Department of Neurology, Center for Headache and Facial Pain, Icahn School of Medicine at Mount Sinai, 5 E 98th St, 7th Floor, Box 1139, New York, NY, 10029, USA.
Department of Neurology, Stanford University School of Medicine, 211 Quarry Road, Palo Alto, CA, 94304, USA.
Curr Pain Headache Rep. 2020 May 29;24(7):32. doi: 10.1007/s11916-020-00864-w.
The purpose of this review is to discuss the current evidence for acupuncture in migraine and to provide insight into which patients may benefit most from acupuncture.
Multiple studies support acupuncture as a validated modality for the prevention of episodic migraine. While small studies on acupuncture for the prevention of chronic migraine are encouraging, evidence for its benefit is limited. Likewise, the existing studies on acupuncture for acute migraine treatment are insufficient. Acupuncture is commonly used to treat migraine and has gained popularity as a validated non-pharmaceutical option. Although the specific mechanisms of acupuncture are not clearly understood, there is evidence for its effectiveness in treating migraine. Results of acupuncture studies are quite variable and depend on multiple factors, including frequency, duration, and consistency of treatments, as well as acupoint selection. A better understanding of the flaws inherent in acupuncture research will help guide the development of future studies.
本文旨在讨论针灸治疗偏头痛的现有证据,并深入了解哪些患者可能从针灸中获益最大。
多项研究支持针灸作为预防偏头痛发作的有效方法。虽然关于针灸预防慢性偏头痛的小型研究令人鼓舞,但证据有限。同样,关于针灸治疗急性偏头痛的现有研究也不足。针灸常用于治疗偏头痛,并作为一种有效的非药物选择而受到欢迎。虽然针灸的确切机制尚不清楚,但有证据表明其对偏头痛有效。针灸研究的结果差异很大,这取决于多个因素,包括治疗的频率、持续时间和一致性,以及穴位选择。更好地了解针灸研究中固有的缺陷将有助于指导未来研究的发展。