滋补肝肾针刺法治疗慢性偏头痛临床研究

目的:观察滋补肝肾针刺法对肝肾阴虚型慢性偏头痛患者的临床疗效.方法:采用随机对照的临床试验设计,将70例患者随机分为针灸组和西药组,每组35例,针灸组采用滋补肝肾针刺法治疗(每日1次,留针30min),西药组服用盐酸氟桂利嗪胶囊(每晚1次,每次10mg),疗程为2周,并分别在治疗后1个月、2个月进行随访,观察各组治疗前后偏头痛发作疼痛评分以及随访期偏头痛发作天数.结果:治疗2周后,偏头痛发作疼痛评分两组较治疗前均有改善(P＜0.05);随访2个月内,两组偏头痛发作次数较治疗前均有改善(P＜0.05),针灸组改善程度优于西药组(P＜0.05).结论:滋补肝肾针刺法对肝肾阴虚型慢性偏头痛患者具有明显临床疗效,且远期疗效作用明显.; Objective:To observe the clinical effect of applying nourishing liver and kidney acupuncture therapy in the treatment of chronic migraine patients with the syndrome of deficiency of liver-Yin and kidney-Yin.Methods:Designing a randomized controlled clinical trial,70eligible chronic mi.graineurs were enrolled and assigned to 2groups with a ratio of 1 ∶ 1,the acupuncture group was given nourishing liver and kidney acupuncture therapy,and the medicine group was given Flunarizine Hydrochloride Capsules,for a 2-week course of treatment.There were also a 1-month follow up and 2-month followup after the treatment.We observed the pain situation of migraine attacks after 2weeks' treatment and the attack frequency in follow-up period.Results:After 2weeks' treatment,there were statistical differences in the pain scores of migraine attacks compared with the clinical marker in both two groups (P ＜ 0.05);In follow-up period,the attack frequency of migraine had statistical difference compared with the clinical marker in both two groups (P ＜ 0.05),and the acupuncture group had more marked improvement (P ＜ 0.05).Conclusion:Nourishing liver and kidney acupuncture therapy has a good efficacy in the treatment of chronic migraine patients with the syndrome of deficiency of liver-Yin and kidney-Yin,and its effect was superior to that of Flunarizine Hydrochloride Capsules in follow-up period.