针刺、推拿联合盐酸氟桂利嗪胶囊对偏头痛患者疼痛改善程度及脑血流灌注的影响
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R277.7

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Effect of Acupuncture and Tuina Combined with Flunarizine Hydrochloride Capsules on Pain Relief and Cerebral Blood Perfusion of Patients with Migraine
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    摘要:

    目的:观察针刺、推拿联合盐酸氟桂利嗪胶囊对偏头痛患者疼痛改善程度及脑血流灌注的影响。方法:选取82 例偏头痛患者,按随机数字表法分为研究组及对照组各41 例。对照组采用盐酸氟桂利嗪胶囊口服治疗,研究组在对照组基础上采用针刺联合推拿治疗。观察2 组临床疗效,比较2 组治疗前后头痛指标(头痛发作频率、头痛发作强度、头痛持续时间、止痛药物使用次数)、简式McGill 疼痛量表(SF-MPQ) 评分、偏头痛生活质量量表(MSQ) 评分及脑动脉平均血流速度[颅内双侧大脑前动脉(ACA)、大脑中动脉(MCA)、大脑后动脉(PCA)、椎动脉(VA) 和基底动脉(BA)]变化。结果:治疗后,研究组总有效率为92.68%,高于对照组73.17%,差异有统计学意义(P<0.05)。治疗后,2 组头痛发作频率、发作强度、持续时间、止痛药物使用次数均较治疗前降低(P<0.05),研究组上述4 项头痛指标值均低于对照组(P<0.05)。治疗后,2 组MSQ、SF-MPQ 评分均较治疗前降低(P<0.05),研究组上述2 项评分均低于对照组(P<0.05)。治疗后,2 组ACA、MCA、PCA、VA、BA 的平均血流速度均较治疗前下降(P<0.05),研究组上述5 项平均血流速度均低于对照组(P<0.05)。结论:针刺、推拿联合盐酸氟桂利嗪胶囊能够调节偏头痛患者脑血流灌注,改善脑部高反应状态,缓解偏头疼症状。

    Abstract:

    Abstract:Objective:To observe the effect of acupuncture and tuina combined with flunarizine hydrochloride capsules on the degree of pain relief and cerebral blood perfusion of patients with migraine. Methods:A total of 82 cases of patients with migraine were selected and divided into the study group and the control group according to the random number table method,with 41 cases in each group. The control group was treated with the oral administration of flunarizine hydrochloride capsules, and the study group was additionally treated with acupuncture and tuina based on the treatment of the control group. The clinical effects were observed in the two groups. Before and after treatment,the changes in indexes of headache (headache frequency,headache intensity,headache duration and the times of using pain killer),scores of Short-Form Mc Gill Pain Questionnaire(SF- MPQ), scores of Migraine- Specific Quality of Life Questionnaire(MSQ), and mean blood flow velocity in cerebral arteries [intracranial bilateral anterior cerebral artery(ACA),middle cerebral artery(MCA),posterior cerebral artery(PCA), vertebral artery(VA) and base artery(BA)] were compared between the two groups. Results: After treatment, the total effective rate was 92.68% in the study group,higher than that of 73.17% in the control group,the difference being significant(P<0.05). After treatment,headache frequency,headache intensity,headache duration,and the times of using pain killer in the two groups were decreased when compared with those before treatment(P<0.05),and the four indexes of headache in the study group were all lower than those in the control group(P<0.05). After treatment,scores of MSQ and SF- MPO in the two groups were decreased when compared with those before treatment(P<0.05), and the above two scores above in the study group were lower than those in the control group(P<0.05). After treatment, mean blood flow velocity in ACA,MCA,PCA,VA and BA in the two groups was decreased when compared with that before treatment(P< 0.05), and the velocity in the abvoe five arteries in the study group was lower than that in the control group(P<0.05). Conclusion: For patients with migraine, the therapy of acupuncture and tuina combined with flunarizine hydrochloride capsules can regulate their cerebral blood perfusion,improve the state of brain hyperresponsiveness,and relieve symptoms of migraine.

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张威,章梅玲,褚佳育.针刺、推拿联合盐酸氟桂利嗪胶囊对偏头痛患者疼痛改善程度及脑血流灌注的影响[J].新中医,2021,53(21):193-197

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  • 在线发布日期: 2021-11-12
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