Loh L, Nathan P W, Schott G D, Zilkha K J
J Neurol Neurosurg Psychiatry. 1984 Apr;47(4):333-7. doi: 10.1136/jnnp.47.4.333.
In 48 patients with chronic migraine and muscle tension headaches, a comparison was made between a prophylactic course of acupuncture and of medical treatment. It was intended that all patients should have 3 months with both forms of treatment, but 19 were unwilling to change from one form of prophylaxis to the other. Twenty-four of 41 patients improved on acupuncture, the improvement being very marked in nine; nine of 36 patients improved on medical treatment, the improvement being marked in three. Of the 29 patients who changed from one form of treatment to the other, a larger proportion preferred acupuncture to medical treatment. A beneficial response to acupuncture was more likely when the patient had local tender muscular points. The presence of depressive features did not preclude satisfactory treatment with acupuncture. No major side effects were encountered with acupuncture.
在48例慢性偏头痛和肌肉紧张性头痛患者中，对针灸预防疗程和药物治疗进行了比较。原本打算让所有患者接受两种治疗方式各3个月，但有19名患者不愿意从一种预防方式改为另一种。41例患者中有24例在接受针灸治疗后病情改善，其中9例改善非常明显；36例患者中有9例在接受药物治疗后病情改善，其中3例改善明显。在从一种治疗方式改为另一种治疗方式的29例患者中，更多患者更喜欢针灸而非药物治疗。当患者有局部肌肉压痛点时，对针灸治疗更可能产生有益反应。存在抑郁特征并不妨碍通过针灸获得满意的治疗效果。针灸未出现重大副作用。
