针刺预防性治疗偏头痛的文献质量评价_《中国循证医学杂志》

作者：

张琰 , 刘慧林 ,  王麟鹏

首都医科大学附属北京中医医院针灸科（北京 100010）;

关键词：

针刺偏头痛预防文献质量评价

DOI：

10.7507/1672-2531.20080105

视频：

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摘要 全文 图表 视频 参考文献 施引文献 补充材料

目的　对针刺预防性治疗偏头痛的随机对照研究进行文献质量评价。
方法　以针刺、偏头痛和预防为检索词，检索 Cochrane 图书馆（2007 年第 4 期），MEDLINE（1966 ～ 2007），EMbase（1966 ～ 2007）等英文数据库和
CBM（1978～2007）， CMCC（1994～2007）， CNKI（1994～2007）等中文数据库。手工检索《中国针灸》（1981～2007）等中医杂志及有关学术会议论文汇编。对纳入文献的方法学、诊断及纳入 / 排除标准、针刺 / 对照组干预措施、疗效评价标准及随访等方面进行评价。
结果　共纳入12 篇随机对照研究，其中9 篇高质量研究均为国外研究， 3 篇国内研究为低质量研究，国外研究多采用偏头痛每月发作频率、天数及 SF-36/SF-12 等量表作为疗效评价标准，国内则采用头痛指数计分作为疗效评价标准。9 篇研究有随访记录， 8 篇研究报告了不良反应。
结论　目前国内尚无高质量的针刺预防性治疗偏头痛的临床研究报告，迄今所发表研究采用的疗效评价方法不能恰当评价针刺预防性治疗偏头痛的疗效。从试验设计及实施角度，今后应多借鉴国外同类研究的长处；从临床角度，针灸医师应认清偏头痛缓解期预防性治疗及急性期镇痛治疗的目的和意义的不同，设计出更科学的针刺预防性治疗偏头痛的试验方案。

引用本文： 张琰,刘慧林,王麟鹏. 针刺预防性治疗偏头痛的文献质量评价. 中国循证医学杂志, 2008, 08(6): 461-465. doi: 10.7507/1672-2531.20080105 复制

1.	Diamond S, Bigal ME, Silberstein S, et al. Patterns of diagnosis and acute preventive treatment for migraine in the United States: results from the American Migraine Prevalence and Prevention Study. Headache, 2007, 47: 355-363.
2.	Li pton RB, Diamond S, Reed M, et al. Migraine diagnosis and treatment: results from the American Migraine Study II. Headache, 2001, 41: 638-645.
3.	Tzourio C, Tehindrazanarivelo A, Iglesias S, et al. Case-control study of migraine and risk of ischemic stroke in young women. BMJ, 1995, 310(6983): 830-833.
4.	Vermeer SE, Prins ND, denHeijer T, et al. Silent brain infarcts and the risk of dementia and cognitive decl ine. N Engl J Med, 2003, 348(13): 1215-1222.
5.	Loretta L, Muel ler DO. Diagnosing and Managing Migraine Headache. JAOA, 2007, 107(11): ES10-16.
6.	Susan Simmons Holcomb. Guidel ines for Migraine Treatment. The Nurse Practitione, 2005, 30(7): 12-15.
7.	李俐娟, 张苏明. 偏头痛预防性治疗的最新进展. 卒中与神经疾病, 2007, 14(4): 248-250.
8.	Melchart D, Linde K, Berman B, et al. Acupuncture for idiopathic headache. Cochrane Database of Systematic Reviews 2001, Issue 1. Art. No.: CD001218. DOI: 10.1002/14651858. CD001218.
9.	Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders, 2004, 24: Supplement 1.
10.	A ICD-10 Guide for headaches. International Headache Classification Committee. Cephalalgia, 1997, 17(Suppl.19): 1-82.
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12.	Juni P, Altman DG, Egger M. Assessing the qual ity of controlled clinical trials. BMJ, 2001, 323: 42.
13.	Jadad AR, Moore RA, Carroll D, et al. Assessing the qual ity of reports of randomized cl inical trials: is bl inding necessary? Control Clin Trials, 1996, 17(1): 1.
14.	Alecrim-Andrade J, Maciel-Júnior JA, Xavier C, et al. Acupuncture in Migraine Prevention A Randomized Sham Controlled Study With 6-months Posttreatment Follow-up. Clin J Pain, 2008, 24(2): 98-105.
15.	Diener HC, Kronfeld K, Boewing G, et al. Efficacy of acupuncture for the prophylaxis of migraine: a multicentre randomised controlled clinical trial. Lancet Neurol, 2006, 5(4): 310-316.
16.	Streng A, Linde K, Hoppe A, et al. Effectiveness and tolerabil ity of acupuncture compared with metoprolol in migraine prophylaxis. Headache, 2006, 46(10): 1492-1502.
17.	Alecrim-Andrade J, Maciel-Júnior JA, Cladel las XC, et al . Acupuncture in migraine prophylaxis: a randomized sham-controlled trial. Cephalalgia, 2006, 26(5): 520-529.
18.	Linde K, Streng A, Jürgens S, et al. Acupuncture for Patients With Migraine: A Randomized Controlled Trial. JAMA, 2005, 293(17): 2118-2125.
19.	Linde M, Fjell A, Carlsson J, et al. Role of the needl ing per se in acupuncture as prophylaxis for menstrually related migraine: a randomized placebo-controlled study. Cephalalgia, 2005, 25(1): 41-47.
20.	Allais G, Lorenzo CD, Quirico PE, et al. Acupuncture in the Prophylactic Treatment of Migraine Without Aura: A Comparison with Flunarizine. Headache, 2002, 42: 855-861.
21.	Hesse J, Møgelvang B, Simonsen H, et al. Acupuncture versus metoprolol in migraine prophylaxis: a randomized trial of trigger point inactivation. J Intern Med, 1994, 235(5): 451-456.
22.	Facco E, Liguori A, Petti F, et al. Traditional Acupuncture in Migraine: A Controlled, Randomized Study. Headache, 2007, 48(3): 398-407.
23.	戴明, 靳淼, 沈维娜, 等. 针刺治疗偏头痛患者疗效观察及对脑血流的影响. 上海针灸杂志, 2007, 26(9): 3-5.
24.	董妙先. 针刺治疗偏头痛50例临床观察. 针灸临床杂志, 2007, 23(6): 5-6.
25.	赵会玲, 刘佳林, 胡月平, 等. 针刺治疗偏头痛50例. 四川中医, 2006, 24(5): 101-102.
26.	吴宏涛, 周东, 何俐, 等. 非随机对照试验的意义. 中国循证医学杂志, 2004, 4(8): 570-572.
27.	李静. 随机分配方案的隐藏. 中国循证医学杂志, 2004, 4(10): 714-715.
28.	Schulz KF, Chalmers I, Hayes RJ, et al. Empirical evidence of bias: dimensions of methodological qual ity associated with estimates of effects in controlled trials. JAMA, 1995, 273(5): 408-412.
29.	李廷谦, 刘雪梅, 张鸣明, 等. 中文期刊发表的中医药系统评价/Meta分析现状调查. 中国循证医学杂志, 2007, 7(3): 180-188.
30.	孙增华, 杨玉金. 偏头痛诊断、疗效评定标准意见. 中风与神经疾病杂志, 1995, 12(2): 110.

1. Diamond S, Bigal ME, Silberstein S, et al. Patterns of diagnosis and acute preventive treatment for migraine in the United States: results from the American Migraine Prevalence and Prevention Study. Headache, 2007, 47: 355-363.
2. Li pton RB, Diamond S, Reed M, et al. Migraine diagnosis and treatment: results from the American Migraine Study II. Headache, 2001, 41: 638-645.
3. Tzourio C, Tehindrazanarivelo A, Iglesias S, et al. Case-control study of migraine and risk of ischemic stroke in young women. BMJ, 1995, 310(6983): 830-833.
4. Vermeer SE, Prins ND, denHeijer T, et al. Silent brain infarcts and the risk of dementia and cognitive decl ine. N Engl J Med, 2003, 348(13): 1215-1222.
5. Loretta L, Muel ler DO. Diagnosing and Managing Migraine Headache. JAOA, 2007, 107(11): ES10-16.
6. Susan Simmons Holcomb. Guidel ines for Migraine Treatment. The Nurse Practitione, 2005, 30(7): 12-15.
7. 李俐娟, 张苏明. 偏头痛预防性治疗的最新进展. 卒中与神经疾病, 2007, 14(4): 248-250.
8. Melchart D, Linde K, Berman B, et al. Acupuncture for idiopathic headache. Cochrane Database of Systematic Reviews 2001, Issue 1. Art. No.: CD001218. DOI: 10.1002/14651858. CD001218.
9. Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders, 2004, 24: Supplement 1.
10. A ICD-10 Guide for headaches. International Headache Classification Committee. Cephalalgia, 1997, 17(Suppl.19): 1-82.
11. Jul ian PT Higgins, Green S. Handbook for Systematic Reviews of Interventions 4.2.5. The Cochrane Collaboration, 2005, 186-187.
12. Juni P, Altman DG, Egger M. Assessing the qual ity of controlled clinical trials. BMJ, 2001, 323: 42.
13. Jadad AR, Moore RA, Carroll D, et al. Assessing the qual ity of reports of randomized cl inical trials: is bl inding necessary? Control Clin Trials, 1996, 17(1): 1.
14. Alecrim-Andrade J, Maciel-Júnior JA, Xavier C, et al. Acupuncture in Migraine Prevention A Randomized Sham Controlled Study With 6-months Posttreatment Follow-up. Clin J Pain, 2008, 24(2): 98-105.
15. Diener HC, Kronfeld K, Boewing G, et al. Efficacy of acupuncture for the prophylaxis of migraine: a multicentre randomised controlled clinical trial. Lancet Neurol, 2006, 5(4): 310-316.
16. Streng A, Linde K, Hoppe A, et al. Effectiveness and tolerabil ity of acupuncture compared with metoprolol in migraine prophylaxis. Headache, 2006, 46(10): 1492-1502.
17. Alecrim-Andrade J, Maciel-Júnior JA, Cladel las XC, et al . Acupuncture in migraine prophylaxis: a randomized sham-controlled trial. Cephalalgia, 2006, 26(5): 520-529.
18. Linde K, Streng A, Jürgens S, et al. Acupuncture for Patients With Migraine: A Randomized Controlled Trial. JAMA, 2005, 293(17): 2118-2125.
19. Linde M, Fjell A, Carlsson J, et al. Role of the needl ing per se in acupuncture as prophylaxis for menstrually related migraine: a randomized placebo-controlled study. Cephalalgia, 2005, 25(1): 41-47.
20. Allais G, Lorenzo CD, Quirico PE, et al. Acupuncture in the Prophylactic Treatment of Migraine Without Aura: A Comparison with Flunarizine. Headache, 2002, 42: 855-861.
21. Hesse J, Møgelvang B, Simonsen H, et al. Acupuncture versus metoprolol in migraine prophylaxis: a randomized trial of trigger point inactivation. J Intern Med, 1994, 235(5): 451-456.
22. Facco E, Liguori A, Petti F, et al. Traditional Acupuncture in Migraine: A Controlled, Randomized Study. Headache, 2007, 48(3): 398-407.
23. 戴明, 靳淼, 沈维娜, 等. 针刺治疗偏头痛患者疗效观察及对脑血流的影响. 上海针灸杂志, 2007, 26(9): 3-5.
24. 董妙先. 针刺治疗偏头痛50例临床观察. 针灸临床杂志, 2007, 23(6): 5-6.
25. 赵会玲, 刘佳林, 胡月平, 等. 针刺治疗偏头痛50例. 四川中医, 2006, 24(5): 101-102.
26. 吴宏涛, 周东, 何俐, 等. 非随机对照试验的意义. 中国循证医学杂志, 2004, 4(8): 570-572.
27. 李静. 随机分配方案的隐藏. 中国循证医学杂志, 2004, 4(10): 714-715.
28. Schulz KF, Chalmers I, Hayes RJ, et al. Empirical evidence of bias: dimensions of methodological qual ity associated with estimates of effects in controlled trials. JAMA, 1995, 273(5): 408-412.
29. 李廷谦, 刘雪梅, 张鸣明, 等. 中文期刊发表的中医药系统评价/Meta分析现状调查. 中国循证医学杂志, 2007, 7(3): 180-188.
30. 孙增华, 杨玉金. 偏头痛诊断、疗效评定标准意见. 中风与神经疾病杂志, 1995, 12(2): 110.

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《中国循证医学杂志》

针刺预防性治疗偏头痛的文献质量评价

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