针刺治疗偏头痛急性期文献质量评价  

Reports Quality Evaluation on Acupuncture for Treating Acute Attacks of Migraine

作　　者：杨春艳[1] 刘慧林[1] 张圆[1] 王麟鹏[1] 

机构地区：[1]首都医科大学附属北京中医医院针灸中心,北京100010

出　　处：《中国循证医学杂志》2012年第3期365-370,共6页Chinese Journal of Evidence-based Medicine

基　　金：国家中医药管理局重点学科建设项目;首都医学发展科研基金北京医学卫生科技联合攻关项目(编号SF-2005-2)

摘　　要：目的对针刺治疗偏头痛急性期的临床随机对照试验研究进行文献质量评价。方法以针刺、偏头痛为检索词,检索了Cochrane图书馆临床对照试验数据库,PubMed、MEDLINE、EMbase等外文数据库和CBM、CMCC、CNKI、VIP等中文数据库。对纳入研究的报告质量,包括研究设计的方法学质量、诊断与纳入/排除标准、针刺/对照组干预措施、疗效评价标准及观察时间点、不良反应报告等方面进行评价。结果共纳入23篇随机对照试验,2 645例患者,Jadad评分仅3篇属高质量研究(≥4分)。文献质量评价结果显示,目前国内外关于针刺治疗偏头痛急性期的高质量临床研究报道较少,国际公认的诊断标准及通用的评价方法尚未得到普遍应用,对照设置欠合理。结论从目前的临床报道来看,针刺治疗偏头痛急性期有一定疗效,但仍需相关证据支持。今后国内研究应严格遵循国际公认的偏头痛诊断与疗效评价标准,设置恰当的对照方法,进行高质量的研究。Objective To assess the quality of randomized controlled trials （RCTs） on acupuncture for treating acute migraine attacks. Methods With the searching terms of acupuncture and migraine, the Cochrane Controlled Tri- als Register （CCTR）, PubMed, MEDLINE, EMbase, CBM, CMCC, CNKI and VIP were searched. The reports quality of the included trials, including the quality of methodology, diagnostic criteria, inclusion/exclusion criteria, acupuncture/ control interventions, outcome measures, observing time, and adverse effects reports, was evaluated. Results A total 23 RCTs involving 2645 patients were included, of which only 3 RCTs were of high quality with ]adad scores equal to or more than 4. At present, only a few high quality trials on treating acute attacks of migraine with acupuncture had been reported at home and abroad. The international recognized diagnostic criteria and common evaluation methods had not been used generally, and the design of control was kind of irrational. Conclusion Based on current clinical reports, acupuncture may be effective in the management of acute migraine attacks, but some relevant proof is still required. The further domestic studies should be designed strictly following the international recommended diagnosis and evaluation criteria of migraine, and rational control methods as well.

关 键 词：针刺 偏头痛 急性期/发作期 文献质量评价 

分 类 号：R246.6[医药卫生—针灸推拿学]