Acupuncture in patients with tension-type headache: randomised controlled trial
Acupuncture in patients with tension-type headache: randomised controlled trial
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DOI：
10.1136/bmj.38512.405440.8f
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发表时间：
2005-08-13
影响因子：
105.7
通讯作者：
Linde, K
中科院分区：
文献类型：
--
作者：
Melchart, D;Streng, A;Linde, K
目的探讨针刺治疗紧张性头痛的疗效，并与微针治疗和不针刺治疗进行比较。设计三组随机对照多中心试验。在德国设立28个门诊中心。参与者270例发作性或慢性紧张性头痛患者（74%为女性，平均年龄43岁（SD 13））。干预措施：针灸、微创针灸（非穴位浅表针刺）或等候名单控制。针灸和最小针灸由专业医生进行，每位患者在8周内进行12次治疗。主要结果测量随机化前4周和随机化后9-12周头痛天数的差异，由参与者在头痛日记中记录。结果针刺组头痛天数减少7.2天（SD 6.5），而最小针刺组为6.6天（SD 6.0），等候名单组为1.5天（SD 3.7）（差异：针刺vs最小针刺，0.6天，95%可信区间为1.5 ~ 2.6天，P = 0.58；针刺vs等候名单，5.7天，3.9 ~ 7.5天，P < 0.00 1）。缓解者的比例（头痛天数至少减少50%）在针灸组为46%，在最小针灸组为35%，在等候名单组为4%。结论针刺干预治疗紧张性头痛的效果优于无针刺治疗，但与微量针刺治疗效果无显著性差异。
Objective To investigate the effectiveness of acupuncture compared with minimal acupuncture and with no acupuncture in patients with tension-type headache.Design Three armed randomised controlled multicentre trial.Setting 28 outpatient centres in Germany.Participants 270 patients (74% women, mean age 43 (SD 13) years) with episodic or chronic tension-type headache.Interventions Acupuncture, minimal acupuncture (superficial needling at non-acupuncture points), or waiting list control. Acupuncture and minimal acupuncture were administered by specialised physicians and consisted of 12 sessions per patient over eight weeks.Main outcome measure Difference in numbers of days with headache between the four weeks before randomisation and weeks 9-12 after randomisation, as recorded by participants in headache diaries.Results The number of days with headache decreased by 7.2 (SD 6.5) days in the acupuncture group compared with 6.6 (SD 6.0) days in the minimal acupuncture group and 1.5 (SD 3.7) days in the waiting list group (difference: acupuncture v minimal acupuncture, 0.6 days, 95% confidence interval - 1.5 to 2.6 days, P = 0.58; acupuncture v waiting list, 5.7 days, 3.9 to 7.5 days, P < 0.00 1). The proportion of responders (at least 50% reduction in days with headache) was 46% in the acupuncture group, 35% in the minimal acupuncture group, and 4% in the waiting list group.Conclusions The acupuncture intervention investigated in this trial was more effective than no treatment but not significantly more effective than minimal acupuncture for the treatment of tension-type headache.