畲医针刺治疗气滞血瘀型经期偏头痛48例疗效观察

蓝蓓蕾　张巧玲　叶亚云　袁彬　雷晓燕

[摘要] 目的 观察畲医针刺治疗气滞血瘀型经期偏头痛的临床疗效。 方法 将符合条件的96例气滞血瘀型经期偏头痛患者随机分成两组，每组48例，对照组采用睡前口服盐酸氟桂利嗪胶囊10 mg，每次月经来临前5 d开始服药，连续服用10 d，共治疗4个月经周期。治疗组采用畲医针刺治疗，每次月经来临前5 d开始治疗，1次/d，10次为1个疗程。共治疗4个月经周期。观察头痛积分，评价疗效。 结果 经过4个月经周期治疗后，两组头痛积分与治疗前比较，差异均有统计学意义（P<0.05），且治疗后治疗组患者头痛积分明显低于对照组，差异有统计学意义（P<0.05）。对照组痊愈18例，显效10例，有效7例，无效13例，总有效率72.9%;治疗组痊愈27例，显效11例，有效4例，无效6例，总有效率87.5%。兩组总有效率比较，有显著性差异（P<0.05）。 结论 畲医针刺治疗气滞血瘀型经期偏头痛疗效较口服盐酸氟桂利嗪胶囊明显，且无副作用，操作简单，患者痛苦小，是行之有效的民族特色疗法之一。

[关键词] 畲医针刺;经期偏头痛;气滞血瘀型;盐酸氟桂利嗪胶囊

[中图分类号] R246.6          [文献标识码] B          [文章编号] 1673-9701（2019）12-0088-04

Clinical observation on 48 cases of menstrual migraine with Qi stagnation and blood stasis type treated by She medicine acupuncture

LAN Beilei   ZHANG Qiaoling   YE Yayun   YUAN Bin   LEI Xiaoyan

Department of Acupuncture and Moxibustion， Lishui People's Hospital in Zhejiang Province， Lishui 323000， China

[Abstract] Objective To observe the clinical efficacy of She medicine acupuncture on the treatment of Qi stagnation and blood stasis type migraine. Methods A total of 96 cases of menstrual migraine with Qi stagnation and blood stasis type patients who met the criteria were randomly divided into two groups， with 48 cases in each group. The control group received 10 mg of flunarizine hydrochloride before bedtime， and the drug was taken 5 days before the onset of menstruation for 10 consecutive days， with the total treatment for 4 menstrual cycles. The treatment group was treated with She medicine acupuncture treatment. The treatment was started 5 days before the onset of menstruation， once a day， 10 times for a course of treatment. A total of 4 menstrual cycles were treated. The headache score was observed and the effect was evaluated. Results After 4 menstrual cycles of treatment， the headache scores of two group were significantly lower than those before treatment（P<0.05）， and the headache scores of the treatment group after treatment was significantly lower than that in the control group（P<0.05）. the control group was cured in 18 cases， markedly effective in 10 cases， effective in 7 cases， ineffective in 13 cases， with a total effective rate of 72.9%. In the treatment group， 27 cases were cured， 11 cases were markedly effective， 4 cases were effective， and 6 cases were ineffective， with the total effective rate of 87.5%. There was a significant difference in the total effective rate between the two groups（P<0.05）. Conclusion She medicine acupuncture in the treatment of Qi stagnation and blood stasis type migraine is more effective than oral flunarizine hydrochloride capsule， and it has no side effects， with simple operation and little pain. It is one of the effective national characteristics therapies.