针刺对偏头痛治疗机制的神经影像学研究现状

Revealing the mechanisms underlying the therapeutic effects of acupuncture on migraine using neuroimaging: a narrative review

偏头痛是以中重度头痛及各种神经症状为特征的神经系统疾病。针刺作为常用的非药物疗法,在偏头痛防治方面具有疗效佳、副作用少的优势,但其作用机制尚不明确。近年来,神经影像学技术的进步有助于客观评估针刺治疗偏头痛的疗效,并为探索针刺治疗偏头痛的中枢机制提供了机会。本文从针刺治疗偏头痛急性发作和针刺预防偏头痛发作的中枢机制两个方面对近10年来针刺治疗偏头痛的神经影像学研究进行综述,以期更好地了解针刺对偏头痛治疗机制的神经影像学研究现状,为今后研究提供切入点。

Migraine is a neurological disorder characterized by attacks of moderate or severe headache and various neurological symptoms.Acupuncture, as a commonly used non-pharmacological therapy, has the advantage of obvious therapeutic effect and few side effects in the prevention and treatment of migraine.But the underlying mechanism of acupuncture on migraine remains unclear.Recently, advances in neuroimaging technology have helped to objectively assess the effect of acupuncture on treating migraine and offered new opportunities to explore the central mechanism of acupuncture on treating migraine.In order to better understand the current status of neuroimaging studies on the therapeutic mechanism of acupuncture on migraine and shed light on future research, this review aims to overview the neuroimaging studies in recent 10 years from two aspects:(1) Central mechanism of acupuncture on treating acute migraine attack;(2) Central mechanism of acupuncture on preventing migraine attack.