针刺督脉、背俞穴联合麦粒灸治疗无先兆偏头痛痰浊上扰证临床研究

Clinical Study on Acupuncture at Governor Vessel and Beishu Points Combined with Moxibustion with Seed-Sized Moxa Cone for Migraine Without Aura with Syndrome of Upward Harassment of Phlegm Turbidity

目的:观察针刺督脉、背俞穴联合麦粒灸治疗无先兆偏头痛痰浊上扰证的临床疗效。方法:选取100例无先兆偏头痛痰浊上扰证患者,采用随机数字表法分为观察组和对照组各50例。对照组给予盐酸氟桂利嗪胶囊治疗,观察组在对照组基础上采用针刺督脉、背俞穴联合麦粒灸治疗。比较2组临床疗效、头痛发作次数、头痛持续时间、头痛评分、中医证候积分及脑血流速度。结果:治疗后,观察组临床疗效总有效率96.00%,高于对照组80.00%(P<0.05)。治疗后,2组头痛发作次数均较治疗前减少,头痛持续时间均较治疗前缩短,头痛评分均较治疗前降低,差异均有统计学意义(P<0.05);观察组头痛发作次数少于对照组,头痛持续时间短于对照组,头痛评分低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组头痛胀重、胸闷脘胀、呕恶痰涎积分均较治疗前降低(P<0.05),观察组头痛胀重、胸闷脘胀、呕恶痰涎积分均低于对照组(P<0.05)。治疗后,2组大脑前动脉(ACA)、大脑中动脉(MCA)、大脑后动脉(PCA)、椎动脉(VA)及基底动脉(BA)血流速度均较治疗前降低(P<0.05),观察组ACA、MCA、PCA、VA及BA血流速度均低于对照组(P<0.05)。结论:在盐酸氟桂利嗪胶囊治疗基础上使用针刺督脉、背俞穴联合麦粒灸治疗可降低无先兆偏头痛痰浊上扰证患者的脑血流速度,改善临床症状,提高临床疗效。

Objective:To observe the clinical effect of therapy of acupuncture at governor vessel and Beishu point combined with moxibustion with seed-sized moxa cone on migraine without aura with syndrome of upward harassment of phlegm turbidity.Methods:A total of 100 patients with migraine without aura with syndrome of upward harassment of phlegm turbidity were selected and divided into the observation group and the control group according to the random number table method,with 50 cases in each group.The control group was given Flunarizine Hydrochloride Capsules for treatment,and the observation group was additionally treated with acupuncture at governor vessel and Beishu points combined with moxibustion with seed-sized moxa cone based on the treatment of the control group.The clinical effects,onset times of headache,duration and scores of headache,traditional Chinese medicine(TCM)syndrome scores and cerebral blood flow rates were compared between the two groups.Results:After treatment,the total clinical effective rate was 96.00%in the observation group,higher than that of 80.00%in the control group(P<0.05).After treatment,the onset times of headache in the two groups were decreased when compared with those before treatment;the duration of headache were shorter than those before treatment,the scores of headache were decreased when compared with those before treatment,differences being significant(P<0.05);the onset times of headache in the observation group was less than that in the control group,the duration of headache was shorter than that in the control group,and the score of headache was lower than that in the control group,differences being significant(P<0.05).After treatment,the scores of pain and fullness and heaviness in head,chest discomfort and distention in stomach,vomiting and nausea and phlegm drool in both groups were decreased when compared with those before treatment(P<0.05),and the above 3 scores in the observation group were lower than those in the control group(P<0.05).After treatment,the blood flow rates of anterior cerebral artery(ACA),middle cerebral artery(MCA),posterior cerebral artery(PCA),vertebral artery(VA)and basilar artery(BA)in the two groups were decreased when compared with those before treatment(P<0.05),and the blood flow rates of ACA,MCA,PCA,VA and BA were lower than those in the control group(P<0.05).Conclusion:Based on the treatment of Flunarizine Hydrochloride Capsules,the application of acupuncture at governor vessel and Beishu points combined with moxibustion with seed-sized moxa cone can decrease the cerebral blood flow rate of patients with migraine without aura with syndrome of upward harassment of phlegm turbidity,and improve the clinical symptoms and clinical effect.