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松针点灸治疗偏头痛的临床研究
引用本文:Meng WG,Shi L,Wu LY,Lai LY,Song RX,Huang SZ. 松针点灸治疗偏头痛的临床研究[J]. 中国针灸, 2012, 32(6): 519-522
作者姓名:Meng WG  Shi L  Wu LY  Lai LY  Song RX  Huang SZ
作者单位:防城港市第一人民医院中医科
基金项目:防城港市科研及技术开发项目:防科转1013008
摘    要:目的:探讨应用松针点灸治疗偏头痛的临床疗效及其机制。方法:将43例偏头痛患者随机分为松针点灸组(21例)和壮医药线组(22例)。两组取穴相同,以风池、百会、太阳、率谷、攒竹、丝竹空、阳陵泉、外关及阿是穴为主穴,松针点灸组采用松针点灸,用经处理的松叶,将其一头整齐,点灸穴位或痛点;壮医药线组采用壮医药线点灸,对比观察两组临床疗效、患者血清超敏C反应蛋白(hs-CRP)及Mg2+含量的变化及疼痛强度。结果:①松针点灸组疼痛完全缓解率、有效率分别为47.6%(10/21)、90.5%(19/21),壮医药线组分别为13.6%(3/22)、50.0%(11/22),松针点灸组优于壮医药线组(均P<0.01);②松针点灸组治疗后血清hs-CRP含量由(4.29±0.98)mg/L降至(2.11±0.87)mg/L,Mg2+含量由(0.67±0.28)mmol/L升至(1.07±0.16)mmol/L,而壮医药线组分别是(4.30±1.07)mg/L降至(3.38±1.15)mg/L和(0.68±0.21)mmol/L升至(0.88±0.25)mmol/L,松针点灸组治疗后较壮医药线组变化显著(均P<0.05);③松针点灸组治疗后疼痛强度明显低于壮医药线组(P<0.05)。结论:松针点灸治疗偏头痛的临床疗效优于壮医药线点灸,并对患者血清hs-CRP和Mg2+含量有显著调节作用。

关 键 词:偏头痛  松针点灸  壮医药线点灸  超敏C反应蛋白  Mg2+含量

Clinical research on treatment of migraine with pine needle moxibustion
Meng Wei-guang,Shi Lai,Wu Ling-yan,Lai Ling-yan,Song Rui-xia,Huang Shao-zhen. Clinical research on treatment of migraine with pine needle moxibustion[J]. Chinese acupuncture & moxibustion, 2012, 32(6): 519-522
Authors:Meng Wei-guang  Shi Lai  Wu Ling-yan  Lai Ling-yan  Song Rui-xia  Huang Shao-zhen
Affiliation:Department of TCM, the First People's Hospital of Fangchenggang City, Fangchenggang 538021, Guangxi Zhuang Autonomous Region, China. mengweiguang@163.com
Abstract:Objective To observe the clinical effect and mechanism of migraine treated with pine needle moxibustion.Methods Forty-three patients were randomly divided into 2 groups of pine needle moxibustion group(group A,21 cases) and medicated thread moxibustion of Zhuang medicine group(group B,22 cases).Same acupoints were selected as the main points for both groups,namely Fengchi(GB 20),Baihui(GV 20),Taiyang(EX-HN 5),Shuaigu(GB 8),Cuanzhu(BL 2),Sizhukong(TE 23),Yanglingquan(GB 34),Waiguan(TE 5) and Ashi points.Pine needle moxibustion was applied for the group A.Processed lighted pine needles were banded together with one even head to do moxibustion on acupoints or pain points.While,lighted medicated thread was adopted for the group B to do moxibustion.Therapeutic effects,the content of high-sensitivity C-reactive protein(hs-CRP),Mg2+ in the serum and the degree of pain of the two groups were compared.Results ① In the group A,the complete remission rate was 47.6%(10/21) and the effective rate was 90.5%(19/21).In the group B,the complete remission rate was 13.6%(3/22) and the effective rate was 50.0%(11/22).The two rates in the group A were superior to those in the group B(both P<0.01);② In the group A,the content of hs-CRP was decreased from(4.29±0.98)mg/L to(2.11±0.87)mg/L,and Mg2+ was increased from(0.67±0.28)mmol/L to(1.07±0.16)mmol/L.In the group B,the contents of the above mentioned indices were respectively decreased from(4.30±1.07)mg/L to(3.38±1.15)mg/L and increased from(0.68±0.21)mmol/L to(0.88±0.25)mmol/L.There were significant differences between the two groups after treatment(both P<0.05).③ The degree of pain in the group A after treatment was much lower than that in the group B(P<0.05).Conclusion The clinical effect of migraine treated with pine needle moxibustion is better than that with the medicated thread moxibustion of Zhuang Medicine.And it has obvious regulation effect on the levels of hs-CRP and Mg2+ in the serum of patients.
Keywords:Migraine  Pine Needle Moxibustion  Midicated Thread Moxibustion  High-Sensitivity C-Reactive Protein of Zhuang Medicine  Magnesium Content
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