体针与耳穴贴压并用对肝火旺盛型经行头痛患者经期血浆 AVP含量的影响

目的：初步探讨体针与耳穴贴压并用治疗肝火旺盛型经行头痛的作用机制。方法：将85例患者随机分为两组，治疗组43例以体针与耳穴贴压并用的方法治疗，并设口服盐酸氟桂利嗪胶囊（西比灵）患者42例为对照组。观察头痛症状积分变化，以判定临床疗效，同时从两组中各随机抽取30例进行治疗前后经期血浆血管加压素（ AVP ）含量变化的检测。结果：治疗组总有效率为95.35％，对照组为80.95％，治疗组总有效率优于对照组（P＜0．05）；两组头痛症状积分较治疗前均明显降低（P＜0．01），且治疗组降低明显（P＜0．01）；两组血浆AVP含量较治疗前均明显降低（P＜0．05），但治疗组趋势略优。结论：体针与耳穴贴压并用对肝火旺盛型经行头痛有明显疗效，其作用机制之一可能是通过调节血浆AVP的异常水平而发挥止痛效应。

Infulence of Body Acupunctuer a nd Auricular Acupressure on Plasma AVP in Patients with Menstrual Headache of Hyperactivity of Liver Fire

Objective：To expolore the therapeutic mechanism of body acupuncture and auricular acupressure on menstrual headache of hyperactivity of liver fire .Methods：85 patients of menstrual headache were randomly di-vided into treatment group （ n=43 ） that was treated with body acupuncture and auricular acupressure treatment , control group （ n=42 ） that was asked to take Sibelium （ oral medicine Flunarizine Hydrochloride Capsules ） . Comparison of two groups ’ clinical efficacy and headache symptom scores .30 patients in both groups were ran-domly chosen to determine the contents of plasma AVP before and after treatment in two groups .Results：The to-tal effective rate in treatment group was 95 .35%, and the control group was 80 .95%.The curative effect of treatment group was significantly better than that of the control group （ P 〈0 .01 ） .Two groups ’ headache symptom scores were significantly lower than those of pre -treatment （P〈0.01）, and the treatment group was significantly lower （ P〈0 .01 ） .After treatment , the plasma AVP contents in treatment group and control group were significantly lower than those of pre -treatment （P〈0.05）.Conclusion：Body acupuncture with auricular acupressure treatment is effective in relieving patients ’ abdominal pain , which may be closely associated with its actions in adjusting abnormal contents of plasma AVP .