[논문]편두통의 침도 치료에 대한 체계적 문헌고찰

전석희; 정수민; 신정철

doi:10.14406/acu.2023.011

편두통의 침도 치료에 대한 체계적 문헌고찰
Effectiveness of Acupotomy for Migraine: A Systematic Review 원문보기

Korean journal of acupuncture, v.40 no.3, 2023년, pp.62 - 78

전석희 (동신대학교 한의과대학 침구학교실) , 정수민 (동신대학교 목포한방병원 침구과) , 신정철 (동신대학교 목포한방병원 침구과)

Abstract ▼ AI-Helper

Objectives : This study aims to assess the impact of acupotomy on migraine through an examination of clinical studies conducted since 2015. Methods : We conducted a comprehensive search for randomized controlled trials (RCTs) and non-randomized controlled trials (nRCTs) related to acupotomy treatment for migraine, utilizing five Korean online databases (OASIS, Science ON, DBPIA, KISS, RISS), as well as four foreign online databases (CNKI, PubMed, EMBASE, Cochrane Library). We identified a total of 10 relevant studies for analysis. Participants characteristics, treatment points, combination treatments, treatment cycles or frequencies, evaluation indices, efficacy, and adverse events were analyzed. The risk of bias in the 10 RCTs was assessed using the Revised Cochrane risk-of-bias tool for randomized trials (RoB 2.0). Results : A total of 931 participants were included in 10 studies. In the intervention group, the average duration of migraine morbidity ranged from 15.5±4.5 months to 15.9±4.2 years. Six studies based their diagnoses on the International Classification of Headache Disorders (ICHD), while five studies relied on Chinese diagnostic criteria. All studies specified the treatment area as the region exhibiting tenderness or induration on the head and neck. Treatment cycles ranged from a minimum of 2 days to a maximum of 1 week, with the number of days per treatment course varied from 5 days to 4 weeks. The diameter of acupuncture needles used varied between 0.3 mm and 1 mm. Of the eight studies specifying needle length, the shortest was 20 mm, and the longest was 40 mm. A total of eight evaluation indices were employed, with total efficacy rate (TER) and visual analogue scale (VAS) being the most frequently used. Statistically, all intervention groups showed more significant results compared to the control groups. Adverse events were reported in only two studies within the intervention group. Overall, the risk of bias assessment for the selected RCTs ranged from 'some concerns' to 'high risk of bias.' Conclusions : This study showed that acupotomy treatments for migraine were effective.

주제어

표/그림 (10)

그림 Fig. 1. Flow diagram according to the diagram of PRISMA.
표 Table 1. Study type of studies and characteristics of participants
표 Table 2. Main characteristics of acupotomy treatments
표 Table 3. Data of included studies
표 Table 3. Continued
그림 Fig. 2. Risk of bias graph (RCT).
그림 Fig. 3. Risk of bias summary (RCT).
그림 Fig. 4. Forest plot of studies comparing acupotomy and EA in TER. EA, electro-acupuncture; TER, total efficacy rate.
그림 Fig. 5. Forest plot of studies comparing acupotomy and EA in VAS. EA, electro-acupuncture; VAS, visual analogue scale.
그림 Fig. 6. Forest plot of studies comparing acupotomy and common ATx in TER. ATx, acupuncture treatment; TER, total efficacy rate.

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