Efficacy and safety of acupuncture in the treatment of tension-type headache: a Meta analysis

ZHANG Teng; LU Yonghui; YIN Yue; TU Ya; JIANG Huili

doi:10.3969/j.issn.2095-6606.2023.06.019

您当前的位置：

首页 >

文章列表页 >

Efficacy and safety of acupuncture in the treatment of tension-type headache: a Meta analysis

Literature Research | 更新时间：2023-12-08

- Efficacy and safety of acupuncture in the treatment of tension-type headache: a Meta analysis
- Modern Chinese Clinical Medicine Vol. 30, Issue 6, Pages: 84-90(2023)
- 作者机构：
  
  1.北京中医药大学　北京　100029
  2.中国中医科学院西苑医院
  3.首都医科大学燕京医学院
  4.北京中医药大学针灸推拿学院国际精神疾患研究中心
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.06.019
  CLC： R246
- Received：20 April 2022，
  
  Published：30 November 2023
- 稿件说明：
移动端阅览
ZHANG Teng, LU Yonghui, YIN Yue, et al. Efficacy and safety of acupuncture in the treatment of tension-type headache: a Meta analysis[J]. Modern Chinese Clinical Medicine, 2023, 30(6): 84-90.
DOI：

ZHANG Teng, LU Yonghui, YIN Yue, et al. Efficacy and safety of acupuncture in the treatment of tension-type headache: a Meta analysis[J]. Modern Chinese Clinical Medicine, 2023, 30(6): 84-90. DOI： 10.3969/j.issn.2095-6606.2023.06.019.

摘要

目的

系统评价针刺治疗紧张型头痛的疗效及安全性。

方法

检索PubMed、Cochrane Library、Embase、Web of Science、中国知网、万方、维普、中国生物医学文献数据库(CBM)，检索时限均从2012年1月至2021年12月，收集针刺治疗紧张型头痛的随机对照试验研究。采用Revman5.3和STATA17.0对数据结局指标总有效率和VAS评分进行Meta分析。

结果

共纳入13项研究，累计样本量918例，其中治疗组427例，对照组491例。META分析结果：西药组：总有效率

＝1.20，

＝4.24(

0.000 1)；VAS评分SMD＝0.64，

＝4.61(

0.000 01)，针刺效果均优于西药。传统/常规针刺组：总有效率

＝ 1.21，

＝3.62(

0.05)；VAS评分SMD＝0.33，

＝2.77(

0.05)，特殊针刺疗效均优于传统/常规针刺。Egger检验法：总有效率：西药组

0.05，表示无发表偏倚；传统/常规针刺组

0.05，表示有发表偏倚；VAS评分：西药组

0.05，表示无发表偏倚；传统/常规针刺组

0.05，表示无发表偏倚。

结论

针刺治疗紧张型头痛在疗效与安全性方面均优于西药，特殊针刺手法相较于传统/常规针刺有更好的疗效。

Abstract

Objective

To analyze and evaluate the efficacy and safety of acupuncture in the treatment of tension-type headache (TTH).

Methods

We retrieved literature on the randomized controlled trials of acupuncture in the treatment of tension-type headache in Pub Med

Cochrane Library

EMBASE

web of science

CNKI

Wanfang

VIP and CBM dating from January 2012 to December 2021. Then

a Meta analysis was performed on the outcome indicators of total effective rate and VAS score with Revman5.3 and STATA17.0.

Results

Under the guidance of the inclusion and exclusion criteria

13 studies were included

with a cumulative sample size of 918 cases

including 427 cases in the treatment groups and 491 cases in the control groups. After the meta analysis

the following result were obtained: Western medicine group: total effective rate:

=1.20

=4.24 (

0.000 1); VAS score: SMD=0.64

=4.61 (

0.000 01)

indicating that curative effect of acupuncture was better than that of Western medicine. In the traditional / conventional acupuncture group: total effective rate:

= 1.21

= 3.62 (

0.05); VAS score: SMD = 0.33

= 2.77 (

0.05)

suggesting that curative effect of specialized acupuncture was better than that of traditional / conventional acupuncture. Egger regression test: total effective rate: Western medicine group

0.05

indicating no publication bias; In the traditional / conventional acupuncture group

0.05

indicating publication bias; VAS score: Western medicine group

0.05

indicating no publication bias; Traditional / conventional acupuncture group

0.05

indicating no publication bias.

Conclusion

In the treatment of TTH

acupuncture is superior to Western medicine both in efficacy and safety. Meanwhile

specialized acupuncture has better curative effects than traditional / conventional acupuncture.

关键词

Keywords

references

贾建平，陈生弟 . 神经病学 [M]. 8版 . 北京：人民卫生出版社 , 2018 : 180 - 182 .

紧张型头痛诊疗专家共识组 . 紧张型头痛诊疗专家共识 [J]. 中华神经科杂志， 2007 , 40 ( 7 ): 496 - 497 .

BENDTSEN L ， EVERS S ， LINDE M ， et al . EFNS guideline on the treatment of tension-type headache － report of an EFNS task force [J]. Eur J Neurol ， 2010 , 17 ( 11 ): 1318 - 1325 .

HEADACHE CLASSIFICATION COMMITTEE OF THE INTERNATIONAL HEADACHE SOCIETY(IHS) . The international classification of headache disorders，3rd edition [J]. Cephalalgia ， 2018 , 38 ( 1 ): 35 - 40 .

石学敏 . 针灸学 [M]. 2版 . 北京：中国中医药出版社 , 2007 : 204 .

HIGGINS JPT ， THOMAS J ， CHANDLER J ， et al . Cochrane handbook for systematic reviews of interventions version 5.1.0 [EB/OL].( 2011-03-01 )[ 2022-02-21 ]. www. training.cochrane.org/handbook www. training.cochrane.org/handbook .

刘丹，张亭玉，于春华，等 . 调神开郁针法结合眼针治疗紧张性头痛的临床观察 [J]. 中国临床保健杂志， 2021 , 24 ( 3 ): 333 - 336 .

张雪，布赫，马尧，等 . 调神疏肝针刺法治疗紧张型头痛的疗效及对血清脂联素含量的影响 [J]. 中西医结合心脑血管病杂志， 2021 , 19 ( 19 ): 3287 - 3290 .

于方圆 . 平衡针配合常规针刺治疗紧张性头痛的临床研究 [D]. 哈尔滨：黑龙江中医药大学， 2020 .

郭楠楠，沈红强 . “头九针”治疗紧张型头痛临床疗效观察 [J]. 针刺研究， 2020 , 45 ( 2 ): 148 - 151 .

赵婧男 . 电针情感区治疗紧张型头痛的临床疗效观察 [D]. 哈尔滨：黑龙江中医药大学， 2019 .

张圣宏，徐炎林，赵海音，等 . “头八针”治疗紧张性头痛的临床研究 [J]. 安徽卫生职业技术学院学报， 2018 , 17 ( 1 ): 17 - 19 .

郑凤娥 . 平衡针疗法治疗紧张性头痛的临床疗效观察 [D]. 福州：福建中医药大学， 2017 .

尤阳 . 针刺治疗慢性紧张性头痛的临床观察 [C]// 中国中医药研究促进会针灸康复分会第二届学术年会暨山东针灸学会第九届学术年会论文集 . 济南：山东针灸学会， 2017 : 345 - 349 .

郝晓博 . 针刺帽状腱膜筋结点治疗慢性紧张性头痛临床研究 [J]. 亚太传统医药， 2016 , 12 ( 23 ): 115 - 116 .

周立华 . 针刺治疗紧张性头痛的临床研究 [D]. 昆明：云南中医学院， 2015 .

宣雅波，王麟鹏 . 帽状腱膜下针刺法治疗慢性紧张性头痛26例临床观察 [J]. 中医杂志， 2014 , 55 ( 18 ): 1578 - 1580 .

吴卫卫 . 调神通络针刺法治疗紧张性头痛的临床研究 [D]. 哈尔滨：黑龙江中医药大学， 2013 .

GUERREIRO DA SILVA J B ， NAKAMURA M U ， CORDEIRO J A ， et al . Acupuncture for tension-type headache in pregnancy：a prospective，randomized，controlled study [J]. Eur J Integr Med ， 2012 , 4 ( 4 ): e366 - e370 .

ASHINA S ， MITSIKOSTAS D D ， LEE M J ， et al . Tension-type headache [J/OL]. Nat Rev Dis Primers ， 2021 , 7 ( 1 ): 24 [ 2022-02-21 ]. https://www.nature.com/articles/s41572-021-00257-2 https://www.nature.com/articles/s41572-021-00257-2 .

付国静，刘少姣，梁晓，等 . 紧张型头痛中医证候分布规律的文献研究 [J]. 现代中医临床， 2020 , 27 ( 4 ): 25 - 30 .

王健，白宏晔，褚嘉琪，等 . 山西某高校本科生紧张型头痛的流行病学调查研究 [J]. 临床医药文献电子杂志， 2019 , 6 ( 73 ): 184 - 185 .

邵建锋，王晓彤，林海雄，等 . 基于Web of Science数据库近10年紧张型头痛研究的文献计量学分析 [J]. 广州中医药大学学报， 2020 , 37 ( 3 ): 578 - 585 .

张雪，布赫，马尧，等 . 针刺治疗紧张型头痛的Meta分析 [J]. 针灸临床杂志， 2018 , 34 ( 1 ): 51 - 55 .

邓赣，罗晓舟，王梓楠，等 . 针灸治疗紧张性头痛的临床疗效及安全性分析 [J]. 中国老年学杂志， 2018 , 38 ( 12 ): 2936 - 2940 .

CHO S J ， SONG T J ， CHU M K . Sleep and tension-type headache [J/OL]. Curr Neurol Neurosci Rep ， 2019 , 19 ( 7 ): 44 [ 2022-02-21 ]. https://link.springer.com/article/10.1007/s11910-019-0953-8 https://link.springer.com/article/10.1007/s11910-019-0953-8 .

姚旭，谭克平 . 针刺阿是穴及安神六穴治疗紧张型头痛伴情绪障碍的疗效观察 [J]. 中华中医药杂志， 2019 , 34 ( 1 ): 398 - 400 .

樊雪鸣，申伟，魏竞竞，等 . 针刺治疗紧张型头痛临床研究的概括性评价 [J]. 中医杂志， 2022 , 63 ( 6 ): 572 - 580 .

FEI Y T ， CAO H J ， XIA R Y ， et al . Methodological challenges in design and conduct of randomised controlled trials in acupuncture [J/OL]. BMJ ， 2022 , 376 : e064345 [ 2022-02-21 ]. https://www.bmj.com/content/376/bmj-2021-064345 https://www.bmj.com/content/376/bmj-2021-064345 .

Views

1306

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Pattern differentiation and treatment of male late-onset hypogonadism based on the theory of “zang-fu organs interconnection”

Exploration of correlation between deep branch of ulnar nerve and palm acupoints

Analysis of outcome indexes of acupuncture treatment for functional constipation

Observation on the clinical effect of Yang Jiasan’s Spirit-Regulating Acupuncture in the treatment of autism spectrum disorder

Analysis on the application of Overy-Awakening Nine-Needling Acupuncture in treating diminished ovarian reserve

Related Author

WEI Yi

HONG Zhiming

ZHOU Wenbin

WANG Quan

QIU Junfeng

CHEN Zilong

YUAN Jinjun

WANG Shengjie

Related Institution

Shenzhen Traditional Chinese Medicine Hospital

The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine

Shandong Provincial Hospital, Shandong First Medical University

School of Acupuncture and Moxibustion and Tuina, Fujian University of Traditional Chinese Medicine

The Second Affiliated Hospital of Anhui University of Chinese Medicine

AI问答

⁰