邱芳晖 陈淑萍

[摘要] 目的 觀察刺血疗法结合电针治疗偏头痛的临床疗效。 方法 将杭州市第一人民医院城北院区2015年10月～2016年10月期间70例偏头痛患者随机分为刺血结合电针治疗组（观察组）和口服西药对照组（西药组），每组均35例。观察组采用点刺放血结合电针的方法进行治疗，口服西药对照组采用口服麦角胺咖啡因片和氟桂利嗪进行治疗，疗程12 d，观察首次治疗结束30 min后的视觉模拟评分（VAS评分）及疗程治疗结束时的头痛积分，比较两种治疗方法的疗效差异。 结果 观察组治疗结束30 min后VAS评分下降值优于西药组（P<0.05），疗程治疗前后，观察组头痛积分下降值和总有效率均优于西药组（P<0.05），且观察组不良反应率明显低于西药组（P<0.05）。结论 刺血结合电针治疗及口服西药治疗两种治疗方法对偏头痛均有较好的即刻止痛效果，但刺血结合电针治疗偏头痛的即刻止痛效果、近期疗效都明显优于口服西药治疗，而且安全性高，值得推广。

[关键词] 偏头痛；刺血；电针；VAS评分

[中图分类号] R246.6 [文献标识码] B [文章编号] 1673-9701（2018）15-0127-04

Clinical research blood-pricking therapy combined with electroacupuncture in the treatment of migraine

QIU Fanghui1 CHEN Shuping2

1.Zhejiang Chinese Medical University， Hangzhou 310022， China； 2.Hangzhou First People's Hospital， Hangzhou 310022， China

[Abstract] Objective To observe the clinical effect of blood-pricking therapy combined with electroacupuncture in the treatment of migraine. Methods 70 patients with migraine who were admitted to Chengbei Branch of Hangzhou First People's Hospital from October 2015 to October 2016 were randomly divided into two groups： blood-pricking therapy combined with electroacupuncture group （observation group） and oral western medicine control group （western medicine group） respectively， with 35 cases in each group. The observation group was given pricking for bloodletting combined with electroacupuncture. The oral Western medicine control group was orally given ergotamine caffeine tablets and flunarizine for treatment， with the course of treatment of 12 days. Visual analogue scores（VAS scores） 30 minutes after the end of the first treatment and headache scores at the end of the treatment period were observed. The difference of the efficacy of the two treatment methods was compared. Results The decrease value of VAS score in the observation group 30 minutes after the end of treatment was better than that in western medicine group（P<0.05）. Before and after treatment， the decrease value of the headache scores and the total effective rate in the observation group were better than those in the western medicine group（P<0.05）. The adverse reaction rate in the observation group was significantly lower than that in the western medicine group（P<0.05）. Conclusion The combination of blood-pricking therapy and electroacupuncture and oral administration of western medicine both have a good immediate analgesic effect on migraine. However， the immediate analgesic effect and the short-term efficacy of blood pricking combined with electroacupuncture in the treatment of migraine are significantly better than those of oral administration of western medicine， and the safety is high， which is worthy of promotion.

[Key words] Migraine； Blood pricking； Electroacupuncture； VAS score

偏头痛是临床常见的神经血管性头痛，痛感强烈，多数呈现为单侧搏动性疼痛，发作时可以持续4～72 h，可以伴有可恢复的视觉症状、感觉症状、言语困难，反复发作，长年不愈[1]。据统计中国的偏头痛患病率为9.3%，集中在25～29岁年龄段的女性[2]。随着人们的生活、学习、工作压力日益加大，环境的日益恶化，患偏头痛的人越来越多，结合偏头痛的顽固性、反复性、致残性，对患者和社会造成严重影响，至今对偏头痛发病机制尚未完全明确，西医药物治疗偏头痛选用的非甾体类抗炎药或特异性治疗药物虽然使用方便，但是临床毒副作用较多，且复发率高。祖国医学尤其针灸治疗在偏头痛的治疗中有着独特的优势、良好的疗效和安全性[3]，刺血疗法能袪瘀通络，改善脑部供血，操作简便、费用低廉且安全，为广大病患所接受。……