刺血法治疗偏头痛的临床研究
摘要
目的:观察刺血治疗偏头痛的临床疗效,并观察治疗前后TCD的血流速度变化。
方法:采用随机对照单盲的方法,将160例患者随机分为治疗组及对照组。治疗组80例为三棱针刺血治疗组,对照组80例为药物治疗组。操作:治疗组取百会、患侧太阳穴和阳陵泉。作常规消毒,持三棱针点刺。每穴放血量8-10滴。隔天1次,5次为1疗程,共3个疗程。对照组用麦角胺咖啡因在前躯期或发作期服用,始口服1—2片,半小时后若无效再服1—2片,每次发作最多不超过6片。10天为一疗程,共3个疗程。治疗后观察临床即时、短期及远期疗效及治疗前后观察TCD平均血流速度指标。
结果:(1)临床疗效:治疗组即时疗效为92.3%、短期疗效97.4%、远期疗效84.6%;对照组即时疗效63.6%、短期疗效77.9%、远期疗效31.2%。经统计学分析均有显著性差异。(2)刺血治疗偏头痛后经TCD检查,结果发现,各动脉的平均血流速度与对照组比较有显著性差异(P＜0.05)。
结论:刺血疗法治疗偏头痛的即时疗效、短期疗效、远期疗效均优于对照组。通过TCD检测证明本法还能改善颅内血管的紧张状态。故我们推测刺血疗法是治疗偏头痛的有效方法。具有临床推广价值。
Objegtive:To observe the clinical effect and blood stream speed of TCD before and after treadmend in three-edged needle pricking blood therapy on migraine.
Method:By the way of the random contorl trial.There were 160 migraineurs in total Items of Observation.They were randomly divided into two group.80 case of which were treated with pricking blood trerapy and 80 case were received medicine.Operation:The treatment group takes baihui point,the trouble side taiyang and yangling quan point.Makeing the conventional disinfection at first,We hold the three-edged needle to treat through the methed of prompt piercing.The Hemorrhage measures each hole is 8-10 drops.1 treatment course is 5 times,1 time two day,each group spents 3 treatment courses totally.The control group take the ergotamine and caffeine tablets when this disease is at attack or before Headache,taking orally 1-2 pieces at the beginning,we could takes 1-2 pieces again half hour later if invalid,The most large dose is less than 6 pieces each time.Each treatment course is 10 days,it need 3 treatment courses totally.We need to observe the clinical immediate,short-term and the forward curative effect after treatment and The blood stream speed of TCD of two groud were compared before and after treadmend.
Result:(1)the clinical effect.The imediate effect(60 min after treatment),the short-term effect and the long-termeffect in treatment group was 92.3%;97.4%;84.6%respectively and in the control group was 63.6%;77.9%31.2%respectively,the statistical analysis showed that the effect had a significant difference between two groups(p＜0.05)。(2)after treatment the blood-speeding of the TCD was more significant in the treatment group than in the control group(p＜0.05).
Conclusion:The three-edged needle pricking blood therapy on migraine's immediate curative effect,the short-term curative effect and the forward curative effect is more effective than that of the receiving medicine group.It also can Alleviate the encephalic blood vessel's nervous state through the TCD examination.Therefore we extrapolated that punctures the blood therapy treats migraine's efficacious device. The three-edged needle pricking blood therapy on migragrine is an effective treatment.It has the Latent value to use on clinic.
方法:采用随机对照单盲的方法,将160例患者随机分为治疗组及对照组。治疗组80例为三棱针刺血治疗组,对照组80例为药物治疗组。操作:治疗组取百会、患侧太阳穴和阳陵泉。作常规消毒,持三棱针点刺。每穴放血量8-10滴。隔天1次,5次为1疗程,共3个疗程。对照组用麦角胺咖啡因在前躯期或发作期服用,始口服1—2片,半小时后若无效再服1—2片,每次发作最多不超过6片。10天为一疗程,共3个疗程。治疗后观察临床即时、短期及远期疗效及治疗前后观察TCD平均血流速度指标。
结果:(1)临床疗效:治疗组即时疗效为92.3%、短期疗效97.4%、远期疗效84.6%;对照组即时疗效63.6%、短期疗效77.9%、远期疗效31.2%。经统计学分析均有显著性差异。(2)刺血治疗偏头痛后经TCD检查,结果发现,各动脉的平均血流速度与对照组比较有显著性差异(P＜0.05)。
结论:刺血疗法治疗偏头痛的即时疗效、短期疗效、远期疗效均优于对照组。通过TCD检测证明本法还能改善颅内血管的紧张状态。故我们推测刺血疗法是治疗偏头痛的有效方法。具有临床推广价值。
Objegtive:To observe the clinical effect and blood stream speed of TCD before and after treadmend in three-edged needle pricking blood therapy on migraine.
Method:By the way of the random contorl trial.There were 160 migraineurs in total Items of Observation.They were randomly divided into two group.80 case of which were treated with pricking blood trerapy and 80 case were received medicine.Operation:The treatment group takes baihui point,the trouble side taiyang and yangling quan point.Makeing the conventional disinfection at first,We hold the three-edged needle to treat through the methed of prompt piercing.The Hemorrhage measures each hole is 8-10 drops.1 treatment course is 5 times,1 time two day,each group spents 3 treatment courses totally.The control group take the ergotamine and caffeine tablets when this disease is at attack or before Headache,taking orally 1-2 pieces at the beginning,we could takes 1-2 pieces again half hour later if invalid,The most large dose is less than 6 pieces each time.Each treatment course is 10 days,it need 3 treatment courses totally.We need to observe the clinical immediate,short-term and the forward curative effect after treatment and The blood stream speed of TCD of two groud were compared before and after treadmend.
Result:(1)the clinical effect.The imediate effect(60 min after treatment),the short-term effect and the long-termeffect in treatment group was 92.3%;97.4%;84.6%respectively and in the control group was 63.6%;77.9%31.2%respectively,the statistical analysis showed that the effect had a significant difference between two groups(p＜0.05)。(2)after treatment the blood-speeding of the TCD was more significant in the treatment group than in the control group(p＜0.05).
Conclusion:The three-edged needle pricking blood therapy on migraine's immediate curative effect,the short-term curative effect and the forward curative effect is more effective than that of the receiving medicine group.It also can Alleviate the encephalic blood vessel's nervous state through the TCD examination.Therefore we extrapolated that punctures the blood therapy treats migraine's efficacious device. The three-edged needle pricking blood therapy on migragrine is an effective treatment.It has the Latent value to use on clinic.
引文
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