CAJ | 학술논문

目的：观察针刺风池、率谷等经穴治疗无先兆偏头痛的临床疗效，进一步证实经穴效应特异性。方法：采用随机、对照、单盲的研究方法，将符合纳入标准的60例偏头痛患者分为A组（循经取穴组）、B组（非经非穴组）和C组（等待治疗组），每组20例，治疗组均给予电针治疗30min。每组穴位与非经非穴取单侧，左右交替使用，每日针刺1次，5次为1个疗程，疗程间休息2天，共治疗4个疗程，研究周期共为28周。分别记录患者治疗前和治疗结束、4周随访、8周随访、12周随访、16周随访、20周随访的头痛强度；记录患者治疗前及治疗后的SAS评分及SDS评分。结果：在头痛强度级别变化上，与治疗前、B组、C组比较，A组治疗结束及随访各时相差异均有显著统计学意义（ P＜0．01）；与治疗前、C组比较，B组只有在治疗结束及4周随访差异具有统计学意义（P＜0．05），其余各时点均无统计学意义（P＞0.05）；在SAS评分及SDS评分上，与治疗前比较，A组和B组具有统计学差异（ P＜0．05）；与治疗后三组组间比较，A组和B 组间差异无统计学意义（ P ＞0．05）；B 组和 C 组间差异有统计学意义（ P ＜0.05），A组和C组间差异有统计学意义（P＜0．05）。结论：针刺风池、率谷等经穴治疗无先兆偏头痛的临床疗效显著持久，进一步证明了经穴效应具有特异性。
목적：관찰침자풍지、솔곡등경혈치료무선조편두통적림상료효，진일보증실경혈효응특이성。방법：채용수궤、대조、단맹적연구방법，장부합납입표준적60례편두통환자분위A조（순경취혈조）、B조（비경비혈조）화C조（등대치료조），매조20례，치료조균급여전침치료30min。매조혈위여비경비혈취단측，좌우교체사용，매일침자1차，5차위1개료정，료정간휴식2천，공치료4개료정，연구주기공위28주。분별기록환자치료전화치료결속、4주수방、8주수방、12주수방、16주수방、20주수방적두통강도；기록환자치료전급치료후적SAS평분급SDS평분。결과：재두통강도급별변화상，여치료전、B조、C조비교，A조치료결속급수방각시상차이균유현저통계학의의（ P＜0．01）；여치료전、C조비교，B조지유재치료결속급4주수방차이구유통계학의의（P＜0．05），기여각시점균무통계학의의（P＞0.05）；재SAS평분급SDS평분상，여치료전비교，A조화B조구유통계학차이（ P＜0．05）；여치료후삼조조간비교，A조화B 조간차이무통계학의의（ P ＞0．05）；B 조화 C 조간차이유통계학의의（ P ＜0.05），A조화C조간차이유통계학의의（P＜0．05）。결론：침자풍지、솔곡등경혈치료무선조편두통적림상료효현저지구，진일보증명료경혈효응구유특이성。
Objective:To observe the clinical efficacy of acupuncture at the acupoints:Fengchi ( GB20 ) , Shua-igu(GB8)and so on for meridian without aura,to confirm the specificity of the effect of acupoints.Methods:The randomized,controlled and single blind method was used ,and 60 qualified cases were randomly divided into group A ( acupoint control group ) , group B ( non-acupoint control group ) and group C ( waiting for treatment group ) , 20 cases into each group , two treatment groups were treated with electro -acupuncture for 30 minutes.The headache intensity was respectively recorded before and after treatment , follow-up 4 weeks, 8 weeks,12 weeks,16 weeks,and 20 weeks;the SAS scores and SDS scores were respectively recorded before and after treatment .Results:The headache intensity:compared with before treatment ,B group and C group ,A group at the end of treatment and each time point of follow -up was obviously significant ( P<0.01 );com-pared with before treatment and C group ,B group only at the end of treatment and follow -up 4 weeks was sig-nificant(P<0.05),the rest of the time was not statistically significant (P>0.05);SAS and SDS scores:com-pared with before treatment ,A group and B group were significant ( P<0 .05 );compared with after treatment between three groups, A group and B group were not statistically significant (P>0.05);B group and C group were significant(P<0.05);A group and C group were significant(P<0.05).Conclusion:The clinical effica-cy of acupuncture at the acupoints:Fengchi ( GB20 ) , Shuaigu ( GB8 ) and so on for meridian without aura is significant and persistent .It further confirms that the effect of acupoints has specificity .