CAJ | 학술논문

目的：初步探讨体针与耳穴贴压并用治疗肝火旺盛型经行头痛的作用机制。方法：将85例患者随机分为两组，治疗组43例以体针与耳穴贴压并用的方法治疗，并设口服盐酸氟桂利嗪胶囊（西比灵）患者42例为对照组。观察头痛症状积分变化，以判定临床疗效，同时从两组中各随机抽取30例进行治疗前后经期血浆血管加压素（ AVP ）含量变化的检测。结果：治疗组总有效率为95.35％，对照组为80.95％，治疗组总有效率优于对照组（P＜0．05）；两组头痛症状积分较治疗前均明显降低（P＜0．01），且治疗组降低明显（P＜0．01）；两组血浆AVP含量较治疗前均明显降低（P＜0．05），但治疗组趋势略优。结论：体针与耳穴贴压并用对肝火旺盛型经行头痛有明显疗效，其作用机制之一可能是通过调节血浆AVP的异常水平而发挥止痛效应。
목적：초보탐토체침여이혈첩압병용치료간화왕성형경행두통적작용궤제。방법：장85례환자수궤분위량조，치료조43례이체침여이혈첩압병용적방법치료，병설구복염산불계리진효낭（서비령）환자42례위대조조。관찰두통증상적분변화，이판정림상료효，동시종량조중각수궤추취30례진행치료전후경기혈장혈관가압소（ AVP ）함량변화적검측。결과：치료조총유효솔위95.35％，대조조위80.95％，치료조총유효솔우우대조조（P＜0．05）；량조두통증상적분교치료전균명현강저（P＜0．01），차치료조강저명현（P＜0．01）；량조혈장AVP함량교치료전균명현강저（P＜0．05），단치료조추세략우。결론：체침여이혈첩압병용대간화왕성형경행두통유명현료효，기작용궤제지일가능시통과조절혈장AVP적이상수평이발휘지통효응。
Objective:To expolore the therapeutic mechanism of body acupuncture and auricular acupressure on menstrual headache of hyperactivity of liver fire .Methods:85 patients of menstrual headache were randomly di-vided into treatment group ( n=43 ) that was treated with body acupuncture and auricular acupressure treatment , control group ( n=42 ) that was asked to take Sibelium ( oral medicine Flunarizine Hydrochloride Capsules ) . Comparison of two groups ’ clinical efficacy and headache symptom scores .30 patients in both groups were ran-domly chosen to determine the contents of plasma AVP before and after treatment in two groups .Results:The to-tal effective rate in treatment group was 95 .35%, and the control group was 80 .95%.The curative effect of treatment group was significantly better than that of the control group ( P <0 .01 ) .Two groups ’ headache symptom scores were significantly lower than those of pre -treatment (P<0.01), and the treatment group was significantly lower ( P<0 .01 ) .After treatment , the plasma AVP contents in treatment group and control group were significantly lower than those of pre -treatment (P<0.05).Conclusion:Body acupuncture with auricular acupressure treatment is effective in relieving patients ’ abdominal pain , which may be closely associated with its actions in adjusting abnormal contents of plasma AVP .