针刺治疗偏头痛患者疗效观察及对脑血流的影响  

Observations on the Curative Effect of Acupuncture on Migraine and its Influence on Cerebral Blood Flow

作　　者：戴明[1] 靳淼[1] 沈维娜[1] 

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《上海针灸杂志》2007年第9期3-5,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刺对偏头痛患者脑血流的影响。方法针刺百会、太冲、合谷等穴位治疗偏头痛患者作为治疗组,以口服西比灵为对照组,治疗组治疗前后采用经颅多普勒超声检查观察针刺对患者脑血流的影响。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VA、MCA、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、BA发生流速减慢时的血流速度影响有统计学意义(P<0.05)。结论针刺能双向调节,有效影响偏头痛患者的脑血流状况。Objective To investigate the influence of acupuncture on cerebral blood flow in migraine patients. Methods A treatment group of migraine patients was treated by acupuncture of points Baihui, Taichong and Hegu and a control group, with oral Sibelium. Transcranial Doppler sonography was performed in the treatment group before and after treatment to investigate the influence of acupuncture on cerebral blood flow. Results There was a statistically significant difference in clinical curative effect between the two groups （ P 〈 0.05 ）. There was a statistically significant difference in the abnormality rate of cerebrovascular flow velocity between before and after acupuncture in the patients （ P 〈 0.01 ）. The influences of acupuncture on VA, MCA and ACA increased flow velocity and VA and BA decreased flow velocity were of statistical significance （ both P 〈 0.05 ）. Conclusion Acupuncture can bidirectionally regulate and effectively influence cerebral blood flow in migraine patients.

关 键 词：偏头痛 针刺 脑血流 超声检查 经颅多普勒 

分 类 号：R246.6[医药卫生—针灸推拿学]