Li Jin-Niu, Li Jia, Liu Jie, Chen Jie, Tian Hao-Chen, Ding Sha
Department of TCM, Beijing Zhongguancun Hospital, Beijing 100190, China.
Beijing Zhongguancun Community Health Service Center.
Zhongguo Zhen Jiu. 2022 Oct 12;42(10):1108-12. doi: 10.13703/j.0255-2930.20211203-k0005.
To compare the clinical efficacy between acupuncture with method by stages based on syndrome differentiation and oral administration of ibuprofen sustained-release capsule in patients with menstrual headache.
A total of 90 cases with menstrual headache were randomly divided into an acupuncture group (45 cases, 1 case excluded, 3 cases dropped off) and a medication group (45 cases, 3 cases dropped off). The patients in the acupuncture group were treated with acupuncture with method by stages based on syndrome differentiation; during period of pain attacks, Ganshu (BL 18), Qimen (LR 14), Hegu (LI 4), Taichong (LR 3), Sizhukong (TE 23) through Shuaigu (GB 8) were selected, once a day; during period of pain relief, Qichong (ST 30), Dahe (KI 12), Guanyuan (CV 4), Taixi (KI 3) were selected, once every 1-2 days. The patients in the medication group were treated with oral administration of ibuprofen sustained-release capsule during period of pain attacks. Each menstrual cycle was taken as a course of treatment, and both groups were treated for 3 courses. The headache comprehensive score (HCS), visual analogue scale (VAS) socre, dysmenorrhea symptom score (DSS) were compared before treatment, 1, 2 and 3 courses into treatment and 1, 2, 3 menstrual cycles after treatment; the clinical efficacy was also evaluated.
The HCS score at each time point after treatment was lower than that before treatment in the two groups (<0.05); 2 and 3 menstrual cycles after treatment, the HCS socres in the acupuncture group were lower than those in the medication group (<0.05). Except for the 2 and 3 menstrual cycles after treatment in the medication group, the VAS score at each time point after treatment was lower than that before treatment in the two groups (<0.05). Except for 1 menstrual cycle into treatment, the DSS scores in the acupuncture group at each time point after treatment was lower than that before treatment (<0.05); the DSS socres at 2 and 3 menstrual cycles into treatment and 1 menstrual cycle after treatment were lower than those before treatment in the medication group (<0.05). Except for 1 menstrual cycle into treatment, the VAS score and DSS score in the acupuncture group were lower than those in the medication group at each time point after treatment (<0.05). The total effective rate was 82.9% (34/41) in the acupuncture group, which was higher than 73.8% (31/42) in the medication group (<0.05).
The analgesic effect of acupuncture with method by stages based on syndrome differentiation is superior to oral administration of ibuprofen sustained-release capsules, which could effectively prevent the recurrence of menstrual headache, and improve irregular menstruation-related symptoms.
比较基于辨证分期针刺法与口服布洛芬缓释胶囊治疗月经性头痛的临床疗效。
将90例月经性头痛患者随机分为针刺组（45例，剔除1例，脱落3例）和药物组（45例，脱落3例）。针刺组采用基于辨证分期针刺法治疗；疼痛发作期，选取肝俞（BL 18）、期门（LR 14）、合谷（LI 4）、太冲（LR 3）、丝竹空（TE 23）透率谷（GB 8），每日1次；疼痛缓解期，选取气冲（ST 30）、大赫（KI 12）、关元（CV 4）、太溪（KI 3），每1 - 2日1次。药物组在疼痛发作期采用口服布洛芬缓释胶囊治疗。以每个月经周期为1个疗程，两组均治疗3个疗程。比较两组治疗前、治疗1、2、3个疗程及治疗后1、2、3个月经周期的头痛综合评分（HCS）、视觉模拟评分（VAS）、痛经症状评分（DSS）；并评价临床疗效。
两组治疗后各时间点HCS评分均低于治疗前（P<0.05）；治疗后2、3个月经周期，针刺组HCS评分低于药物组（P<0.05）。两组治疗后除药物组治疗后2、3个月经周期外，各时间点VAS评分均低于治疗前（P<0.05）。针刺组治疗后除治疗1个月经周期外，各时间点DSS评分均低于治疗前（P<0.05）；药物组治疗2、3个月经周期及治疗后1个月经周期DSS评分低于治疗前（P<0.05）。针刺组治疗后除治疗1个月经周期外，各时间点VAS评分及DSS评分均低于药物组（P<0.05）。针刺组总有效率为82.9%（34/41），高于药物组的73.8%（31/42）（P<0.05）。
基于辨证分期针刺法的镇痛效果优于口服布洛芬缓释胶囊，能有效预防月经性头痛复发，改善月经不调相关症状。
