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[针刺治疗偏头痛即时镇痛最佳方案的研究]

[Study on the best solution of immediate analgesia of acupuncture for migraine].

作者信息

Wang Qiao-Mei, Wang Jing-Jing, Hu Jing, Jiao Yue, Wu Zhong-Chao, Yang Jin-Hong, Liu Wei-Zhe

机构信息

Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.

出版信息

Zhongguo Zhen Jiu. 2010 Oct;30(10):798-801.

PMID:21058472
Abstract

OBJECTIVE

To select the best solution of immediate analgesia of migraine treated with acupuncture.

METHODS

Taken 36 cases of migraine in attack stage as research objects, by means of orthogonal experimental design, applying the L9 (3(4)) orthogonal table, the therapeutic effect of immediate analgesia of acupuncture for migraine in attack stage was analyzed in four factors, which were effective acupoints combination, electroacupuncture therapy, auricular therapy and bloodletting therapy, and three levels of each factors. In the test procession, random approaches (stratified random and central random) and blinding experiment (the appraiser blind) were used. The time points of observation were before treatment, and 10, 20 minutes after treatment. Visual Analogue Scale (VAS) was used to evaluate therapeutic effect.

RESULTS

Comparing with the headache before treatment, at the time points of 10 and 20 minutes after treatment, the best solution for headache relief was needling therapy (local and distal points and points selection according to the differentiation), auricular electroacupuncture therapy and bloodletting at Taiyang Zimai (Extra) or Taiyang (EX-HN 5)and Ashi points.

CONCLUSION

In the attack stage of migraine, by the therapy combined with puncture on local and distal points and the points according to the differentiation, auricular electroacupuncture and bloodletting at Taiyang Zimai or Taiyang (EX-HN 5) and Ashi points, the favorable effects of immediate analgesia are received.

摘要

目的

筛选针刺治疗偏头痛即时止痛的最佳方案。

方法

选取36例偏头痛发作期患者作为研究对象,采用正交试验设计,应用L9(3⁴)正交表,对有效穴位组合、电针疗法、耳穴疗法、放血疗法4个因素及各因素的3个水平进行偏头痛发作期针刺即时止痛疗效分析。试验过程中采用随机方法(分层随机和中心随机)及盲法试验(评价者盲)。观察时间点为治疗前、治疗后10、20分钟。采用视觉模拟评分法(VAS)评价疗效。

结果

与治疗前头痛相比,治疗后10、20分钟时,缓解头痛的最佳方案为针刺疗法(局部与远端穴位及辨证选穴)、耳穴电针疗法及太阳穴脉(奇穴)或太阳穴(EX-HN 5)及阿是穴放血。

结论

在偏头痛发作期,采用局部与远端穴位及辨证选穴相结合针刺、耳穴电针及太阳穴脉或太阳穴(EX-HN 5)及阿是穴放血疗法,可收到良好的即时止痛效果。

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