Da Silva Arnaldo Neves
MHNI (Michigan Head Pain and Neurological Institute), Ann Arbor, MI, USA.
Headache. 2015 Mar;55(3):470-3. doi: 10.1111/head.12525. Epub 2015 Feb 16.
Migraine is a complex and multifactorial brain disorder affecting approximately 18% of women and 5% of men in the United States, costing billions of dollars annually in direct and indirect healthcare costs and school and work absenteeism and presenteeism. Until this date, there have been no medications that were designed with the specific purpose to decrease the number of migraine attacks, which prompts a search for alternative interventions that could be valuable, such as acupuncture.
Acupuncture origins from ancient China and encompasses procedures that basically involve stimulation of anatomical points of the body.
This manuscript reviews large and well-designed trials of acupuncture for migraine prevention and also the effectiveness of acupuncture when tried against proven migraine preventative medications.
Acupuncture seems to be at least as effective as conventional drug preventative therapy for migraine and is safe, long lasting, and cost-effective. It is a complex intervention that may prompt lifestyle changes that could be valuable in patients' recovery.
偏头痛是一种复杂的多因素脑部疾病,在美国约影响18%的女性和5%的男性,每年在直接和间接医疗费用以及学校和工作缺勤及出勤不佳方面造成数十亿美元的损失。截至目前,尚无专门设计用于减少偏头痛发作次数的药物,这促使人们寻找可能有价值的替代干预措施,如针灸。
针灸起源于古代中国,其程序基本上涉及对身体穴位的刺激。
本手稿回顾了关于针灸预防偏头痛的大型且设计良好的试验,以及将针灸与已证实的偏头痛预防性药物进行对比试验时的有效性。
针灸预防偏头痛似乎至少与传统药物预防疗法一样有效,并且安全、持久且具有成本效益。它是一种复杂的干预措施,可能促使生活方式发生改变,这对患者的康复可能很有价值。