긴장성두통에 대한 한약치료: 체계적 문헌고찰 및 메타분석
Herbal Medicine for Tension-type Headache: Systematic Review and Meta Analysis of Randomized Controlled Trials
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objectives: People with tension-type headache generally take pain relievers, but long term depend-ency causes problems as well as side effects. The present study aimed to provide clinical evidence of herbal medicine for tension-type headache by systematic review of randomized controlled trials on the effect of herbal medicine for tension-type headache.Methods: Randomized or quasi-randomized controlled trials that verified effects of herbal medicine intervention on patients with tension-type headache were included in the study. A literature search of English, Japanese, Chinese, Korean databases was performed. The selected literature were assessed by Jadad scale and Risk of Bias.Results: Herein, 40 reports were selected from a total of 157. Meta-analyses of 2 trials indicated that the effective rate was significantly higher in the herbal medicine treatment group, as compared to the placebo control (risk ratio: 1.49, 95% confidence interval (CI): 1.23 to 1.80, p＜0.0001, I2=0%). Four tri-als that compared herbal medicine with routine care with routine care only group showed a sig-nificantly higher effective rate of benefits for herbal medicine with routine care, as compared to rou-tine care only (RR: 1.57, 95% CI: 1.18 to 2.10, p=0.002, I2=0%).Conclusions: The effective rate was significantly higher than control and adverse events were less in the treatment group. Pattern analysis (辨證) indicated that the studies on wind-fire pattern (風火證) were highest. Yougeun-bang (柔筋方) in prescription and Paeoniae Radix Alba (白芍藥) in medicinal herbs were most used. This finding could be widely utilized in future clinical practice and form the basis for the development of clinical practice guidelines in advance.
Abstract
Objectives: People with tension-type headache generally take pain relievers, but long term depend-ency causes problems as well as side effects. The present study aimed to provide clinical evidence of herbal medicine for tension-type headache by systematic review of randomized controlled trials on the effect of herbal medicine for tension-type headache.Methods: Randomized or quasi-randomized controlled trials that verified effects of herbal medicine intervention on patients with tension-type headache were included in the study. A literature search of English, Japanese, Chinese, Korean databases was performed. The selected literature were assessed by Jadad scale and Risk of Bias.Results: Herein, 40 reports were selected from a total of 157. Meta-analyses of 2 trials indicated that the effective rate was significantly higher in the herbal medicine treatment group, as compared to the placebo control (risk ratio: 1.49, 95% confidence interval (CI): 1.23 to 1.80, p＜0.0001, I2=0%). Four tri-als that compared herbal medicine with routine care with routine care only group showed a sig-nificantly higher effective rate of benefits for herbal medicine with routine care, as compared to rou-tine care only (RR: 1.57, 95% CI: 1.18 to 2.10, p=0.002, I2=0%).Conclusions: The effective rate was significantly higher than control and adverse events were less in the treatment group. Pattern analysis (辨證) indicated that the studies on wind-fire pattern (風火證) were highest. Yougeun-bang (柔筋方) in prescription and Paeoniae Radix Alba (白芍藥) in medicinal herbs were most used. This finding could be widely utilized in future clinical practice and form the basis for the development of clinical practice guidelines in advance.
참고문헌 (59)
- 문경환, "연령에 따른 측두하악장애 환자의 긴장성 두통 양상", Journal of Oral Medicine and Pain, 34(1), pp.103~114 (2009), 대한안면통증∙구강내과학회
- Redillas C., "Prophylactic pharmacological treatmnet of chronic daily headache", Headache, 40, pp.83~102 (2000)
- 윤재원, "통증클리닉에서 만성편두통 환자의 치료 효과", The Korean Journal of Pain, 17(2), pp.8~8 (2004), 대한통증학회
- 이기수, "만성 긴장성 두통의 한의학적 진단 및 변증의 가중치에 대한 접근방법 연구", 대한한의학회지, 31(5), pp.41~59 (2010), 대한한의학회
- Park KW., "The role of antidepressants and antipsychotic drugs in treating headache", Korean Journal of Headache, 6(1), pp.34~39 (2005)
- Luedtke K, "Efficacy of interventions used by physiotherapists for patients with headache and migraine-systematic review and meta-analysis", Cephalalgia (2015)
- Mesa-Jiménez JA, "Multimodal manual therapy vs. pharmacological care for management of tension type headache: A meta-analysis of randomized trials", Cephalalgia, 35(14), pp.1323~1332 (2015)
- Kim SY, "NECA's guidance for undertaking systematic reviews and meta-analyses for intervention", National Evidence-based Healthcare Collaborating Agency, 64~ (2011)
- Jadad AR, "Assessing the quality of reports of randomized clinical trials: is blinding necessary?", Control Clin Trials, 17, pp.1~12 (1996)
- Jadad AR, "Assessing the quality of reports of randomized clinical trials: is blinding necessary?", Control Clin Trials, 17, pp.1~12 (1996)
- 임선미, "근거수준별 문헌의 질 평가 도구", 대한의사협회지, 54(4), pp.419~429 (2011), 대한의사협회
- Manchikanti L, "A systematic review of randomized trials of long-term opioid management for chronic non-cancer pain", Pain Physician, 14, pp.91~121 (2011)
- Wing-Fai Yeung, "A systematic review on the efficacy, safety and types of Chinese herbal medicine for depression", Journal of Psychiatric Research, pp.165~175 (2014)
- Kim SY, "NECA's guidance for undertaking systematic reviews and meta-analyses for intervention", ntervention. National Evidence-based Healthcare Collaborating Agency, 66~ (2011)
- Shi HF, "Clinical Observation of "Headache Decoction" &Relaxation Therapy in Treating Tension Headache", Shanghai Journal of Traditional Chinese Medicine (2006)
- 114 cases of Chinese medicine for headache, "Ciytan headache research group", Guide of China Medicine, 149~150 (2007)
- Liu YH, "30 cases of Sihosogan-san for tensiontype heaeache", Guiding Journal of Traditional Chinese Medicine and Pharmacy (2008)
- Chen YW, "Clinical study of integrative medicine for tension-type headache", Journal of Liaoning University of Traditional Chinese Medicine (2009)
- Li CJ, "Clinical study of integrative medicine for tension-type headache", Chinese Traditional and Herbal Drugs (2008)
- Lee HY, "Efficacy and satety of Cheongsangkyuntong-tang for chronic tension-type headache : Randomized, double-blind, placebo-controlled study", Doctor, pp.2009
- He PJ., "Clinical Study on Tension-type Headache Treated with Removing Heat from the Liver Following Traditional Chinese Medicine", pp.2009
- Huang ZL., "Clinical study of Yanghyeolchengnue-granule for tension-type headache of college student", Chinese Journal of School Doctor (2009)
- Jin FH., "Clinical study of treating for releasing the liver qi depression for tension-type headache", Jilin Medical Journal (2010)
- Dai J, "Clinical Observation of the 25 Wei Coral Pill Treatment Efficacy for Tension Headache", Master, pp.2010
- Ran GS, "The Clinical Study of the Treatment of Shugan Jieyu Kaiqiao on Tension-type Headache", Master, pp.2010
- Wang XB, "Clinical Study on Tension-type Headache Treated with Dispelling Stasis, Resolving Phlegm and Soothing the Liver Following Traditional Chinese Medicine", Master, pp.2010
- Zou LH., "Clinical study of Mangin-tang for chronic tension-type headache", Clinical Journal of Traditional Chinese Medicine (2010)
- Xu H, "Study on Effect of Jiaweitoutongxinyihao Decoction in Treating Tension-Type Headache (Wind-Damp Headache)", Master, pp.2010
- Hu ZQ, "Clinical study of comprehensive therapy in traditional Chinese medicine for chronic tension-type headache with wind-phlegm pattern", Journal of Shandong University of Traditional Chinese Medicine
- Bai YB., "Clinical study of regulating the stagnation of liver qi and activating blood for chronic tension-type headache", Medical Innovation of China (2011)
- Fan CF, "Clinical study of soothing the liver and nourishing the blood and emolliating the liver for tension-type headache", Modern Journal of Integrated Traditional Chinese and Western Medicine (2011)
- Wang LY, "Clinical study of Bojangdootongnyeong-capsule for tension-type headache", Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease (2011)
- Wang ZW., "Study on optimization of treatment program for tension-type headache based on liver", Master, pp.2011
- Wang CX, "Research on Traditional Chinese Medicine Combined Therapy of Chronic Tension-Type Headache of Feng-yu Type", Master, pp.2011
- Dou YX, "Clinical Research on Self-Made Qingyuhuatan Particles in Treating Ischemic Stroke in Convalescent Stage(Phlegm and Blood Stasis Mutual Resistance Type)", Master, pp.2012
- Fang WJ, "study of modified Danchisoyo-san for tension-type headache", Clinical Journal of Traditional Chinese Medicine (2013)
- Yang XY, "Clinical study of Gontae capsule combined with Flupentixol melitracen for tension-type headache", Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine (2013)
- Chen ZF., "38 cases of liver-pacifying and tonifying kidney combined with pillow treatment for climacteric tension-type headache", Yunnan Journal of Traditional Chinese Medicine and Materia Medica (2012)
- Zhang SQ, "Clinical study of comprehensive treatmnet for chronic tension-type headache with wind-fire pattern", Journal of Shandong University of Traditional Chinese Medicine (2012)
- Zhang SQ, "Clinical study of comprehensive treatment in traditional Chinese medicine for chronic tension-type headache with qi and blood deficiency pattern", Guangming Journal of Chinese Medicine
- Pan WJ., "105 cases of integrative medicine for tensiontype headache", Journal of Emergency in Traditional Chinese Medicine (2013)
- Li LL, "Clinical Research on Tension-type Headache Treated with Shengjiang Powder and Sini Powder", Master, pp.2013
- Jia WF, "A Clinical Observation on Treating Tension-Type Headache by the Combinaion of Acupuncture and Zhengtianwan Pill", Master, pp.2013
- Wang ZS, "Clinical Curative Effect of Twenty Five-ingredient Coral Pill on Tension Headache", Research of Integrated Traditional Chinese and Western Medicine, ~ (2013)
- Zhai HF, "45 cases of combined therapy of acupuncture and Chinese herbal medicine for tension-type headache", Chinese Medicine Modern Distance Education of China (2014)
- Shi YH., "45 cases of combined therapy of acupuncture, moxibustion and Chinese herbal medicine for tension-type headache", Nei Mongol Journal of Traditional Chinese Medicine (2014)
- Sheng YJ, "Clinical Research of Jieyu Analgesic Decoction in Treating Tension-type Headache with Depression", Master, pp.2014
- Zhang P, "The Clinical Observation of Flavored Siwu De Coction for the Treatment of Chronic Tension-Type Headache. Heirong University of Traditional Chinese Medicine", Master, pp.2014
- Zhao YC, "Clinical study on efficacy and safety of Chinese herbal medicine for tension-type headache", Chinese Archives of Traditional Chinese Medicine (2015)
- Peng L., "Clinical study of Chinese herbal medicine for tension-type headache", For all Health, ~
- Guo YL, "Clinical study on effect of comprehensive therapy of traditional Chinese medicine for quality of life with chronic tension-type headache with blood deficiency pattern", World Chinese Medicine
- Guo SM., "40 cases of acupuncture and Sigalhaegi-tang for tension-type headache", Chinese Medicine Modern Distance Education of China, ~ (2015)
- Xu JP, "40 cases of Pyeongganhwaryul-tang for tension-type headache", Guangming Journal of Chinese Medicine (2015)
- Zhao YC, "Clinical study on efficacy and safety of integrative medicine for tension-tyep headache", Chinese Archives of Traditional Chinese Medicine
- 권경만, "두통을 주소증으로 하여 입원한 환자 120예에 대한 임상적 고찰", Korean Journal of Acupuncture, 29(4), pp.643~661 (2012), 경락경혈학회
- The Textbook Compilation Committee of Internal Medicine of Heart of oriental medical schools in nation, "The Internal Medicine of Heart of Oriental Meidicne", pp.299~316 (2006), Goonja Publishment
- The Textbook Compilation Committee of Neuropsychiatry of oriental medical schools in nation, "The Neuropsy chiatry of Oriental Meidicne", pp.156~161 (2006), Jipmoondang
- Lee KS, "The study about oriental medical diagnosis and approach related to weighting according to differentiation of CTTH", Master, pp.2010
- Park YH, "A Study of oriental-western medical research in tension headache", Journal of oriental neuropsychiatry, 15(1), pp.1~7 (2004)