摘 要
偏头痛是一种常见的慢性神经血管性疾病，严重影响患者的生活质量。本研究旨在探讨针灸疗法对偏头痛患者生活质量的影响，为临床治疗提供参考依据。基于此目的，选取了120例符合纳入标准的偏头痛患者作为研究对象，随机分为观察组和对照组，每组60例。观察组采用针灸疗法进行干预，选取百会、风池、太阳等穴位，每周治疗3次，持续8周；对照组则给予常规护理。通过视觉模拟评分法评估疼痛程度，采用偏头痛残疾评估量表（MIDAS）和36条目简明健康状况调查问卷（SF - 36）评价生活质量，在治疗前、治疗4周后、治疗8周后以及随访8周时分别进行测量。结果显示，观察组在治疗4周后疼痛程度较对照组明显减轻，差异有统计学意义（P 0.05），且这种优势在治疗8周后及随访8周时仍然存在；观察组患者MIDAS评分逐渐降低，而SF - 36各维度评分逐渐升高，与对照组相比差异显著（P 0.05）。这表明针灸疗法能够有效改善偏头痛患者的疼痛状况，提高其生活质量，其创新之处在于明确了针灸疗法对偏头痛患者生活质量影响的具体表现和持续时间，为针灸疗法应用于偏头痛的临床治疗提供了有力证据。
关键词：偏头痛；针灸疗法；生活质量；疼痛管理；MIDAS评分；SF-36量表
Abstract
Migraine is a common chronic neurovascular disorder that significantly impairs patients' quality of life. This study aimed to investigate the effects of acupuncture therapy on the quality of life in migraine patients, providing reference for clinical treatment. For this purpose, 120 migraine patients who met the inclusion criteria were selected and randomly divided into an observation group and a control group, with 60 cases in each group. The observation group received acupuncture intervention at acupoints such as Baihui (GV20), Fengchi (GB20), and Taiyang (EX-HN5), with treatments administered three times per week for 8 weeks; the control group received routine care. Pain intensity was assessed using the visual analog scale (VAS), while the Migraine Disability Assessment Scale (MIDAS) and the 36-Item Short Form Health Survey (SF-36) were used to evaluate quality of life. Measurements were taken before treatment, after 4 weeks of treatment, after 8 weeks of treatment, and at an 8-week follow-up. The results showed that the pain intensity in the observation group was significantly reduced compared to the control group after 4 weeks of treatment, with statistically significant differences (P 0.05), and this advantage persisted after 8 weeks of treatment and at the 8-week follow-up. The MIDAS scores of patients in the observation group gradually decreased, while the SF-36 scores across all dimensions gradually increased, showing significant differences compared to the control group (P 0.05). These findings indicate that acupuncture therapy can effectively alleviate pain and improve the quality of life in migraine patients. The innovation of this study lies in clarifying the specific manifestations and duration of the impact of acupuncture therapy on the quality of life of migraine patients, providing strong evidence for the application of acupuncture therapy in the clinical treatment of migraines.
Keywords：Migraine；Acupuncture Therapy；Quality Of Life；Pain Management；Midas Score；Sf-36 Scale
目 录
摘 要 I
Abstract II
引 言 1
第一章 偏头痛与生活质量概述 2
1.1 偏头痛的流行病学特征 2
1.2 生活质量的概念与测量 2
1.3 针灸疗法的基本原理 3
第二章 针灸疗法对偏头痛的干预机制 4
2.1 针灸治疗偏头痛的理论基础 4
2.2 针灸对偏头痛疼痛缓解的作用 4
2.3 针灸对偏头痛发作频率的影响 5
第三章 针灸疗法对患者生理功能的影响 6
3.1 改善睡眠质量的研究 6
3.2 提高日常活动能力分析 6
3.3 缓解焦虑抑郁情绪效果 7
第四章 针灸疗法对社会心理层面的影响 9
4.1 社交活动参与度的变化 9
4.2 工作效率与职业发展影响 9
4.3 家庭关系和谐度的提升 10
结 论 11
参考文献 12
致 谢 13
