[1]李珊珊,孙少馨,于金娜,等.毫火针宣通法治疗偏头痛疗效观察[J].陕西中医,2022,(9):1293-1296.[doi:DOI:10.3969/j.issn.1000-7369.2022.09.036]
　LI Shanshan,SUN Shaoxin,YU Jinna,et al.Clinical observation on milli-fire needling Xuantong therapy for migraine[J].,2022,(9):1293-1296.[doi:DOI:10.3969/j.issn.1000-7369.2022.09.036]
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毫火针宣通法治疗偏头痛疗效观察
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年9期
页码:
1293-1296
栏目:
针灸经络
出版日期:
2022-09-05

文章信息/Info

Title:
Clinical observation on milli-fire needling Xuantong therapy for migraine
作者:
李珊珊1; 孙少馨1; 于金娜1; 王文燕2; 辜红炜2; 彭唯娜1; 刘 军1; 黄石玺1
(1.中国中医科学院广安门医院,北京 100053; 2.北京中医药大学,北京 100029)
Author(s):
LI Shanshan; SUN Shaoxin; YU Jinna; WANG Wenyan; GU Hongwei; PENG Weina; LIU Jun; HUANG Shixi
(Guang'anmen Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100053,China)
关键词:
偏头痛;  毫火针宣通法;  毫火针;  温针灸;  生活质量
Keywords:
Migraine;  Milli-fire needling Xuantong therapy;  Milli-fire needling;  Warm acupuncture;  Quality of life
分类号:
R 747.2
DOI:
DOI:10.3969/j.issn.1000-7369.2022.09.036
文献标志码:
A
摘要:
目的:观察毫火针宣通法治疗偏头痛的临床疗效。方法:将90例偏头痛患者随机分为对照组和治疗组。对照组患者口服盐酸氟桂利嗪胶囊,治疗组在对照组基础上给予毫火针宣通法治疗,治疗4周。比较两组治疗前后视觉模拟评分法(VAS)评分、头痛持续时间、中度以上头痛发作天数、偏头痛特异生活质量问卷(MSQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)。结果:治疗4周后,治疗组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前两组患者头痛持续时间、中度以上头痛发作天数及VAS、MSQ、SAS、SDS评分比较,差异无统计学意义(均P>0.05)。两组患者治疗4周后、治疗后1个月、治疗后3个月头痛持续时间,中度以上头痛发作天数及VAS、SAS、SDS评分均降低,MSQ评分则升高,差异有统计学意义(均P<0.05)。治疗组各时间点头痛持续时间、中度以上头痛发作天数及VAS、SAS、SDS评分均低于对照组,MSQ评分高于对照组,差异有统计学意义(均P<0.05)。结论:毫火针宣通法治疗偏头痛疗效较好,可减轻患者疼痛,缩短疼痛持续时间,减少疼痛发作天数,提高患者生活质量。
Abstract:
Objective:To observe effect of milli-fire needling Xuantong therapy for migraine.Methods:90 migraine patients were divided into control group and treatment group.The control group were given flunarizine hydrochloride capsule orally,and the treatment group given milli-fire needling Xuantong therapy on the basis of the control group.The visual analog scale(VAS)score,headache duration,moderate headache onset days,migraine specific quality of life questionnaire(MSQ),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were compared between the two groups before and after treatment.Results:After treatment,the total effective rate of the treatment group was higher than that of the control group,difference statistically significant(P<0.05).Before treatment,there were no significant differences in headache duration,moderate headache onset days,VAS,MSQ,SAS and SDS scores between the two groups(all P>0.05).After 4 weeks,one month and three months of treatment,headache duration,moderate headache onset days,VAS,SAS,SDS scores of the two groups decreased,MSQ scores increased compared with before treatment(all P<0.05).The duration of headache at each time point,the days of moderate headache,VAS,SAS and SDS scores in the treatment group were lower than those in the control group,while MSQ score higher than that in the control group,difference statistically significant(all P<0.05).Conclusion:Milli-fire needling Xuantong therapy has better efficacy in the treatment of migraine,which can reduce the pain of patients,shorten the duration of pain,reduce the number of days of pain attack,and improve quality of life.

参考文献/References:

[1] Headache classification of the international headache society.The international classification of headache disorders:3nd edition(beta version)[J].Cephalalgia,2013,33(9):629-808.
[2] Stovner LJ,Andree C.Prevalence of headache in Europe:A review for the eurolight project[J].Journal Headache Pain,2010,11(4):289-299.
[3] Yu SY,Liu RZ,Zhao G,et al.The prevalence and burden of primary headaches in China:A population-based door-to-door survey[J].Headache,2012,52(4):582-591.
[4] 中华医学会疼痛学分会头面痛学组.中国偏头痛诊断治疗指南[J].中国疼痛医学杂志,2011,17(2):65-86.
[5] Silberstein SD.Preventive migraine treatment[J].Continuum,2015,21(4):973-989.
[6] Ong JJY,De FM.Migraine treatment:Current acute medications and their potential mechanisms of action[J].Neurotherapeutics,2018,15(2):274-290.
[7] Yu SY,Zhang YL,Yao Y,et al.Migraine treatment and healthcare costs:Retrospective analysis of the China health insurance research association database[J].Journal Headache Pain,2020,21(1):53.
[8] 石学敏.针灸学[M].北京:中国中医药出版社,2007:17-122.
[9] Huskisson EC,Jones J,Scott PJ.Application of visual analogue scales to the measurement of functional capacity[J].Rheumatol Rehabil,1976,15(3):185-187.
[10] 国家中医药管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:105-109.
[11] Pathak DS,Sharfman MI.Validity and reliability of the migraine-specific quality of life questionnaire[J].Headache,2000,40(3):204-215.
[12] Gilmore B,Michael M.Treatment of acute migraine headache[J].Am Fam Physician,2011,83(3):271-280.
[13] 高小梅,王柏松,宋艳艳,等.针刺治疗偏头痛的系统评价和Meta分析[J].中国临床药理学与治疗学,2011,16(5):530-537.
[14] Linde K,Allais G,Brinkhaus B,et al.Acupuncture for the prevention of episodic migraine[J].Cochrane Database Syst Rev,2016(6):1218-1220.
[15] 崔秋月,何俏颖,方剑乔,等.针刺治疗偏头痛时效性评价的Mate分析[J].上海针灸杂志,2018,37(4):466-473.
[16] 于生元,万 琪,王 伟,等.偏头痛非药物防治中国专家共识[J].神经损伤与功能重建,2021,16(1):1-5.
[17] 张容超,吴 涛,王瑞辉,等.针灸治疗偏头痛诊疗思路探析[J].陕西中医,2019,40(11):1605-1607,1652.
[18] 王海慧,王素匣,陈尧华.温针联合颈椎旁神经阻滞治疗颈源性头痛疗效及对患者疼痛、颈部血流动力学影响[J].陕西中医,2020,41(9):1307-1310.
[19] 宋晓琳,赵吉平,马新平.针刺配合火针治疗无先兆偏头痛的疗效观察[J].环球中医药,2018,11(1):151-153.
[20] 黄文东.实用中医内科学[M].上海:上海科学技术出版社,1985:578-583.

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更新日期/Last Update: 2022-09-08