中医药疗法治疗紧张性头痛有效性的网状meta分析  

Mesh meta-analysis of the effectiveness of traditional Chinese medicine therapy in the treatment of tension headache

作　　者：刘娅 王海腾[1] 房纬[1] LIU Ya;WANG Haiteng;FANG Wei(Department of Massage,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院国家中医针灸临床医学研究中心推拿科,天津300193

出　　处：《中国医药导报》2023年第7期135-138,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81373761)。

摘　　要：目的系统评价不同中医药疗法治疗紧张性头痛的效果。方法通过计算机全面检索中文数据库(CNKI、VIP、万方数据库)和英文数据库(PubMed、Embase、Web of Science、The Cochrane Library)中已发表的涉及中医药疗法治疗紧张性头痛的临床随机对照试验,检索时间为2012年1月至2021年12月。通过NoteExpress、Stata 14.2、RevMan 5.4软件进行数据的提取及网状meta分析。结果纳入32项随机对照试验,涉及3003例患者及6种不同干预措施。网状meta分析结果显示,中药(RR=0.25,95%CI:0.15~0.35,P<0.001)、针刺(RR=0.27,95%CI:0.20~0.55,P=0.03)、针刺+推拿(RR=0.28,95%CI:0.19~0.55,P=0.03)、刺络+刮痧疗法(RR=0.32,95%CI:0.17~0.35,P=0.02)、针刺+中药(RR=0.31,95%CI:0.29~0.43,P=0.01)的总有效率均高于常规西药。Begg检验提示发表偏倚较小(P<0.05)。结论中药、针刺、针刺+推拿、刺络+刮痧疗法、针刺+中药有效率均优于西药常规,中医药疗法治疗紧张性头痛可能更具有优势。Objective To systematically evaluate the effect of different traditional Chinese medicine therapy on tension headache.Methods The published clinical randomized controlled trials involving traditional Chinese medicine therapy in the treatment of tension headache in Chinese databases(CNKI,VIP,Wanfang Data)and English databases(PubMed,Embase,Web of Science,The Cochrane Library)were searched by computer.The search period was from January 2012 to December 2021.Data extraction and mesh meta-analysis were performed by NoteExpress,Stata 14.2,and RevMan 5.4 software.Results Thirty-two randomized controlled trials involving 3003 patients were included,involving six different interventions.The results of mesh meta-analysis showed that the total effective rate of Chinese materia medica(RR=0.25,95%CI:0.15-0.35,P<0.001),acupuncture(RR=0.27,95%CI:0.20-0.55,P=0.03),acupuncture+massage(RR=0.28,95%CI:0.19-0.55,P=0.03),acupuncture+scrapping therapy(RR=0.32,95%CI:0.17-0.35,P=0.02),acupuncture+Chinese materia medica(RR=0.31,95%CI:0.29-0.43,P=0.01)were all higher than that of conventional western medicine.The Begg test suggested a small publication bias(P<0.05).Conclusion Chinese materia medica,acupuncture,acupuncture+massage,acupuncture+scrapping therapy,acupuncture+Chinese materia medica are superior to conventional western medicine,and traditional Chinese medicine therapy may have more advantages in the treatment of tension headache.

关 键 词：紧张性头痛 中医药疗法 网状meta分析 随机对照试验 

分 类 号：R242[医药卫生—中医临床基础]