首页|壮医药线点灸治疗偏头痛急性期的疗效及对血清CGRP、IL-6、TNF-α的影响

壮医药线点灸治疗偏头痛急性期的疗效及对血清CGRP、IL-6、TNF-α的影响

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目的:观察壮医药线点灸治疗偏头痛急性期的临床疗效及对血清降钙素基因相关肽(CGRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)的影响。方法:选择70例偏头痛急性期患者为研究对象,按就诊先后顺序单盲随机分为试验组和对照组,每组35例,试验组予壮医药线点灸治疗,对照组予口服西药盐酸氟桂利嗪胶囊治疗,两组均治疗4周。结果:试验组总有效率为94。29%,显著高于对照组的77。14%,差异有统计学意义(P<0。05)。治疗后两组患者血清CGRP、IL-6、TNF-α水平及头痛强度积分、头痛发作次数积分、头痛持续时间积分、头痛症状总积分均较治疗前明显降低(P<0。05),且试验组患者上述指标均较对照组改善更显著(P<0。05)。治疗期间,对照组出现轻度恶心、腹痛等胃肠道不良反应4例,试验组未出现不良反应,对照组不良反应发生率(11。43%)高于试验组(P<0。05)。结论:壮医药线点灸治疗偏头痛疗效显著且安全性较高,其作用机制可能与抑制CGRP释放、降低炎症因子(IL-6、TNF-α)水平有关。
Curative effect of medicated thread moxibustion of Zhuang medicine in the treatment of acute migraine and its influence on serum CGRP,IL-6,and TNF-α levels
Objective:To observe the clinical efficacy of medicated thread moxibustion of Zhuang medicine in the treatment of acute migraine and its effect on serum calcitonin gene-related peptide(CGRP),interleukin-6(IL-6),tu-mor necrosis factor-α(TNF-α).Methods:A total of 70 patients with acute migraine were randomly divided into exper-imental group and control group according to the order of treatment,with 35 cases in each group.The experimental group was treated with medicated thread moxibustion of Zhuang medicien,and the control group was treated with Flu-narizine Hydrochloride Capsules orally.Both groups were treated for 4 weeks.Results:The total effective rate of the experimental group was 94.29%,which was significantly higher than 77.14%of the control group,the difference was statistically significant(P<0.05).After treatment,the levels of serum CGRP,IL-6 and TNF-α,headache intensity score,headache attack frequency score,headache duration score and total headache symptom score in the two groups were significantly lower than those before treatment(P<0.05),and the above indexes in the experimental group were significantly better than those in the control group(P<0.05).During the treatment,there were 4 cases of gastrointesti-nal adverse reactions such as mild nausea and abdominal pain in the control group,and no adverse reactions occurred in the experimental group.The incidence of adverse reactions in the control group(11.43%)was higher than that in the experimental group(P<0.05).Conclusion:Medicated thread moxibustion of Zhunag medicine is effective and safe in the treatment of migraine,and its mechanism may be related to inhibiting the release of CGRP and reducing the levels of inflammatory factors(IL-6,TNF-α).

Medicated thread moxibustion of Zhuang medicineMigraineCGRPIL-6TNF-αClinical research

李陈玲、尚昱志、邢沙沙、方刚

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广西国际壮医医院明秀分院,广西 南宁 530001

广西中医药大学附属瑞康医院,广西 南宁 530011

壮医药线点灸 偏头痛 CGRP IL-6 TNF-α 临床研究

广西中医药管理局自筹经费科研课题广西高校中青年教师科研基础能力提升项目

GXZYA202301032022KY0289

2024

广西中医药
广西中医学院 中国中医药学会广西分会

广西中医药

影响因子:0.611
ISSN:1003-0719
年,卷(期):2024.47(4)