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瑜伽疗法治疗无先兆偏头痛的有效性:一项随机对照试验。

Effectiveness of yoga therapy in the treatment of migraine without aura: a randomized controlled trial.

作者信息

John P J, Sharma Neha, Sharma Chandra M, Kankane Arvind

机构信息

Department of Zoology, University of Rajasthan, Jaipur, Rajasthan, India.

出版信息

Headache. 2007 May;47(5):654-61. doi: 10.1111/j.1526-4610.2007.00789.x.

Abstract

BACKGROUND

Numerous studies have explored the effectiveness of complementary and alternative medicine in the treatment of migraine but there is no documented investigation of the effectiveness of yoga therapy for migraine management.

OBJECTIVES

To investigate the effectiveness of holistic approach of yoga therapy for migraine treatment compared to self-care.

DESIGN

A randomized controlled trial.

METHODS

Seventy-two patients with migraine without aura were randomly assigned to yoga therapy or self-care group for 3 months. Primary outcomes were headache frequency (headache diary), severity of migraine (0-10 numerical scale) and pain component (McGill pain questionnaire). Secondary outcomes were anxiety and depression (Hospital anxiety depression scale), medication score.

RESULTS

After adjustment for baseline values, the subjects' complaints related to headache intensity (P < .001), frequency (P < .001), pain rating index (P < .001), affective pain rating index (P < .001), total pain rating index (P < .001), anxiety and depression scores (P < .001), symptomatic medication use (P < .001) were significantly lower in the yoga group compared to the self-care group.

CONCLUSION

The study demonstrated a significant reduction in migraine headache frequency and associated clinical features, in patients treated with yoga over a period of 3 months. Further study of this therapeutic intervention appears to be warranted.

摘要

背景

众多研究探讨了补充替代医学在偏头痛治疗中的有效性,但尚无关于瑜伽疗法对偏头痛管理有效性的文献记载。

目的

研究与自我护理相比,瑜伽疗法整体方法治疗偏头痛的有效性。

设计

一项随机对照试验。

方法

72例无先兆偏头痛患者被随机分配到瑜伽治疗组或自我护理组,为期3个月。主要结局指标为头痛频率(头痛日记)、偏头痛严重程度(0-10数字评分量表)和疼痛成分(麦吉尔疼痛问卷)。次要结局指标为焦虑和抑郁(医院焦虑抑郁量表)、药物评分。

结果

在对基线值进行调整后,与自我护理组相比,瑜伽组患者在头痛强度(P < .001)、频率(P < .001)、疼痛评级指数(P < .001)、情感性疼痛评级指数(P < .001)、总疼痛评级指数(P < .001)、焦虑和抑郁评分(P < .001)、症状性药物使用(P < .001)方面的主诉显著更低。

结论

该研究表明,在3个月的时间里,接受瑜伽治疗的偏头痛患者头痛频率及相关临床特征显著降低。似乎有必要对这种治疗干预进行进一步研究。

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