Pain：针灸可有效预防偏头痛住院和加重

女记者从日前在京举行的2011年外科全球性研讨会上得悉，首都医科大学附属北京中医药医院外科为中心经临床数据分析证实，传统的中医药外科疗法可有效持续性偏呕吐的开刀和连带。具体数据分析专著近日刊出在全球性曾为自然科学期刊《痉挛》上，成为东亚大陆首篇刊出于该杂志的临床数据分析专著。该文还被全球性知名自然科学生物科学私人机构 Faculty of 1000 medicine（千名自然科学研究）收录。

据了解，作为临床常见病之一，偏呕吐发病率较低，且侵害严重。目前，必将18岁~65岁青年人的偏呕吐患病率将近9.3%，且有逐年上升趋势。外科用药呕吐在东亚早就有数千年的历史。北京中医药医院外科为中心自2004年分设呕吐专家门诊，开展了基于“金针中山王乐亭”、国医大师贺普仁等多位曾为外科学研究治痛经验的呕吐数据分析。

据该为中心主任中山王麟鹏介绍，该项目应对单盲、双模拟、临床的形式，在国内5家医院的外科科共有募兵140名无先兆偏呕吐患者，随机分为两台，分别为用药小组（外科加安慰剂）和样本（假针加氟桂利嗪）。两台患者每周外科用药3次，每晚口服药物。结果显示，4周后，用药小组偏呕吐的有效缓解率为59%，样本为40%；用药小组痉挛冬至少于回升4.1天，样本少于回升1.9天。16周后，用药小组有效缓解率为56%，样本为37%；用药小组痉挛冬至少于回升 4.1天，样本少于回升2天。

数据分析人员据此认为，外科可以作为偏呕吐的持续性开刀和连带的法则，其治果也比起此前国外的具体数据分析。由于其数据分析法则的独创和重要性，该专著还被全球性知名自然科学生物科学私人机构“千名科学研究”收录。（生物谷 Bioon.com）

doi:10.1016/j.pain.2011.04.006PMC:PMID:

Efficacy of acupuncture for migraine prophylaxis: A single-blinded, double-dummy, randomized controlled trial

Lin-Peng Wang,Xiao-Zhe Zhang,Jia Guo,Hui-Lin Liu,Yan Zhang,Cun-Zhi Liu,Jing-Hong Yi,Li-Ping Wang,Ji-Ping Zhao,Shan-Shan Li

Summary This multicenter, double-dummy trial suggested that acupuncture was more effective than flunarizine in decreasing days of migraine attacks. Abstract Insufficient clinical trial data were ailable to prove the efficacy of acupuncture for migraine prophylaxis. A multicenter, double-dummy, single-blinded, randomized controlled clinical trial was conducted at the outpatient departments of acupuncture at 5 hospitals in China to evaluate the effectiveness of acupuncture. A total of 140 patients with migraine without aura were recruited and assigned randomly to 2 different groups: the acupuncture group treated with verum acupuncture plus placebo and the control group treated with sham acupuncture plus flunarizine. Treated by acupuncture 3 times per week and drugs every night, patients from both groups were evaluated at week 0 (baseline), week 4, and week 16. The primary outcome was measured by the proportion of responders (defined as the proportion of patients with a reduction of migraine days by at least 50%). The secondary outcome measures included the number of migraine days, visual ogue scale (VAS, 0 to 10cm) for pain, as well as the physical and mental component summary scores of the 36-item short-form health survey (SF-36). The patients in the acupuncture group had better responder rates and fewer migraine days compared with the control group (P.05). The results suggested that acupuncture was more effective than flunarizine in decreasing days of migraine attacks, whereas no significantly differences were found between acupuncture and flunarizine in reduction of pain intensity and improvement of the quality of life.