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电针四关穴治疗肝阳上亢型偏头痛的随机对照试验

[Electroacupuncture at Siguan points for migraine of liver hyperactivity: a randomized controlled trial].

作者信息

Cai Yi-Wen, Pei Jian, Fu Qin-Hui, Xu Jia, Shen Feng-Jiao, Zhan Yi-Jun, Dai Ming

机构信息

Department of Acupuncture and Moxibustion, Affiliated Longhua Hospital of Shanghai University of TCM, Shanghai 200032, China.

出版信息

Zhongguo Zhen Jiu. 2022 May 12;42(5):498-502. doi: 10.13703/j.0255-2930.20210403-0001.

Abstract

OBJECTIVE

To compare the clinical effect of electroacupuncture at Siguan points and flunarizine hydrochloride capsule on migraine of liver hyperactivity.

METHODS

A total of 110 patients with migraine of liver hyperactivity were randomly divided into an electroacupuncture group (55 cases, 2 cases dropped off) and a western medication group (55 cases, 2 cases dropped off). In the electroacupuncture group, electroacupuncture was applied at Siguan points (Hegu [LI 4] and Taichong [LR 3]), with disperse-dense wave of 2 Hz/100 Hz in frequency and current intensity of 0.1-1 mA, 30 min each time, once a day, 5 times per week for 4 weeks. Flunarizine hydrochloride capsule was given orally in the western medication group, 10 mg a day for 4 weeks. The visual analogue scale (VAS) score and the migraine attack days were observed before and after treatment, during follow-up of 1, 3 and 6 months, and the migraine symptom score was observed before and after treatment in the two groups.

RESULTS

After treatment, during follow-up of 1, 3 and 6 months, the VAS scores and the migraine attack days in the two groups were decreased compared with before treatment (<0.05), and above indexes in the electroacupuncture group were lower than the western medication group (<0.05). After treatment, the migraine symptom scores in the two groups were decreased (<0.05), the change in the electroacupuncture group was greater than the western medication group (<0.05).

CONCLUSION

Electroacupuncture at Siguan points could effectively reduce headache intensity and migraine attack days, relieve migraine symptoms in patients with migraine of liver hyperactivity, and the efficacy is superior to oral flunarizine hydrochloride capsules.

摘要

目的

比较电针四关穴与盐酸氟桂利嗪胶囊治疗肝阳上亢型偏头痛的临床疗效。

方法

将110例肝阳上亢型偏头痛患者随机分为电针组(55例,脱落2例)和西药组(55例,脱落2例)。电针组采用电针四关穴(合谷[LI 4]、太冲[LR 3]),频率为疏密波2Hz/100Hz,电流强度0.1 - 1mA,每次30分钟,每日1次,每周5次,共治疗4周。西药组口服盐酸氟桂利嗪胶囊,每日10mg,治疗4周。观察治疗前、后及治疗后1、3、6个月随访时的视觉模拟评分(VAS)、偏头痛发作天数,并观察两组治疗前、后的偏头痛症状评分。

结果

治疗后及治疗后1、3、6个月随访时,两组VAS评分及偏头痛发作天数均较治疗前降低(P<0.05),且电针组上述指标低于西药组(P<0.05)。治疗后,两组偏头痛症状评分均降低(P<0.05),电针组变化幅度大于西药组(P<0.05)。

结论

电针四关穴能有效降低肝阳上亢型偏头痛患者的头痛程度和偏头痛发作天数,缓解偏头痛症状,且疗效优于口服盐酸氟桂利嗪胶囊。

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