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中文摘要: 目的 观察眼针疗法治疗偏头痛的临床效果。方法 选择 2017年 4月—2019年 5月在辽宁中医药大学附属医院神经 内科门诊诊断为偏头痛的患者120例,按随机数字表法分为治疗组和对照组,每组各60例。对照组采用常规头皮针和体针治 疗方案,患者取坐位,对穴位处皮肤进行常规消毒,采取快速进针法对所选穴位进行针刺;治疗组在对照组治疗的基础上加 用眼针疗法,对所选穴位采用框外横刺法进行针刺。两组在针刺结束后均留针 45分钟,1次/d,21天为 1个疗程。1个疗程 后,根据临床疗效判定标准、视觉模拟量表评分(VAS评分)、中医证候积分和不良反应比较两组的疗效,进行疗效判定。结 果 治疗组患者的总有效率高于对照组,治疗组患者VAS评分低于对照组,治疗组患者中医证候积分低于对照组,观察过程 中两组均未发生不良反应事件。结论 眼针联合头皮针和体针能够有效地缓解偏头痛患者的临床症状,降低头痛程度,且不 良反应少,可以改善患者的生活质量。
Abstract:OBJECTIVE To observe the clinical effect of eye acupuncture treatment in patients with migraine. METHODS 120 patients diagnosed with migraine in the outpatient clinic were divided into two groups according to the random number table method, with 60 patients in each group. Among them, the control group was treated with conventional scalp acupuncture and body acupuncture treatment,Patient taked a seat while the skin was routinely disinfected, and then acupuncture was performed on the selected acupuncture points by a rapid acupuncture method. The treatment group was treated with eye acupuncture on the basis of the treatment of the control group, and the selected points were acupunctured by lateral acupuncture. After the acupuncture, the needles were left for 45 minutes, once a day, and 21 days was a course of treatment. After 1 course of treatment, the curative effects of the two groups were compared according to the four main aspects: the clinical efficacy judgment standard, headache score (VAS score), TCM syndrome score, and adverse reactions. RESULTS The total effective rate in the treatment group was 95.00%, while the total effective rate in the control group was only 76.67%. There was a statistically significant difference between the two groups (P<0.05). CONCLUSION: Eye acupuncture combined with scalp acupuncture and body acupuncture can effectively alleviate the clinical symptoms of migraine patients, reduce the degree of headache, and have fewer adverse reactions, thereby improving the quality of patients’ life.
keywords: migraine eye acupuncture clinical efficacy randomized controlled study migraine without aura typical aura with migraine headache.
文章编号:3202002085 中图分类号:R197 文献标志码:
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