黄帝内针针法治疗偏头痛的临床疗效观察

Clinical observation on the therapeutic effect of Huangdi internal acupuncture on migraine

目的 观察黄帝内针针法治疗偏头痛的临床疗效。方法 100例偏头痛患者为研究对象,运用随机数字表法分为治疗组和对照组,每组50例。治疗组给予黄帝内针针法治疗,对照组给予常规取穴的普通针刺法。比较两组患者临床疗效及治疗前后视觉模拟评分法(VAS)评分、偏头痛综合积分。结果 治疗后,治疗组患者VAS评分为(2.04±1.51)分,偏头痛综合积分为(10.85±3.85)分;对照组患者VAS评分为(3.31±1.52)分,偏头痛综合积分为(13.57±3.29)分。治疗后,两组患者VAS评分、偏头痛综合积分均较治疗前有明显改善,且治疗组改善程度均大于对照组,差异具有统计学意义(P<0.05)。治疗组中,痊愈6例,显效26例,有效15例,无效3例;对照组中,痊愈3例,显效12例,有效29例,无效6例。治疗组疗效优于对照组,差异具有统计学意义(Z=3.1508, P=0.0016<0.05)。结论 黄帝内针针法缓解偏头痛患者疼痛症状明显,值得临床上进一步推广。

Objective To observe the clinical efficacy of Huangdi internal acupuncture on migraine.Methods 100 patients with migraine were divided into a treatment group and a control group according to random number table,with 50 cases in each group.The treatment group was treated with Huangdi internal acupuncture,and the control group was given ordinary acupuncture with routine acupoint selection.The clinical efficacy,visual analogue scale(VAS)score and migraine comprehensive score before and after treatment were compared between the two groups.Results After treatment,VAS score and migraine comprehensive score were(2.04±1.51)and(10.85±3.85)points in the treatment group,and those in the control group were(3.31±1.52)and(13.57±3.29)points.After treatment,VAS score and migraine comprehensive score of the two groups were significantly improved compared with those before treatment,and the improvement of the treatment group was greater than that of the control group.The difference was statistically significant(P<0.05).In the treatment group,6 cases were cured,26 cases were significantly effective,15 cases were effective,3 cases were ineffective.In the control group,3 cases were cured,12 cases were significantly effective,29 cases were effective,6 cases were ineffective.The therapeutic effect of the treatment group was better than that of the control group,and the difference was statistically significant(Z=3.1508,P=0.0016<0.05).Conclusion Huangdi internal acupuncture can relieve the pain symptoms of migraine patients obviously,which is worthy of further promotion in clinical practice.