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毛兵兵,孙忠年,邱根全.子午流注“纳甲法”针刺治疗血管神经性头痛的临床观察[J].湖南中医药大学学报英文版,2017,37(8):869-872.[Click to copy
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| 子午流注“纳甲法”针刺治疗血管神经性头痛的临床观察 |
| 毛兵兵,孙忠年,邱根全 |
| (西安市莲湖区红十字会医院康复科, 陕西 西安 710002;陕西省中医药研究院文献研究室, 陕西 西安 710003;西安交通大学第一附属医院中医科, 陕西 西安 710061) |
| 摘要: |
| 目的 观察子午流注“纳甲法”针刺治疗血管神经性头痛的临床疗效。方法 将我院收治的90例血管神经性头痛患者随机分为对照组和观察组，每组45例。对照组采取常规取穴和辨证加减穴位，针刺得气后接电针治疗；观察组采用子午流注纳甲法择时选穴原则配合常规针刺，每天1次，均治疗30 d。观察两组患者的临床疗效，治疗前后的头痛发作次数、持续时间、疼痛程度，检测相关血液流变学指标：全血高切粘度（HBV）、全血低切粘度（LBV）、血浆比粘度（PV）、纤维蛋白原（Fig），血细胞比容（HCT）。结果 观察组总有效率为93.33%，高于对照组的86.66%，差异有统计学意义（P< 0.05）。两组患者治疗后头痛发作次数、持续时间、疼痛程度均较同组治疗前减少，HBV、LBV、PV、Fig、HCT均较同组治疗前降低，差异均有统计学意义（P< 0.05或P< 0.01），且治疗后观察组头痛发作次数、持续时间、疼痛程度、HBV、LBV、PV、Fig、HCT均低于对照组，差异有统计学意义（P< 0.05或P< 0.01）。结论 运用子午流注纳甲法指导针刺治疗血管神经性头痛能够明显提高疗效，可广泛应用于指导临床研究和实践。 |
| 关键词: 血管神经性头痛 针刺 子午流注纳甲法 视觉模拟疼痛评分 血液流变学 |
| DOI：10.3969/j.issn.1674-070X.2017.08.014 |
| Received:April 10, 2017 |
| 基金项目: |
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| Clinical Study of Midnight-Noon Ebb-Flow Acupoint Selection “Najia Method” on Angioneurotic Headache |
| MAO Bingbing,SUN Zhongnian,QIU Genquan |
| (Rehabilitation Department, Lianhu District Red Cross Hospital, Xi'an, Shanxi 710002, China;Shanxi Academy of Chinese Medicine, Xi'an, Shanxi 710003, China;The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shanxi 710061, China) |
| Abstract: |
| Objective To observe clinical effect of midnight-noon ebb-flow acupoint selection "Najia method" on angioneurotic headache. Methods The 90 angioneurotic headache patients collected from our university were randomly divided into control group and observation group, 45 cases in each group. The control group was given routine acupoint selection with syndromes differentiation, acupuncture needling followed by electroacupuncture treatment. The observation group was treated with midnight-noon ebb-flow acupoint selection combined with the conventional acupuncture, one time a day, treatment of 30 d. The frequency, duration time, pain degree of headache before and after treatment were observed. The related hemorheological indicators: high shear rate blood viscosity (HBV), low shear rate blood viscosity (LBV), plasma viscosity (PV) fibrinogen (Fig), hematocrit (HCT) were detected. Results The total effective rate of observation group was 93.33%, which was higher than 86.66% of control group, the difference was statistically significant (P<0.05). The frequency, duration time, pain degree of headache in the same group decreased after treatment, and the HBV, LBV, PV, Fig, HCT reduced after treatment, the differences had statistical significance (P<0.05 or P<0.01). The above indicators in observation group were lower than thoses in the control group, the difference was statistically significant (P<0.05 or P<0.01). Conclusion Acupuncture therapy by using midnight-noon ebb-flow acupoint selection "Najia method" shows obvious effect on angioneurotic headache, which can be widely used in clinical research and practice. |
| Key words: angioneurotic headache acupuncture midnight-noon ebb-flow acupoint selection “Najia method” visual analogue scale blood rheology |
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