针刺对偏头痛急性发作期止痛疗效Meta分析  

Analgesic effect of acupuncture during migraine acute attack period:a Meta analysis

作　　者：蒲圣雄 谭戈[1] 王达岩 陈津津[1] 蒋莉[1] 

机构地区：[1]重庆医科大学附属第一医院神经内科,400016

出　　处：《重庆医学》2016年第10期1353-1356,共4页Chongqing medicine

基　　金：重庆市卫生和计划生育委员会中医药科技项目(ZY201403007)

摘　　要：目的评价针刺对偏头痛急性期治疗效果,为临床治疗提供循证医学依据。方法检索1989年1月到2014年12月中英文偏头痛急性期针刺治疗文献,根据纳入排除标准筛选文献,提取资料后进行Meta分析。结果共纳入5项研究,共618例偏头痛患者,其中4项进行Meta分析,1项描述性分析;针刺组与假针刺组针刺后2h[MD=0.36;95%CI：0.08~0.65;P=0.01]、4h[MD=0.49;95%CI：0.14~0.84;P=0.007]的视觉模拟评分（VAS）减少值差异有统计学意义;而以VAS评分为评价指标时,针刺后2h[MD=-0.38;95%CI：-0.83~0.07;P=0.10]、4h[MD=-0.42;95%CI：-0.96~0.12;P=0.12],两组差异均无统计学意义（P〉0.05）。结论针刺能有效减轻偏头痛程度,以VAS评分减少值为评价指标时,针刺止痛治疗偏头痛明显优于假针刺组;而以VAS评分为评价指标时,针刺组与假针刺组则差异无统计学意义（P〉0.05）。Objective To evaluate the effect of acupuncture for treating migraine acute attack to offer some evidence-based basis for clinical application.Methods The Chinese and English literatures on the acupuncture for treating migraine acute attack were retrived from January 1989 to December 2014,the literatures were screened according to inclusion and exclusion criteria,the Meta-analysis was performed on these chose literatures.Results A total of 5studies were included and 618 migraineurs were involved,four literatares were performed the Meta-analysis,and 1literature was performed the description analysis.Meta-analysis results showed that there was statistically significant differences between the acupuncture group and the sham acupuncture group in the VAS score reduction value at 2h[MD=0.36,95%CI：0.08,0.65,P=0.01],4h[MD=0.49,95%CI：0.14,0.84,P=0.007]after acupuncture;while when the VAS score was used as the evaluation indicator,there was no statistically significant differences were found at 2h[MD=-0.38,95%CI：-0.83,0.07,P=0.10],4h[MD=-0.42,95%CI：-0.96,0.12,P=0.12]after acupuncture in the VAS score between the acupuncture group and the sham acupuncture group.Conclusion Acupuncture could effectively relieve the intensity of headache in migraine,the analgesic effect of acupuncture for treating migraine attacks is significantly superior to the sham acupuncture group,while with the VAS score as the evaluation indicator,the difference between the acupuncture group and the sham acupuncture group has no statistical significance.

关 键 词：偏头痛 针刺 急性期 META分析 

分 类 号：R246.6[医药卫生—针灸推拿学]