基于现代文献刺血疗法治疗偏头痛的临床证据研究  

Pricking Blood Therapy in Treatment of Migraine Based on Modern Literature: Clinical Evidence Research

作　　者：廖茜珣 侯伯南[1] 邹鸽[1] 刘焕兰[1] 

机构地区：[1]广州中医药大学,广东广州510006

出　　处：《中华中医药学刊》2017年第1期250-253,共4页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:利用循证医学的方法分析、评价刺血疗法治疗偏头痛的临床试验,为治临床医生提供临床证据。方法:以刺血疗法临床实践中常见的重要问题为出发点,检索当前国内外临床研究文献,根据循证医学五级分类标准,对于能够回答对应临床问题的证据进行分类,筛选出较高级别证据,采用Rev Man 5.0.20统计结局指标进行再次统计。结果:有27项研究符合本研究需要。A级证据表明刺血疗法治疗偏头痛的有效性;其余证据分别说明刺血疗法治疗偏头痛的临床疗效优于常规西药及普通针刺,与电针疗效相当,可能加强针刺和西药的临床疗效。结论:刺血疗法治疗偏头痛的有效性是肯定的;可能与西药等效,今后要设计更加严格的试验来验证其临床有效性。Objective： Through using the method of evidence -based medicine to analyze and evaluate pricking blood therapy in the treatment of migraine, providing clinical evidence for clinical doctors. Methods ： Centered on pricking blood therapy clinical practices, we retrieved the current available clinical research literature comprehensively, according to the evidence - based medicine category five classification standards and searched for corresponding clinical evidence, screening of a higher level of evidence. We used the RevMan 5.0.20 for statistical outcome indicators. Results ： There were 27 studies in this research. Class A evidence suggested the effectiveness of pricking blood therapy of migraine. Rest of the evidence illustrated the clinical efficacy of pricking blood therapy of migraine was superior to that of conventional medicine and general acupuncture, electro - acupuncture and as effective as possible to strengthen the clinical efficacy of acupunc- ture and Western medicine. Conclusion： Effectiveness of pricking blood therapy of migraine is positive. It may b equiva- lent to Western medicine, but we have to design a more rigorous clinical trials to verify its validity in the future.

关 键 词：偏头痛 刺血疗法 临床证据 

分 类 号：R747.2[医药卫生—神经病学与精神病学]