Ear acupuncture in the treatment of migraine attacks: a randomized trial on the efficacy of appropriate versus inappropriate acupoints
Ear acupuncture in the treatment of migraine attacks: a randomized trial on the efficacy of appropriate versus inappropriate acupoints
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DOI：
10.1007/s10072-011-0525-4
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发表时间：
2011-05-01
影响因子：
3.3
通讯作者：
Benedetto, Chiara
中科院分区：
文献类型：
--
作者：
Allais, Gianni;Romoli, Marco;Benedetto, Chiara
耳针是控制偏头痛的有效方法。已经证明，一种名为针接触测试(NCT)的技术可以通过几秒钟的针接触来识别最有效的耳穴，以减轻当前的偏头痛疼痛。大部分穴位位于疼痛同侧对耳屏前内侧(M区)。本研究的目的是验证M区的治疗价值，并将其与可能对偏头痛发作没有治疗作用的耳朵区域(坐骨神经代表，S区)进行比较。我们研究了94名患有无先兆偏头痛的女性，根据ICHD-II标准诊断，在发作期间。随机分为两组：A组置入NCT阳性的M区压痛点，B组置入不适部位(S)。在研究的不同时间使用VAS量表测量疼痛强度的变化。在治疗过程中，A组的VAS值有非常显著的下降趋势(重复测量方差：P<；0.001)，而B组的VAS值在10、30、60、120min时均显著低于B组。这项研究表明，耳穴的治疗特异性是存在的，并与我们身体在耳朵上的体视表现有关。
Ear acupuncture can be a useful mean for controlling migraine pain. It has been shown that a technique called the Needle Contact Test (NCT) can identify the most efficacious ear acupoints for reducing current migraine pain through just a few seconds of needle contact. The majority of the points were located on the antero-internal part of the antitragus (area M) on the same side of pain. The aim of this study was to verify the therapeutic value of area M and to compare it with an area of the ear (representation of the sciatic nerve, area S) which probably does not have a therapeutic effect on migraine attacks. We studied 94 females suffering from migraine without aura, diagnosed according to the ICHD-II criteria, during the attack. They were randomly subdivided into two groups: in group A, tender points located in area M, positive to NCT were inserted; in group B, the unsuitable area (S) was treated. Changes in pain intensity were measured using a VAS scale at various times of the study. During treatment, there was a highly significant trend in the reduction of the VAS value in group A (Anova for repeated measures: p < 0.001), whereas no significance was observed in group B. VAS values were significantly lower in group A than in group B at 10, 30, 60 and 120 min after needle insertion. This study suggests that the therapeutic specificity of auricular points exists and is linked to the somatotopic representation of our body on the ear.