第31卷第7期2013年7月中华中医药学刊CHINESEARCHIVESOFTRADITIONALCHINESEMEDICINEVol.31No.7Jul.2013中华中医药1492学刊针刺少阳经特定穴治疗偏头痛急性发作即时效应的缓解起效时间和持续时间的比较观察刘密1,张佳丽1,常小荣1,陈选1,刘昭1,李金香2(1.湖南中医药大学,湖南长沙410208;2.湖南中医药大学第一附属医院,湖南长沙410007)摘要:目的:通过观察针刺少阳经特定穴(角孙、风池、外关、阳陵泉、丘墟)治疗偏头痛急性发作的即时效应,探讨该效应缓解起效时间和持续时间。方法:将符合标准的90例偏头痛患者分为治疗组(少阳经特定穴组)和对照组(非经非穴1组和非经非穴2组),每组各30例,均针刺治疗30min。记录患者治疗前和治疗后0.5、1、2、4、24h的视觉模拟评分(VAS评分)、缓解起效时间以及持续时间等指标的变化,以判定即时疗效。结果:缓解起效时间和持续时间:起效时间少阳经特定穴组明显快于非经非穴2组(P<0.01),持续时间少阳经特定穴组和非经非穴1组均长于非经非穴2组(P<0.05)。结论:针刺少阳经特定穴与非经非穴均有疗效,起效时间阳明经特定穴位组明显快于非经非穴2组,即时疗效明显优于非经非穴,值得进一步推广应用。关键词:偏头痛;针刺;少阳经;特定穴中图分类号:R285.5文献标志码:A文章编号:1673-7717(2013)07-1492-03ObservationonOnsetTimeandEaseDurationofImmediateEffectatAcupuncturingShaoyangSpecificAcupointsforTreatingAcuteMigraineAttacksLIUMi1,ZHANGJiali1,CHANGXiaorong1,CHENXuan1,LIUZhao1,LIJinxiang2(1.HunanUniversityofChineseMedicine,Changsha410208,Hunan,China;2.TheFirstHospitalofHunanUniversityofChineseMedicine,Changsha410007,Hunan,China)Abstract:Objective:ByobservingtheimmediateeffectofacupuncturingShaoyangspecificacupoints(Jiaosun,Feng-chi,Waiguan,Yanglingquan,Qiuxu)ontreatingacutemigraineattacks,itistodiscusstheonsettimeandtheeasedura-tiontheoftheeffect.Methods:90casesofmigrainepatientswhometthestandardweredividedintothetreatmentgroup(Shaoyangspecificacupointsgroup)andthecontrolgroups(non-acupoints1groupandnon-acupoints2group),30casesineachgroup,whichwerealltreatedwithacupuncturefor30minutes.Theimmediateeffectwasevaluatedwiththechangesofindicesbeforeand0.5,1,2,4,24hoursaftertreatment,suchasvisualanaloguescale(VASscore),onsettimeofacupuncture,easeduration,andsoon.Results:Theonsettimeandtheeaseduration:theonsettimeofShaoyangspecificacupointsgroupwassignificantlyfasterthanthatofnon-acupoints2group(P<0.01).TheeasedurationofShaoyangspecificacupointsgroupandnon-acupoints1groupwerelongerthanthatofnon-acupoints2group(P<0.05).Conclusions:AcupuncturingShaoyangspecificacupointsandnon-acupointbothhadeffect,theonsettimeofShaoyangspecificacupointsgroupwassignificantlyfasterthanthatofnon-acupoints2groupandtheimmediateeffectofShaoyangspecificacupointsgroupismuchbetterthannon-acupoints,whichshouldbeworthyoffurtherpopularizationandapplication.Keywords:migraine;acupuncture;meridianofShaoyang;specificacupoints收稿日期:2013-02-20基金项目:国家重点基础研究发展计划(973计划)资助项目(2012CB518501,2006CB504501);湖南省针灸推拿重点学科资助项目;湖南省高校科技创新团队支持计划资助项目作者简介:刘密(1978-),男,湖南邵阳人,副教授、主治医师,博士,研究方向:经脉-脏腑相关规律及机制研究。通讯作者:李金香(1963-),女,湖南长沙人,副主任医师、副教授,学士,研究方向:针灸防治心脑血管疾病的临床及机理研究。偏头痛为临床常见痛症之一,针灸治疗效果效验[1]。现对针刺少阳经特定穴治疗偏头痛急性发作即时效应的缓解起效时间和持续时间进行初步比较,观察如下。1临床资料1.1一般资料观察处于急性发作期的偏头痛(无先兆型和有偏头痛头痛的典...