冯而标 黎胜驹 邓丽兴 李莲英 李万基

[摘要]目的探討针刺少阳经特定穴治疗少阳偏头痛的临床效果。方法选择阳江市中医医院睡眠障碍专科及神经内科门诊2018年9月至2020年3月收治的120例少阳偏头痛患者，采用随机数字表法分为对照组（ n=60）与治疗组（ n=60），对照组采用非少阳经特定穴位针刺治疗，治疗组采用针刺少阳经特定穴位治疗，比较两组治疗前后头痛发作情况（头痛发作次数、头痛程度、头痛持续时间）及头痛发作伴发症状情况，评价两组疗效，比较不良反应发生情况。结果治疗前两组患者头痛发作次数、头痛程度、头痛持续时间、伴发症状评分差异无统计学意义（ P >0.05），治疗后治疗组头痛发作次数少于对照组，头痛程度低于对照组，头痛持续时间短于对照组，伴发症状评分低于对照组，差异有统计学意义（P <0.05）;治疗组疗效总有效率高于对照组，差异有统计学意义（P <0.05）;两组均未发生严重不良反应。结论针刺少阳经特定穴治疗少阳偏头痛疗效显著，可减少头痛发作次数，降低发作严重程度，缩短头痛持续时间，减少伴发症状，安全性高。[关键词]针刺;少阳经;特定穴;偏头痛;临床症状;安全性

[中图分类号] R246  [文献标识码] A   [文章编号]2095-0616（2021）23-0105-04

Clinical research on acupuncture at specific points of shaoyang Meridian in the treatment of migraine with shaoyang

FENG  Erbiao    LI  Shengju    DENG  Lixing    LI  Lianying    LI  Wanji

Sleep Disorder Specialist Outpatient， Yangjiang Hospital of Traditional Chinese Medicine， Guangdong， Yangjiang 529500， China

[Abstract] Objective To investigate the clinical efficacy of acupuncture at specific points of Shaoyang meridian in the treatment of migraine with Shaoyang. Methods A total of 120 patients of migraine with Shaoyang admitted to and treated in the Sleep Disorders Specialist and Neurology Outpatient of Yangjiang Hospital of Traditional Chinese Medicine from September 2018 to March 2020 were selected， and they were divided into the control group （n=60） and the treatment group （n=60） according to the random number table method. The control group was treated with acupuncture at specific points of non-Shaoyang meridian， while the treatment group was treated with acupuncture at specific points of Shaoyang meridian. Before and after treatment， the headache attack conditions （headache attack frequency， headache severity and headache duration） and the accompanying symptoms associated with headache attack were compared between the two groups. The therapeutic efficacy of the two groups was evaluated and the incidences of adverse reactions were compared. Results  Before treatment， there were no statistically significant differences in headache attack frequency， headache severity， headache duration and accompanying symptom scores between the two groups （P >0.05）. After treatment， the headache attack frequency in the treatment group was less than that in the control group， the headache severity was lower than that in the control group， the headache duration was shorter than that in the control group， and the accompanying symptom score was lower than that in the control group， with statistically significant differences （P <0.05）. The total effective rate of the treatment group was higher than that of the control group， with statistically significant difference （P <0.05）. No serious adverse reactions occurred in both groups. Conclusion Acupuncture at specific points of Shaoyang meridian is effective in the treatment of migraine with Shaoyang， which can reduce the headache attack frequency， alleviate the headache severity， shorten the headache duration， and relieve the accompanying symptoms with high safety.

[Key words] Acupuncture; Shaoyang meridian; Specific points; Migraine; Clinical symptom; Safety

偏头痛在临床工作中十分常见，无特定发病年龄，具有发病率高、病程迁延、难治愈等特点[1]，临床症状主要为搏动样头痛，多为单侧头痛且伴恶心、呕吐、畏光、畏声等症状[2]。偏头痛发作时，患者头痛难忍，持续时间长短不定，有时还会伴发其他症状，对患者的生活与工作都会造成直接影响。WHO 在2015年公布的全球疾病结果中偏头痛占所有常见临床疾病第三位，致残率占所有致残性疾病第六位[3]。西医治疗本病多采用药物缓解临床症状，虽然药物不断推陈创新，但新药一般都有不同程度副作用[4]，且远期疗效还有待验证。针刺……