[Acupuncture at sphenopalatine ganglion combined with conventional acupuncture for episodic cluster headache: a randomized controlled trial]
- PMID: 35712941
- DOI: 10.13703/j.0255-2930.20211111-k0007
[Acupuncture at sphenopalatine ganglion combined with conventional acupuncture for episodic cluster headache: a randomized controlled trial]
Abstract
Objective: To observe the clinical effect of acupuncture at sphenopalatine ganglion combined with conventional acupuncture for episodic cluster headache (CH).
Methods: One hundred and eighty patients with episodic CH were randomly divided into a combined group (60 cases, 3 cases dropped off)，an acupuncture group (60 cases, 2 cases dropped off) and a sphenopalatine ganglion group (60 cases, 2 cases dropped off and 1 case was removed). The patients in the acupuncture group were treated with conventional acupuncture at Touwei (ST 8), Yintang (GV 24+), Yangbai (GB 14), Hegu (LI 4), etc., once a day, 6 times a week. The patients in the sphenopalatine ganglion group were treated with acupuncture at sphenopalatine ganglion, once every other day, 3 times a week. On the basis of the conventional acupuncture, the combined group was treated with acupuncture at sphenopalatine ganglion once every other day. Two weeks were taken as a course of treatment, and 3 courses of treatment were required in the 3 groups. The score of visual analogue scale (VAS), the number of headache attacks per week, the duration of each headache attack and the score of migraine-specific quality of life questionnaire version 2.1 (MSQ) were observed before and after treatment and in follow-up of 3 months after treatment. The clinical efficacy of each group was compared.
Results: After treatment and in follow-up, the VAS score of headache, the number of headache attacks per week, the duration of each headache attack, and each various scores and the total score of MSQ of each group were lower than those before treatment (P<0.01). Except that the number of headache attacks per week in the combined group was lower than the sphenopalatine ganglion group (P<0.01), other indexes in the combined group were lower than the other two groups (P<0.05, P<0.01). The total effective rate in the combined group was 93.0% (53/57), which was higher than 75.9% (44/58) in the acupuncture group and 73.7% (42/57) in the sphenopalatine ganglion group（P<0.05, P<0.01).
Conclusion: Acupuncture at sphenopalatine ganglion combined with conventional acupuncture could reduce the degree of pain in patients with episodic CH, reduce the number and duration of headache attacks, and improve the quality of life of patients. It is more effective than simple conventional acupuncture or acupuncture at sphenopalatine ganglion alone.
目的：观察针刺蝶腭神经节联合常规针刺治疗发作性丛集性头痛（CH）的临床疗效。方法：将180例发作性CH患者随机分为综合组（60例，脱落3例）、针刺组（60例，脱落2例）和蝶腭组（60例，脱落2例、剔除1例）。针刺组采用常规针刺，穴取头维、印堂、阳白、合谷等，每日1次，每周6次；蝶腭组针刺蝶腭神经节，隔日1次，每周3次；综合组在针刺组基础上隔日针刺蝶腭神经节。各组均2周为一疗程，共治疗3个疗程。于治疗前、治疗后及治疗结束后3个月随访时，观察各组头痛视觉模拟量表（VAS）评分、每周头痛发作次数、每次头痛发作持续时间及偏头痛特异性生活质量问卷（MSQ）评分；比较各组治疗后临床疗效。结果：治疗后及随访时，各组患者头痛VAS评分、每周头痛发作次数、每次头痛发作持续时间、MSQ各项评分及总分均较治疗前降低（P<0.01），综合组除每周头痛发作次数低于蝶腭组（P<0.01）外，综合组以上其余指标均低于其他两组（P<0.05，P<0.01）。综合组总有效率为93.0％（53/57），高于针刺组的75.9％（44/58）和蝶腭组的73.7％（42/57，P<0.05，P<0.01）。结论：针刺蝶腭神经节联合常规针刺可降低发作性CH患者的疼痛程度，减少头痛发作次数及每次头痛发作持续时间，提高患者生活质量，较单纯常规针刺或单纯针刺蝶腭神经节的疗效更优。.
Keywords: acupuncture therapy; cluster headache, episodic; randomized controlled trial (RCT); sphenopalatine ganglion.
Publication types
MeSH terms
LinkOut - more resources
Medical