Endres Heinz G, Diener Hans-Christoph, Molsberger Albrecht
Ruhr University Bochum, Department of Medical Informatics, Statistics & Epidemiology, D-44801 Bochum, Germany.
Expert Rev Neurother. 2007 Sep;7(9):1121-34. doi: 10.1586/14737175.7.9.1121.
Since the last Cochrane review of acupuncture and headache in 2001, which found methodological and/or reporting shortcomings in the majority of the studies, several large, randomized trials on the effectiveness of acupuncture as a treatment for headache have been published. Following a brief overview of the pathophysiology of migraine and possible action mechanisms of acupuncture, we look at current studies on acupuncture and migraine and discuss the results. From these results and our own studies on acupuncture and migraine, we conclude that a 6-week course of acupuncture is not inferior to a 6-month prophylactic drug treatment, but that specific Chinese point selection, point stimulation and needling depth are not as important as had been thought. The review suggests that acupuncture should be integrated into existing migraine therapy protocols.
自2001年Cochrane对针灸与头痛的上次综述以来（该综述发现大多数研究存在方法学和/或报告方面的缺陷），已经发表了几项关于针灸治疗头痛有效性的大型随机试验。在简要概述偏头痛的病理生理学和针灸可能的作用机制之后，我们审视了当前关于针灸与偏头痛的研究并讨论了结果。从这些结果以及我们自己关于针灸与偏头痛的研究中，我们得出结论，6周的针灸疗程并不逊色于6个月的预防性药物治疗，但特定的穴位选择、穴位刺激和针刺深度并不像人们认为的那么重要。该综述表明，针灸应纳入现有的偏头痛治疗方案中。
