针刺治疗偏头痛临床观察

摘要

目的: 观察针刺治疗偏头痛的临床疗效.方法: 将40 例患者随机分为2 组,治疗组20 例采用针刺治疗,对照组20 例口服西比灵治疗.观察治疗组患者治疗前后脑血流的变化.结果: 两组临床疗效差别有统计学意义(P<0.05),针刺前后患者脑动脉血流速度异常率差异有统计学意义(P<0.01),针刺对椎动脉(Vertebral Artery, VA) 、大脑中动脉(Middle Cerebral Artery, MCA) 、大脑前动脉(Anterior Cerebral Artery, ACA)发生流速增快时的血流速度影响有统计学意义(P<0.05),对VA、基底动脉(Basilar Artery, BA )发生流速减慢时的血流速度影响有统计学意义(P<0.05).结论:针刺能有效缓解偏头痛患者疼痛症状,能双向调节患者的脑血流状况.%Objective: To observe the clinical efficacy of acupuncture treatment for migraine. Methods: Forty cases were randomly allocated to a treatment group and a control group, 20 cases in each group. Cases in the treatment group were treated with acupuncture, while cases in the control group were treated with oral Sibelium. After that, the changes of cerebral blood flow were observed before and after treatment. Results: There was significant difference in clinical efficacies between two groups (P<0.05). There were also significant differences in arterial blood flow velocities of before and after treatment. Acupuncture can produce substantial differences (P<0.05) in blood flow velocities of vertebral artery (VA), middle cerebral artery (MCA) and anterior cerebral artery (ACA) during an increased flow rate. It can also produce statistical differences in blood flow velocities of VA during a decreased flow rate (P<0.05). Conclusion: Acupuncture can effectively alleviate the pain of migraine sufferers and exert a two-way regulation on the cerebral blood flow.