Clinical Observation on Acupuncture Combined with Xuefu Zhuyu Tang for Migraine
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摘要:
目的:观察针刺联合血府逐瘀汤治疗偏头痛的临床疗效。方法:选取200例偏头痛患者,根据随机数字表法分为实验组和对照组各100例。对照组采用盐酸氟桂利嗪胶囊治疗,实验组采用针刺配合血府逐瘀汤治疗,2组均治疗1月。对比分析2组临床疗效,观察治疗前后主诉疼痛的程度分级法(VRS法)、视觉模拟评分法(VAS)及SF-36评分的变化。结果:实验组总有效率92.00%,对照组总有效率70.00%,2组比较,差异有统计学意义( P <0.05)。治疗后,2组VRS、VAS评分均较治疗前降低,差异均有统计学意义( P <0.05);实验组VRS、VAS评分均低于对照组,差异均有统计学意义( P <0.05)。治疗后,2组SF-36的8个维度均较治疗前提高,差异均有统计学意义( P <0.05);实验组SF-36的8个维度评分均高于对照组,差异均有统计学意义( P <0.05)。结论:针刺联合血府逐瘀汤治疗偏头痛临床疗效显著,可改善患者的头痛状况,提高生活质量。
Abstract:
Objective: To observe the clinical effect of acupuncture combined with Xuefu Zhuyu ta ng for migraine.Methods:Selected 200 cases of patients with migraine,and divided theminto the experiment group and the control group according to the randomnumber table method,100 cases in each group.The experiment group was treated with acupuncture combined with Xuefu Zhuyu tang,while the control group was treated with flunarizine hydrochloride capsules.The treatment of the two groups lasted for one month.Compared and analyzed the clinical effect,and observed the changes of scores of verbal rating scale(VRS)for pain,visual analogue scale(VAS)and SF-36 scale before and after treatment.Results:The total effective rate was 92.00%in the experiment group and was 70.00%in the controlgroup,the difference being significant( P <0.05).After treatment,scores of VRS and VAS in the two groups were decreased when compared with those before treatment,differences being significant(P < 0.05).Scores of VRS and VAS in the experiment group were lower than those in the control group,differences being significant(P < 0.05).After treatment,the eight dimensions of SF-36 scale were increased in the two groups when compared with those before treatment,differences being significant(P < 0.05).The eight dimensions of SF-36 scale in the experiment group were higher than those in the controlgroup,differences being significant( P <0.05).Conclusion:The therapy of acupuncture combined with Xuefu Zhuyu tang for migraine has remarkable clinical curative effect,which can improve the headache condition of patients and improve the quality of life.Keywords:Migraine;Acupuncture;Xuefu Zhuyu tang;Pain score;Quality of life