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耳穴综合疗法治疗无先兆型偏头痛:多中心对照观察 被引量:25

Migraine without aura treated by comprehensive auricular acupuncture:a multicentral controlled study
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摘要 目的:客观评价耳穴综合疗法治疗无先兆型偏头痛的疗效。方法:将3个中心共90例无先兆型偏头痛患者作为治疗观察对象。每个中心30例均采用耳穴综合疗法,包括两侧耳背静脉放血,自体血穴位注射风池、阳陵泉,点刺耳穴颞、枕、胰胆、神门、交感、皮质下、内分泌,7~10天治疗1次,连续治疗3次为一疗程。结果:3个中心患者1个疗程结束后头痛积分较治疗前均明显降低(均P<0.05),3个中心之间比较差异无统计学意义(均P>0.05)。3个中心的临床总有效率分别为93.3%(28/30)、90.0%(27/30)和93.3%(28/30),经比较3个中心疗效差异无统计学意义(P>0.05)。结论:耳穴综合疗法治疗无先兆型偏头痛能明显降低患者的头痛积分,缓解偏头痛临床症状,是治疗无先兆型偏头痛的一种简单有效的方法。 Objective To assess objectively the efficacy of migraine without aura treated by comprehensive auricular acupuncture.Methods Ninty patients of migraine without aura from three centers were selected as the observation subjects.Thirty cases from each center were treated with the comprehensive auricular acupuncture.This therapy included the retroauricular venous bleeding on the ears,the autologous blood injection at Fengchi(GB 20) and Yanglingquan(GB 34) and bleeding at the Nie(temporal),Zhen(occiput),Yidan(pancreas),Shenmen,Pizhixia(subcortex) and Neifenmi(endocrine) of auricular point.The therapy was applied once every 7-10 days.The continuous 3 treatments made one session.Results At the end of one session for the patients in three centers,the headache scores were reduced apparently as compared with those before treatment(all P0.05).There was no statistically significant difference in comparison among three centers(all P0.05).The clinical total effective rates were 93.3%(28/30),90.0%(27/30) and 93.3%(28/30) in three centers separately.There was no obvious difference in the efficacy in comparison among three centers(P0.05).Conclusion The comprehensive auricular acupuncture reduces apparently the headache score for migraine without aura and relieves the clinical symptoms of migraine.It is the simple and effective therapy for migraine without aura.
出处 《中国针灸》 CAS CSCD 北大核心 2012年第11期971-974,共4页 Chinese Acupuncture & Moxibustion
基金 国家中医药管理局50项中医临床诊疗技术规范化研究项目:2009ZL30
关键词 无先兆型偏头痛 耳穴综合疗法 规范技术 Migraine Without Aura Auricular Comprehensive Therapy Standardization Technology
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