自拟头痛穴切割疗法治疗瘀阻脑络型偏头痛

目的：观察头痛穴（宁神穴）治疗瘀阻脑络型偏头痛的临床疗效，以及头痛穴切割疗法相对于普通针刺组的治疗优势。方法：选择符合瘀阻脑络型偏头痛诊断标准的患者60例，将其随机分为头痛穴切割组和普通针刺组，疗程为一周。以治疗前、治疗当天、治疗第三天、治疗一周为观察点，对两组患者进行视觉模拟评分，观察其镇痛疗效，并对两组患者在治疗前后进行临床症状综合评分和疗效评定。结果：头痛穴切割组愈显率96．7％，普通针刺组为53．3％，两组愈显率比较，差异有统计学意义（P〈0．05）；头痛穴切割治疗组总有效率100％，普通针刺组为83．3％，两组总有效率比较，差异有统计学意义（P〈0．05）；两组患者在治疗当天、治疗第三天、治疗一周VAS评分比较，差异有统计学意义（P〈0．05）；治疗后头痛穴切割组和普通针刺组临床综合症状评分比较，差异有统计学意义（P〈0．05）。结论：头痛穴治疗偏头痛有效，且头痛穴切割疗法优于普通针刺组。

Headache Acupoint Cutting Therapy in the Treatment of Hemicrania Induced by Blood Stasis in Cranial Nerve

Objective：To observe the clinic efficacy of headache acupoint on the curing hemicrania resulted from blood stasis in cranial nerve ; as well as the advantage of headache acupoint cutting therapy compared with its counterpart of ordinary acupuncture on curing hemierania. Methods ： Divide 60 patients who suffered blood stasis hemicranias randomly into two groups, headache acupoint cutting treatment group and ordinary acupunc- ture treatment group respectively; and conducting corresponding treatments on them for one week. The two groups of patients would be observed before the treatment, on the 1~t day, the 3rd day and the 7th day of the treatment, whereby evaluating their effects on easing patients＇ pain; in the meanwhile, judging the efficacy of each treatment according to patients＇ clinic symptoms. Results：The curative rate of headache acupoint cutting group was 96.7% , and its counterpart of ordinary acupuncture group was 53.3%. This obvious difference （ P 〈 0.05 ） between two groups could make sense from statistics perspective. The total curative rate of head- ache acupoint cutting group was 100% with 83.3% in normal acupuncture group; the difference between two groups was significant（P 〈0. 05） ,which made sense from statistical perspective. The comparison on VAS sta- tistics between two groups of patients on the 1~t day, the 3rd day and the 7th day of the treatment had a statistical significance （P 〈 0.05 ）. Patients＇ general clinic symptom ＇after headache acupoint cutting and normal acupunc- ture treatments still had a statistical significance （ P 〈 0.05 ）. Conclusion ： Headache acupoint does play a cruci- al role in curing hemierania, and the efficacy of headache aeupoint cutting treatment is better than that of ordi- nary acupuncture.