上海针灸杂志2024，Vol.43Issue(1)：53-58,6.DOI:10.13460/j.issn.1005-0957.2024.01.0053
头穴丛刺长留针法治疗偏头痛的疗效观察
Observations on the efficacy of cluster acupuncture at head points with long retention of needles for migraine
摘要
Abstract
Objective To observe the clinical efficacy of cluster acupuncture at head points with long retention of needles for migraine.Method Eighty-eight migraine patients were randomized to an observation group(44 cases,2 dropped out)and a control group(44 cases,3 dropped out).The observation group received conventional acupuncture plus cluster acupuncture at head points with long retention of needles and the control group,conventional acupuncture alone.The clinical therapeutic effects were compared between the two groups.The visual analog scale(VAS)score and the migraine-specific quality of life questionnaire(MSQ)score were recorded and serum 5-hydroxytryptamine(5-HT)concentration was measured in the two groups before and after treatment.Result The total efficacy rate was 92.9%in the observation group,which was higher than 78.0%in the control group with a statistical significant difference(P＜0.05).The VAS score decreased in the two groups after treatment compared with before(P＜0.05)and at the follow-up compared with before treatment and after(P＜0.05).The VAS score was lower in the observation group than in the control group after treatment and at the follow-up(P＜0.05).The MSQ score increased in the two groups after treatment compared with before(P＜0.05)and at the follow-up compared with before treatment and after(P＜0.01).The MSQ score was higher in the observation group than in the control group after treatment and at the follow-up(P＜0.05).After treatment,serum 5-HT concentration increased in the two groups(P＜0.05)and was higher in the observation group than in the control group with a statistical significant difference(P＜0.05).Conclusion Cluster acupuncture at head points with long retention of needles based on conventional acupuncture is clinically more effective than conventional acupuncture alone in treating migraine.It can also reduce the severity of pain in migraine patients and is better than conventional acupuncture alone in improving the quality of life and increasing5-HT concentration.关键词
针刺疗法/穴位,头颈部/丛刺/留针/偏头痛/5-羟色胺/视觉模拟量表/偏头痛特异性生活质量问卷Key words
Acupuncture therapy/Points,Head&neck/Cluster acupuncture/Needle retention/Migraine disorders/Visual analog scale/Migraine-specific quality of life questionnaire分类
医药卫生引用本文复制引用
王佳妮,陈英华,孙玮,李俊峰,王浩宇,苏晓庆,秦瑞琦..头穴丛刺长留针法治疗偏头痛的疗效观察[J].上海针灸杂志,2024,43(1):53-58,6.基金项目
国家自然科学基金项目(82074530) （82074530）
黑龙江省自然科学基金项目(ZD2021H007) （ZD2021H007）
