透刺为主治疗偏头痛的临床观察

Clinical Observations on Treatment of Migraine by Point-through-point Acupuncture as A Main Therapy

目的 观察针刺治疗偏头痛的疗效。方法随机设观察组97例采用常规针刺疗法，对照组33例采用口服西药舒马曲坦片剂法，在治疗第3天对两组治疗结果及治疗时间与疗效的关系进行对比观察。结果观察组痊愈率94．8％，对照组痊愈率78．9％（两组比较P〈0．01）。观察组总有效率100％，对照组总有效率96．9％（两组比较P〈0．05）。在针刺或口服药物后2h以对照组为优，而针刺或口服药物后24～48h以观察组为优。结论针刺治疗偏头痛痊愈率、总有效率均高于口服舒马曲坦治疗。但针刺2h内止痛的疗效不及口服舒马曲坦。针刺发挥疗效的主要时间是在针刺48h后。随着治疗时间的延长，针刺总能获得效果，而口服舒马曲坦若不能在72h内获效，则以后效果就不明显。

Objective To investigate the therapeutic effect of acupuncture on migraine. Methods Two groups were randomly established. The observation group of 97 patients were treated with conventional acupuncture and the control group of 33 patients, by oral administration of Western medicine Sumatriptan. The therapeutic effects and time-effect relationships were compared between the two groups on the third day of treatment. Results The cure rate was 94.8% in the observation group and 78.9% in the control group （ P 〈 0.01 ）. The total efficacy rate was 100% in the observation group and 96.9% in the control group （ P 〈 0.05 ）. The effect was better at 2 h after treatment in the control group and at 24 - 48 h after treatment in the observation group. Conclusion Acupuncture has a higher cure rate and total efficacy rate than oral Sumatriptan in treating migraine, but the analgesic effect of acupuncture is less within the initial 2 h than that of oral Sumatriptan. It is after 48 h treatment that acupuncture produces a main therapeutic effect. Acupuncture always has an effect when it continues, but if oral Sumatriptan can not produce an effect within 72 h, its effect will not be obvious later.