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目的研究杵针百会八阵穴为主治疗偏头痛的临床疗效及其作用机理。方法84例偏头痛患者随机分为治疗组和对照组，每组42例。治疗组采用杵针为主的针刺疗法，对照组采用西药治疗，进行对照观察，同时对治疗前后的脑血流速度用经颅多普勃超声进行检测。结果治疗组愈显率和总有效率分别为80.9%和95.2%，明显优于对照组的30.9%和73.8%，经统计学处理，<0.01，<0.05，差异具有显著性意义。杵针为主的针刺疗法能够明显改善颅内主要动脉的最高平均血流速度，治疗组与对照组治疗后比较，差异有显著性意义(<0.05)。结论杵针百会八阵穴为主的针刺疗法治疗偏头痛，具有治愈率高，疗效显著的特点。“,”Objective To study the clinical therapeutic ef ect of poking Baihui Bazhen points on migraine and its mechanisms. Methods Eighty-four cases of migraine were randomly divided into a treatment group and a control group, 42 case in each group. The treatment group were treated with poking Baihui points and the control group with western medicine. Brain blood flow velocity was determined by TCD before and after treatment. Results The markedly ef ective rate and the ef ective rate was 80.9%and 95.2%in the treatment group, which was bet er than 30.9%and 73.8%in the control group ( <0.01, <0.05). And the poking Baihui points could significantly improve the highest mean blood flow velocity of main arteries, with a significant dif erence between the two groups after treatment ( <0.05). Conclusion Poking Baihui Bazhen points can be used for treatment of migraine, with a high cured rate and obvious therapeutic ef ect.