梅花针叩刺联合眼针疗法治疗瘀血阻络型偏头痛临床研究OA
Clinical Study on Plum-Blossom Needle Tapping Combined with Eye Acupuncture in Treating Migraine of Blood Stasis Obstructing Collaterals Type
目的:观察梅花针叩刺联合眼针疗法治疗瘀血阻络型偏头痛的临床疗效.方法:选取2023年3月—2025年3月在温州市中心医院治疗的84例瘀血阻络型偏头痛患者,按照随机数字表法分为研究组和对照组各42例.对照组给予眼针疗法治疗,研究组给予梅花针叩刺联合眼针疗法治疗.每天1次,每周治疗5次,2组均持续治疗4周.比较2组视觉模拟评分法(VAS)评分、偏头痛残疾程度评估问卷(MIDAS)评分、血液流变学指标(全血高切黏度、全血低切黏度、血浆黏度)、炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、C-反应蛋白(CRP)]、头痛发作次数、头痛持续时间、镇痛药物使用次数及临床疗效.结果:治疗后,2组VAS、MIDAS评分以及全血高切黏度、全血低切黏度、血浆黏度、TNF-α、IL-6、CRP水平均较治疗前降低(P＜0.05),研究组VAS、MIDAS评分以及全血高切黏度、全血低切黏度、血浆黏度、TNF-α、IL-6、CRP水平均低于对照组(P＜0.05).治疗后,2组头痛发作频率及镇痛药物使用次数均较治疗前减少(P＜0.05),头痛持续时间均较治疗前缩短(P＜0.05);研究组头痛发作频率及镇痛药物使用次数均少于对照组(P＜0.05),头痛持续时间短于对照组(P＜0.05).研究组总有效率 95.24%(40/42),高于对照组80.95%(34/42)(P＜0.05).结论:梅花针叩刺联合眼针疗法治疗瘀血阻络型偏头痛疗效显著,能有效缓解头痛,其作用机制可能与改善血液流变学、抑制炎症反应有关.
Objective:To observe the clinical effect of plum-blossom needle tapping combined with eye acupuncture in treating migraine of blood stasis obstructing collaterals type.Methods:A total of 84 patients with migraine of blood stasis obstructing collaterals type treated at Wenzhou Central Hospital from March 2023 to March 2025 were selected and randomly divided into the study group and the control group according to the random number table method,with 42 cases in each group.The control group received eye acupuncture,while the study group received plum-blossom needle tapping combined with eye acupuncture.Treatment was administered once daily,five times per week,with both groups receiving continuous treatment for four weeks.The Visual Analogue Scale(VAS),Migraine Disability Assessment Scale(MIDAS),hemorheological indices(high-shear whole blood viscosity,low-shear whole blood viscosity,plasma viscosity),inflammatory factors[tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),C-reactive protein(CRP)],headache attack frequency,headache duration,analgesic use frequency,and clinical effects were compared between the two groups.Results:After treatment,VAS and MIDAS scores,as well as levels of high-shear whole blood viscosity,low-shear whole blood viscosity,plasma viscosity,TNF-α,IL-6,and CRP were decreased in both groups when compared with those before treatment(P＜0.05).The study group showed lower VAS and MIDAS scores,and lower levels of high-shear whole blood viscosity,low-shear whole blood viscosity,plasma viscosity,TNF-α,IL-6,and CRP than the control group(P＜0.05).After treatment,headache attack frequency and analgesic use frequency were decreased,and headache duration shortened in both groups when compared with those before treatment(P＜0.05).The study group had fewer headache attacks,less analgesic use,and shorter headache duration than the control group(P＜0.05).The total effective rate was 95.24%(40/42)in the study group,higher than that of 80.95%(34/42)in the control group(P＜0.05).Conclusion:Plum-blossom needle tapping combined with eye acupuncture shows significant effect in treating migraine of blood stasis obstructing collaterals type,effectively relieving headache.Its mechanism may be related to improving hemorheology and inhibiting inflammatory responses.
黄睿;吴琦琪;钱拉拉;梁灵芝
温州市中心医院针灸推拿科,浙江 温州 325000温州市中心医院针灸推拿科,浙江 温州 325000温州市中心医院针灸推拿科,浙江 温州 325000温州市中心医院针灸推拿科,浙江 温州 325000
医药卫生
偏头痛瘀血阻络型梅花针叩刺眼针血液流变学炎症反应
MigraineBlood stasis obstructing collaterals typePlum-blossom needle tappingEye acupunctureHemorheologyInflammatory response
《新中医》 2026 (8)
110-115,6
温州市科技局项目(Y20211100)
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