为系统了解中医药防治肝阳上亢型偏头痛领域的临床研究证据分布,总结疗效,为未来的研究提供指引,检索建库至2023年6月中国知网、万方、Cochrane Library、Web of Science等数据库中发表的中医药治疗肝阳上亢型偏头痛的随机对照试验(RCT)...为系统了解中医药防治肝阳上亢型偏头痛领域的临床研究证据分布,总结疗效,为未来的研究提供指引,检索建库至2023年6月中国知网、万方、Cochrane Library、Web of Science等数据库中发表的中医药治疗肝阳上亢型偏头痛的随机对照试验(RCT),共纳入149篇RCT进行描述性分析。2001-2023年,该领域发文量总体呈升中有降的趋势,73.1%的样本量在50~100例,82.55%的疗程≤1个月,干预措施以口服药为主,结局指标对VAS评分、头痛程度、持续时间、发作次数、天数、中医病症、头痛指数/积分指标关注较多,对生活质量、安全性事件、焦虑抑郁症状量表、伴随天数、理化检查指标研究较少,临床研究质量总体较低,未来应开展更高质量的临床研究为中医药治疗肝阳上亢型偏头痛提供证据支持。展开更多
目的:探讨太冲透刺涌泉治疗肝阳上亢型偏头痛的效果及机制。方法:本试验60例诊断为肝阳上亢型偏头痛患者选于2023年2月至2024年2月在本院就诊的患者,根据随机数字表法分为2组,各30例。对照组参照“十四五”规划教材《针灸学》取穴;观察...目的:探讨太冲透刺涌泉治疗肝阳上亢型偏头痛的效果及机制。方法:本试验60例诊断为肝阳上亢型偏头痛患者选于2023年2月至2024年2月在本院就诊的患者,根据随机数字表法分为2组,各30例。对照组参照“十四五”规划教材《针灸学》取穴;观察组以对照组取穴为基础,选取涌泉穴,给予太冲透刺涌泉针法。分别观察两组治疗前、后的偏头痛综合量化评分、中医证候积分、VAS疼痛评分,及对比两组的临床疗效。结果:两组治疗前的一般资料差异无统计学意义(P > 0.05);治疗后的各项观察指标积分与治疗前相比均有减小,观察组的临床疗效改善更加显著,观察组的各积分均低于对照组,以上差异均有统计学意义(P Objective: To explore the effect and mechanism of Taichong penetrating Yongquan in the treatment of migraine with hyperactivity of liver yang. Methods: 60 patients with migraine diagnosed as hyperactivity of liver yang were selected from February 2023 to February 2024 in our hospital. According to the random number table method, they were divided into two groups, 30 cases in each group. The control group referred to the “14th Five-Year Plan” textbook “Acupuncture” to select acupoints;on the basis of acupoint selection in the control group, the observation group selected Yongquan acupoint and gave Taichong penetration acupuncture. The migraine comprehensive quantitative score, TCM syndrome score and VAS pain score of the two groups before and after treatment were observed, and the clinical efficacy of the two groups was compared. Results: There was no significant difference in general data between the two groups before treatment (P > 0.05);The scores of each observation index after treatment were lower than those before treatment, and the clinical efficacy of the observation group was more significant. The scores of the observation group were lower than those of the control group, and the above differences were statistically significant (P < 0.05). Conclusion: The effect of Taichong penetrating Yongquan in the treatment of migraine with hyperactivity of liver yang is better than that of conventional acupuncture.展开更多
文摘为系统了解中医药防治肝阳上亢型偏头痛领域的临床研究证据分布,总结疗效,为未来的研究提供指引,检索建库至2023年6月中国知网、万方、Cochrane Library、Web of Science等数据库中发表的中医药治疗肝阳上亢型偏头痛的随机对照试验(RCT),共纳入149篇RCT进行描述性分析。2001-2023年,该领域发文量总体呈升中有降的趋势,73.1%的样本量在50~100例,82.55%的疗程≤1个月,干预措施以口服药为主,结局指标对VAS评分、头痛程度、持续时间、发作次数、天数、中医病症、头痛指数/积分指标关注较多,对生活质量、安全性事件、焦虑抑郁症状量表、伴随天数、理化检查指标研究较少,临床研究质量总体较低,未来应开展更高质量的临床研究为中医药治疗肝阳上亢型偏头痛提供证据支持。
文摘目的:探讨太冲透刺涌泉治疗肝阳上亢型偏头痛的效果及机制。方法:本试验60例诊断为肝阳上亢型偏头痛患者选于2023年2月至2024年2月在本院就诊的患者,根据随机数字表法分为2组,各30例。对照组参照“十四五”规划教材《针灸学》取穴;观察组以对照组取穴为基础,选取涌泉穴,给予太冲透刺涌泉针法。分别观察两组治疗前、后的偏头痛综合量化评分、中医证候积分、VAS疼痛评分,及对比两组的临床疗效。结果:两组治疗前的一般资料差异无统计学意义(P > 0.05);治疗后的各项观察指标积分与治疗前相比均有减小,观察组的临床疗效改善更加显著,观察组的各积分均低于对照组,以上差异均有统计学意义(P Objective: To explore the effect and mechanism of Taichong penetrating Yongquan in the treatment of migraine with hyperactivity of liver yang. Methods: 60 patients with migraine diagnosed as hyperactivity of liver yang were selected from February 2023 to February 2024 in our hospital. According to the random number table method, they were divided into two groups, 30 cases in each group. The control group referred to the “14th Five-Year Plan” textbook “Acupuncture” to select acupoints;on the basis of acupoint selection in the control group, the observation group selected Yongquan acupoint and gave Taichong penetration acupuncture. The migraine comprehensive quantitative score, TCM syndrome score and VAS pain score of the two groups before and after treatment were observed, and the clinical efficacy of the two groups was compared. Results: There was no significant difference in general data between the two groups before treatment (P > 0.05);The scores of each observation index after treatment were lower than those before treatment, and the clinical efficacy of the observation group was more significant. The scores of the observation group were lower than those of the control group, and the above differences were statistically significant (P < 0.05). Conclusion: The effect of Taichong penetrating Yongquan in the treatment of migraine with hyperactivity of liver yang is better than that of conventional acupuncture.
