Observation of clinical effect about syndrome differentiation acupuncture therapy on chronic migraine and autonomic nerve function

LIU Bao-shan; YAN Jie

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Observation of clinical effect about syndrome differentiation acupuncture therapy on chronic migraine and autonomic nerve function

更新时间：2022-08-31

- Observation of clinical effect about syndrome differentiation acupuncture therapy on chronic migraine and autonomic nerve function
- Shanghai Journal of Traditional Chinese Medicine Vol. 50, Issue 3, Pages: 65-67(2016)
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LIU Bao-shan, YAN Jie. Observation of clinical effect about syndrome differentiation acupuncture therapy on chronic migraine and autonomic nerve function. [J]. Shanghai Journal of Traditional Chinese Medicine 50(3):65-67(2016)
DOI：

LIU Bao-shan, YAN Jie. Observation of clinical effect about syndrome differentiation acupuncture therapy on chronic migraine and autonomic nerve function. [J]. Shanghai Journal of Traditional Chinese Medicine 50(3):65-67(2016) DOI：

摘要

目的：观察辨证针刺治疗慢性偏头痛的临床疗效。方法：将200例慢性偏头痛患者随机分为治疗组与对照组,每组100例。治疗组予辨证针刺治疗,对照组予西药常规治疗。两组疗程均为46天、随访2周,观察临床疗效,比较偏头痛总积分及交感神经节后纤维功能状态表皮电位(SSR)的潜伏期与波幅的变化情况。结果：①最终完成试验者180例,治疗组94例,对照组86例。②治疗组、对照组临床总有效率分别为92.55%和84.88%；组间临床疗效比较,治疗组明显优于对照组(P<0.05)。③治疗前后组内比较,两组偏头痛总积分值均明显下降(P<0.05)。组间治疗前后差值比较,治疗组总积分下降程度比对照组更加明显(P<0.05)。④治疗前后组内比较,两组SSR潜伏期均明显缩短(P<0.05)；治疗组SSR波幅明显升高(P<0.05)。组间治疗后比较,治疗组SSR潜伏期缩短程度及波幅升高程度比对照组更加明显(P<0.05)。结论：辨证针刺治疗慢性偏头痛的疗效满意,可显著缓解头痛,其作用机制可能与改善自主神经系统功能有关。

Abstract

Objective:To observe the clinical effect of syndrome differentiation acupuncture therapy on chronic migraine. Methods200 patients of chronic migraine were randomized into treatment group and control group,100 cases in each group. The treatment group was treated with syndrome differentiation acupuncture therapy,while control group was treated with conventional western medicine. The treatment course was 46 days in each group,with a follow-up of 2 weeks. Clinical efficacy was observed. Changes of chronic migraine score,incubation and amplitude of SSR were compared. Results:①180 cases completed the trail,among which 94 cases in treatment group and 86 cases in control group. ②The total effective rate of treatment group and control group were 92.55% and 84.88%. The difference of clinical efficacy was statistically significant(P<0.05). ③Compared before and after the treatment,the total chronic migraine score in each group was obviously decreased(P<0.05), while the total chronic migraine score in treatment group decreased obviously than that of control group after the treatment(P<0.05). ④Compared before and after the treatment,incubation of SSR in the two groups were shot than before(P<0.05), and amplitude of SSR in treatment group increased obviously(P<0.05). After the treatment,the difference of incubation and amplitude of SSR was statistically significant(P<0.05). Conclusion:The effect of syndrome differentiation acupuncture therapy on chronic migraine was satisfying. It can relieve the headache significantly with a possible mechanism of improving autonomic nervous system function.

关键词

偏头痛慢性针刺辨证论治自主神经通路皮肤交感反应

Keywords

migrainechronicacupuncturesyndrome differentiation and treatmentautonomic nervous pathwaysympathetic skin reflex

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