|
|
Clinical study on acupuncture at Bahuang acupoints in the treatment of acute attack of migraine |
LYU Pin TI Guixiang WANG Liyun LYU Weihua▲ |
Department of Prevention and Healthcare, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China |
|
|
Abstract Objective To observe the clinical effect of acupuncture at Bahuang acupoints in the treatment of acute attack of migraine. Methods Sixty patients with migraine acute attacks in Outpatient Department of Prevention and Healthcare, Special Outpatient of Migraine, some Outpatient Departments of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences from January 2016 to January 2017 were selected, and they were divided into two groups according to the random number table, with 30 cases in each group. The treatment group was treated with acupuncture at Bahuang acupoints, and the control group was treated with acupuncture at regular acupoints, each group for 30 min. After treatment for 1, 2 , 4, 24 hours, the visual analogue scale (VAS) of headache and cerebral blood flow velocity after treatment of the two groups were observed, and the curative effect of the two groups was evaluated. Results After treatment, the VAS scores of headache and cerebral artery blood flow velocity in the two groups were lower than those before treatment, the differences were statistically significant (P < 0.05), while there were no statistically significant differences between the two groups after treatment (P > 0.05). After treatment for 2 hours, the number of 50% relieved degree of headache in the treatment group was 24 cases (80.0%), which of the control group was 22 cases (73.3%), the difference between the two groups was not statistically significant (P > 0.05). The routine blood and urine routine, and liver and kidney function of the two groups had no obvious changes before and after treatment, and the safety of acupuncture was guaranteed. Conclusion Acupuncture at Bahuang acupoints can improve the clinical symptoms of patients with migraine, and it is safe and easy to operate.
|
|
|
|
|
[1] Wang Y,Zhou J,Fan X,et al. Classification and clinical features of headache patients:an outpatient clinic study from China [J]. J Headache Pain,2011,12(5):561-567.
[2] Linde K,Allais G,Brinkhaus B,et al. Acupuncture for the prevention of episodic migraine [J]. Cochrane Database Syst Rev,2016,6(6):CD001218.
[3] 邓竹青.针刺少阳经特定穴对偏头痛急性发作期的临床评价研究[D].成都:成都中医药大学,2012.
[4] 陈雪吟,王祥瑞.偏头痛的非药物治疗进展[J].中国疼痛医学杂志,2015,21(12):928-930.
[5] 孙增华,杨玉金.偏头痛诊断、疗效评定标准意见[J].中风与神经疾病杂志,1995,12(2):110-112.
[6] 沈雪勇.经络腧穴学[M].北京:中国中医药出版社,2003.
[7] 陆寿康.刺法灸法学[M].北京:中国中医药出版社,2005.
[8] 钟枢才.杵针学[M].北京:中国中医药出版社,2006.
[9] 闫国平,王晓霞,徐晴,等.穴位热痛刺激治疗无先兆偏头痛患者的即时镇痛疗效观察[J].中华物理医学与康复杂志,2016,38(10):760-763.
[10] 曹丽翠,蒋敏之,王磊,等.针灸治疗偏头痛的机理研究进展[J].宁夏医科大学学报,2015,37(2):227-230.
[11] 赵维民,张波.偏头痛发病机制的研究进展[J].中医药临床杂志,2015,27(1):125-127.
[12] 杨旭光,李瑛,梁繁荣.针刺治疗偏头痛随机对照研究现状与评述[J].辽宁中医杂志,2009,36(7):1237-1239.
[13] 董兰真,蒲圣雄,周冀英.偏头痛与神经源性炎症的研究进展[J].重庆医学,2015,44(8):1126-1128.
[14] 刘东,万琪.偏头痛的遗传学研究进展[J].中国疼痛医学杂志,2015,21(4):289-292.
[15] 谭亮,樊光辉.偏头痛发病机制的研究进展[J].中国临床神经外科杂志,2012,17(9):571-573.
[16] 章正祥,曹克刚,范吉平.从血管学说谈偏头痛发病机制的沿革[J].世界临床药物,2014,35(10):588-590,600.
[17] 殷丽丽,潘永惠.偏头痛三叉神经血管通路脑区的影像学研究进展[J].脑与神经疾病杂志,2017,25(4):262-265.
[18] 吕艳斐.电针对偏头痛模型大鼠腺苷A1受体及信号转导通路的作用机制研究[D].济南:山东中医药大学,2016.
[19] 陈敏.vlPAG区的PV~+中间神经元在偏头痛发病机制中的作用[D].北京:中国人民解放军医学院,2016.
[20] 张宇叶,赖小燕,吴双,等.针刺治疗偏头痛的血管源学说机制研究进展[J].医学研究生学报,2016,29(3):305-308.
[21] Witt CM,Reinhold T,Jena S,et al. Cost-effectiveness of acupuncture treatment in patients with headache [J]. Cephalalgia,2008,28(4):334-345.
[22] Wonderling D,Vickers AJ,Grieve R,et al. Cost effectiveness analysis of a randomized trial of acupuncture for chronic headache in primary care [J]. BMJ,2004,328(7442):747.
[23] 官国东,谭静,叶颖,等.半夏白术天麻汤加味治疗痰浊上扰证偏头痛临床疗效和治疗前后综合评分情况比较观察[J].中国医学创新,2016,13(7):80-83.
[24] 赵剑华,张碧云.偏头痛的中西医研究进展[J].中国医药指南,2015,13(35):24-26.
[25] 魏平,席恒.血府逐瘀汤加减治疗偏头痛40例[J].西部中医药,2015,28(12):89-90.
[26] 陈勤,吴曦,朱欢,等.针灸治疗偏头痛临床对照文献用穴规律分析[J].成都中医药大学学报,2007,30(3):1-9. |
|
|
|