PDF(Pubmed)
Abstract：
UNASSIGNED: Acupuncture may be effective in treating tension-type headache (TTH). The durability of its effects after treatment completion remains inconclusive.
UNASSIGNED: We searched multiple databases and references from previous reviews for randomized controlled trials (RCTs) which investigated the effectiveness of acupuncture for TTH. We assessed the methodological quality of RCTs using the Cochrane Risk of Bias 2.0 (RoB 2) tool. Primary outcome was response rate, defined as the proportion of participants who reported at least a 50% reduction in monthly headache days from baseline after completion of treatment. Secondary outcomes included headache days, headache intensity, and analgesic use. Safety outcomes were also evaluated.
UNASSIGNED: A total of seven RCTs involving 3,221 participants with frequent episodic and chronic TTH were included. Individuals receiving acupuncture reported a significantly higher response rate versus sham acupuncture (SA) immediately and at 1-6 months after completion of treatment (P<0.05). Compared with SA, post-treatment results of headache days and headache intensity appeared consistent on the whole, showing associations favoring acupuncture. However, no significant reduction in analgesic use was found post-treatment. Acupuncture showed no superiority over physical training or relaxation training in headache days and headache intensity. Moreover, no serious adverse events associated with acupuncture were reported.
UNASSIGNED: Limited evidence suggested that acupuncture might provide durable post-treatment effects in the management of frequent episodic and chronic TTH for up to 6 months compared with SA,with no severe treatment-related adverse events reported.
UNASSIGNED: We searched multiple databases and references from previous reviews for randomized controlled trials (RCTs) which investigated the effectiveness of acupuncture for TTH. We assessed the methodological quality of RCTs using the Cochrane Risk of Bias 2.0 (RoB 2) tool. Primary outcome was response rate, defined as the proportion of participants who reported at least a 50% reduction in monthly headache days from baseline after completion of treatment. Secondary outcomes included headache days, headache intensity, and analgesic use. Safety outcomes were also evaluated.
UNASSIGNED: A total of seven RCTs involving 3,221 participants with frequent episodic and chronic TTH were included. Individuals receiving acupuncture reported a significantly higher response rate versus sham acupuncture (SA) immediately and at 1-6 months after completion of treatment (P<0.05). Compared with SA, post-treatment results of headache days and headache intensity appeared consistent on the whole, showing associations favoring acupuncture. However, no significant reduction in analgesic use was found post-treatment. Acupuncture showed no superiority over physical training or relaxation training in headache days and headache intensity. Moreover, no serious adverse events associated with acupuncture were reported.
UNASSIGNED: Limited evidence suggested that acupuncture might provide durable post-treatment effects in the management of frequent episodic and chronic TTH for up to 6 months compared with SA,with no severe treatment-related adverse events reported.
摘要：
■针刺治疗紧张型头痛（TTH）可能有效。治疗完成后其效果的持久性仍不确定。
■我们从以前的综述中搜索了多个数据库和参考文献，以研究针灸对TTH的有效性。我们使用Cochrane偏差风险2.0（RoB2）工具评估了随机对照试验的方法学质量。主要结果是反应率，定义为在完成治疗后报告每月头痛天数比基线减少至少50%的参与者比例.次要结果包括头痛天数，头痛强度，和镇痛药的使用。还评估了安全性结果。
■共纳入7项RCT，涉及3,221名频繁发作和慢性TTH的参与者。接受针灸治疗的个体在治疗完成后立即和1-6个月报告的应答率明显高于假针灸（SA）（P<0.05）。与SA相比,治疗后头痛天数和头痛强度的结果总体上一致，显示出有利于针灸的协会。然而,治疗后镇痛药的使用没有显著减少.在头痛天数和头痛强度方面，针灸没有明显优于体育锻炼或放松训练。此外，未报告与针灸相关的严重不良事件.
■有限的证据表明，与SA相比，针灸可能在频繁发作和慢性TTH的管理中提供持久的治疗后效果长达6个月，未报告严重治疗相关不良事件。
■我们从以前的综述中搜索了多个数据库和参考文献，以研究针灸对TTH的有效性。我们使用Cochrane偏差风险2.0（RoB2）工具评估了随机对照试验的方法学质量。主要结果是反应率，定义为在完成治疗后报告每月头痛天数比基线减少至少50%的参与者比例.次要结果包括头痛天数，头痛强度，和镇痛药的使用。还评估了安全性结果。
■共纳入7项RCT，涉及3,221名频繁发作和慢性TTH的参与者。接受针灸治疗的个体在治疗完成后立即和1-6个月报告的应答率明显高于假针灸（SA）（P<0.05）。与SA相比,治疗后头痛天数和头痛强度的结果总体上一致，显示出有利于针灸的协会。然而,治疗后镇痛药的使用没有显著减少.在头痛天数和头痛强度方面，针灸没有明显优于体育锻炼或放松训练。此外，未报告与针灸相关的严重不良事件.
■有限的证据表明，与SA相比，针灸可能在频繁发作和慢性TTH的管理中提供持久的治疗后效果长达6个月，未报告严重治疗相关不良事件。
