透灸治疗无先兆偏头痛临床随机对照研究

Ling GAO; Jin XIE; Xiao LI; Ya-jing GUO; Ming-ming ZHANG; Ling-yan MENG; Qian-ting LIN; Xi-yan GAO

doi:10.1007/s11655-021-3327-4

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透灸治疗无先兆偏头痛临床随机对照研究

Acupuncture Research | Updated：2021-11-29

- 透灸治疗无先兆偏头痛临床随机对照研究
- Effect and Safety of Penetrating Moxibustion in Treatment of Migraine without Aura: A Randomized Controlled Trial
- Chinese Journal of Integrative Medicine 2021年27卷第12期页码：927-932
- Affiliations：
  
  1.College of Acupuncture and Tuina, Henan University of Chinese Medicine, Zhengzhou (450008), China
  2.Acupuncture Clinic of the Third Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou (450008), China
  3.College of Acupuncture and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai (201203), China
- Author bio：
  
  Prof. GAO Xi-yan, E-mail: gaoxiyan@yeah.net
- Funds：
- DOI：10.1007/s11655-021-3327-4
  中图分类号：
- 纸质出版日期：2021-11-15，
  
  网络出版日期：2021-04-21，
  
  录用日期：2020-02-26
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Ling GAO, Jin XIE, Xiao LI, 等. 透灸治疗无先兆偏头痛临床随机对照研究[J]. Chinese Journal of Integrative Medicine, 2021,27(12):927-932.

Ling GAO, Jin XIE, Xiao LI, et al. Effect and Safety of Penetrating Moxibustion in Treatment of Migraine without Aura: A Randomized Controlled Trial[J]. Chinese Journal of Integrative Medicine, 2021,27(12):927-932.
Ling GAO, Jin XIE, Xiao LI, 等. 透灸治疗无先兆偏头痛临床随机对照研究[J]. Chinese Journal of Integrative Medicine, 2021,27(12):927-932. DOI： 10.1007/s11655-021-3327-4.

Ling GAO, Jin XIE, Xiao LI, et al. Effect and Safety of Penetrating Moxibustion in Treatment of Migraine without Aura: A Randomized Controlled Trial[J]. Chinese Journal of Integrative Medicine, 2021,27(12):927-932. DOI： 10.1007/s11655-021-3327-4.

摘要

目的:

观察透灸治疗无先兆偏头痛的临床疗效.

方法:

收集2015年11月至2017年2月在河南中医药大学第三附属医院针灸门诊就诊的60例MO患者. 将所有患者随机分配到治疗组和对照组

每组30例. 治疗组给予透灸法治疗

对照组给予温和灸法治疗

每周3次

连续4周. 对比两组的有效率、治疗前后VAS评分、头痛强度、偏头痛患者生活质量问卷评分

观察灸感及灸后反应

并进行安全性评价. 于治疗后4周和16周对患者进行随访.

结果:

治疗组有效率93.33%

对照组有效率80%

治疗组有效率明显高于对照组

具有统计学意义(

0.05); 治疗组患者的VAS评分、头痛强度、MSQ评分方面改善情况皆优于对照组 (

0.05); 治疗组痒、麻、冷等灸感及灸后汗出、潮红体征的出现率高于对照组 (

0.01). 两组之间的安全性评价无明显差异 (

0.05).

结论:

透灸法治疗无先兆型偏头痛可明显改善患者症状及生活质量

透灸后患者的潮红、汗出现象明显

疗效优于温和灸.

Abstract

Objective:

To observe the clinical effect of penetrating moxibustion on migraine without aura (MO) patients.

Methods:

Totally 60 MO patients from the Acupuncture Clinic of the Third Affiliated Hospital of Henan University of Chinese Medicine were collected from November 2015 to February 2017. All patients were assigned to a treatment group and a control group using a random number table

30 cases in each group. The treatment group was treated with penetrating moxibustion

and the control group was treated with mild moxibustion

thrice a week for 4 consecutive weeks. The total effective rate

Visual Analogue Scale (VAS) scores

headache intensity

and Migraine Specific Quality of Life Questionnaire (MSQ) scores of patients after treatment were compared between the two groups. The moxibustion sensation and reaction after moxibustion were observed

and the adverse reactions were evaluated. All patients were followed up at 4 and 16 weeks after treatment.

Results:

The total effective rate of the treatment group was significantly higher than that of the control group (93.33% vs. 80.00%

0.05). The improvement of VAS scores

headache intensity

and the role restrictive and role preventive scores in MSQ in the treatment group was better than those in the control group (

0.05). The person-time of moxibustion sensations of itching

numbness and cold

as well as flushing and sweating after moxibustion in the treatment group were all significantly higher than that in the control group (

0.01). There was no significant difference in safety evaluation between the two groups (

0.05).

Conclusions:

Penetrating moxibustion can significantly relieve pain and improve quality of life of MO patients. After penetrating moxibustion

flushing and sweating of patients were obvious

and the curative effect was superior to the mild moxibustion.

关键词

Keywords

penetrating moxibustionrandomized controlled trialmigraine without auraChinese medicine

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