体针与耳穴贴压并用治疗经行头痛的随机对照临床研究

目的:比较体针与耳穴贴压并用方法与口服盐酸氟桂利嗪胶囊治疗经行头痛的疗效差异。方法:将85例患者随机分为治疗组(43例)和对照组(42例)。治疗组采用经前调理和头痛发作时的分步治疗。经前调治:于月经前5d,选取耳穴卵巢、内分泌、肾、肝、脾、神门、皮质下进行贴压,直至头痛发作前;头痛发作时治疗:选取百会、太阳、颔厌、悬颅、率谷、风池、太冲、侠溪、三阴交穴进行针刺,1次/d,同时与耳穴神门、颞、肝、胆、皮质下、交感贴压并用,连续治疗5d。对照组口服盐酸氟桂利嗪胶囊,5mg/次,2次/d,服药10d。两组均治疗3个月经周期。观察两组治疗前后经行头痛的各项症状指标变化,并对其疗效进行评价。结果:治疗组临床疗效明显优于对照组(P0.05)。两组治疗后及随访3个月头痛症状评分、疼痛视觉模拟评分较治疗前均有明显降低(P0.01),且治疗组优于对照组(P0.01)。两组第3疗程止痛起效时间较第1疗程明显缩短(P0.01);治疗组各疗程止痛起效时间均短于对照组各相应疗程(P0.01)。结论:体针与耳穴贴压并用治疗经行头痛疗效显著。

Body Acupuncture Combined with Auricular Acupressure for Menstrual Headache:A Randomized Controlled Clinical Trial

Objective To observe the therapeutic effect of body acupuncture combined with auricular acupressure for treatment of menstrual headache of hyperactivity of"liver fire".Methods A total of 85 menstrual headache patients with hyperactivity of"liver-fire"were randomly divided into control group(n=42)and treatment group(n=43).Patients of the control group were treated by oral administration of Flunarizine Hydrochloride Capsules(Sibelium,5mg/time,twice daily)for 5days beginning at the headache attack in the first menstrual cycle,and for two weeks(except weekends)in the second and third menstrual cycles.Patients of the treatment group were treated by manual acupuncture stimulation of body acupoints Baihui(GV 20),Fengchi(GB 20),Sanyinjiao(SP 6),Taichong(LR 3),Xiaxi(GB 43),Taiyang(EX-HN 5),Hanyan(GB 4),Xuanlu(GB 5)and Shuaigu(GB 8)beginning from the headache attack,and otopoint-pellet pressure of otopoints unilateral Endocrine,Ovaries,Shenmen,Cortex,Liver,Spleen and Kidney(beginning 5days before menstrual onset)and bilateral Shenmen,Nie,Liver,Gallbladder,Subcortex and Jiaogan during headache attack.Clinical symptom scores were assessed according to the"Guiding Principles for Clinical Research on New Chinese Herbal Drugs"issued by the Chinese Ministry of Health.Results After the treatment,of the 42 and 43cases in the control and treatment groups,9(21.43%)and 20(46.51%)were cured,12(28.57%)and 14(32.56%)had a marked improvement,13(30.95%)and 7(16.28%)were effective,8(19.05%)and 2(4.65%)invalid,with the effective rates being 80.95% and 95.35%,respectively.The curative effect of the treatment group was significantly better than that of the control group(P<0.05).The symptom score and VAS score after the treatment and 3months post-treatment in the treatment group were significantly lower than those of the control group(P< 0.01).The headache scores and VAS scores were significantly reduced following the treatment and 3 months after the treatment in both control and treatment groups(P<0.01).After the treatment for 2-3therapeutic courses,the headache attack duration during menstruation was markedly and gradually shortened in both groups(P<0.01),and therapeutic effect of the treatment group was significantly better than that of the control group(P<0.01).Conclusion Body acupuncture combined with auricular acupressure treatment can effectively relieve menstrual headache in menstrual women with hyperactivity of"liver fire".