摘要
目的:观察“散偏六穴”浅刺和深刺治疗无先兆偏头痛的效果差异。方法:选择60例无先兆偏头痛患者并随机分为常规浅刺组(n=30)、至骨针法组(n=30)。两组均取“散偏六穴”(印堂、太阳、率谷、风池、列缺、阿是穴)治疗,常规浅刺组针刺至皮下浅筋膜,至骨针法组针刺至深筋膜、骨膜治疗,每日1次,每周5次,共治疗2周。比较两组治疗前、治疗后出针即刻、治疗后4 h、治疗后2周的疼痛视觉模拟评分(VAS)以及治疗前后偏头痛综合评分、阿森斯睡眠量表(AIS)及医院焦虑抑郁评分(HADS-A)。结果:治疗后出针即刻、治疗后4 h、治疗2周后,两组VAS评分均较治疗前降低(P<0.05),至骨针法组低于常规浅刺组(P<0.05);治疗2周后,两组偏头痛症状积分均较治疗前降低(P<0.05),至骨针法组低于常规浅刺组(P<0.05);两组AIS评分均较治疗前降低(P<0.05),至骨针法组低于常规浅刺组(P<0.05);至骨针法组HADS-A较治疗前降低(P<0.05),常规浅刺组HADS(A)较治疗前降低(P>0.05),至骨针法组低于常规浅刺组(P<0.05)。结论:至骨针法可有效减轻无先兆偏头痛发作期疼痛,改善睡眠和焦虑状态,效果优于浅刺。
Objective To observe the difference of curative effect between“Six acupoints for treating migraine”conventional shallow acupuncture and deep acupuncture in the treatment of migraine without aura.Methods A total of 60 patients with migraine attack were randomly divided into the Conventional shallow Shallow Acupuncture(CSA)group and Approaching BoneAcupuncture(ABA)group,30 cases in each group.The“Six acupoints for treating migraine”(Yintang(GV29),Taiyang(EX-HN),Shuaigu(GB8),Fengchi(GB20),Lieque(LU7)and Ashi point)were taken from both groups and treated with Acupuncture foronce a day,5 times a week,for a total of 2 courses of treatment.The needles were inserted into the superficial fascia in the CSA group,while the needles of the ABA group was entered into the deep fascia and periosteum.The visual analogue scale(VAS)scores of the two groups were compared before treatment,immediately after needle withdrawal,4 hours after treatment and 2 days after treatment.The comprehensive migraine score,Athens Sleep Scale(AIS),Hospital Anxiety and Depression Scale(HADS-A)before and after treatment were compared between the two groups to evaluate their clinical efficacy and safety.Results After treatment,the VAS scores in both groups significantly decreased immediately,at 4 hours post-treatment,and after 2 weeks(P<0.05),with the ABA group scoring lower than CSA group(P<0.05).After 2 weeks of treatment,the migraine symptom scores for both groups were significantly lower than before treatment(P<0.05),and the ABA group was again lower than the SA group(P<0.05).The AIS scores for both groups also decreased significantly compared to pre-treatment levels(P<0.05),with the ABA group lower than the CSA group(P<0.05).HADS-A in the ABA group was lower than that before treatment(P<0.05),HADS-A in the SA group was lower than that before treatment(P>0.05),and HADS-A in the ABA group was lower than that in the CSA group(P<0.05).Conclusion The Approaching BoneAcupuncture technique can effectively alleviate pain during the attack phase of migraine without aura,improve sleep quality,and reduce anxiety states,demonstrating superior therapeutic effects compared to superficial acupuncture.
作者
邹德辉
李旗
张碧溦
李佳凝
梁洪文
李云霞
白鹏勇
王洪彬
ZOU Dehui;LI Qi;ZHANG Biwei;LI Jianing;LIANG Hongwen;LI Yunxia;Bai Pengyong;WANG Hongbing(College of traditional Chinese medicine,North China University of Science and Technology,Hehei Provincial Key Laboratory of Integrated Traditional Chinese Medicine and Western Medicine for Management of Diabetes and Its Complications,Tangshan 063210,China)
出处
《中国民族民间医药》
2026年第4期98-102,共5页
Chinese Journal of Ethnomedicine and Ethnopharmacy
基金
河北省自然科学基金项目(编号:H2022209085)
河北省中医药管理局2021年度中医药类科研计划项目(编号:2021169)
河北省高等教育教学改革研究与实践项目(编号:2025GJJG230)。
关键词
散偏六穴
偏头痛
浅筋膜
骨膜
至骨针法
疼痛
调神
Six Acupoints for Treating Migraine
Migraine without Aura
Superficial Fascia Perisoteum
Approaching BoneAcupuncture
Pain
Tiaoshen Method
