with health education.The patients were followed up for 12 weeks.And the dynamic changes of TCM constitution before and after treatment were compared in each group.Results Before treatment,the TCM constitution of patients with MWoA were yang deficiency(42.2%),qi deficiency(40.8%),blood stasis(28.9%),phlegm dampness(28.6%),damp heat(27.9%),qi stagnation(23.8%),yin deficiency(12.3%),balanced(11.6%),and specific endowment(9.5%).After 8 weeks of treatment,the proportion of patients with balanced constitution in the VA group was significantly higher than that in the UC group(P=0.008).After 12 weeks of follow-up,the proportion of patients with qi stagnation in the VA group was significantly lower than that in the SA group(P=0.030),and the proportion of patients with balanced constitution in the VA group was significantly higher than that in the UC group(P=0.022).Conclusion Acupuncture could improve the TCM constitution of MWoA patients and promote the development to balanced constitution.