Head and Neck Research Group, Research Centre, Akershus University Hospital, Lørenskog, Norway.
J Headache Pain. 2013 Apr 18;14(1):36. doi: 10.1186/1129-2377-14-36.
Chronic headache is associated with disability and high utilisation of health care including complementary and alternative medicine (CAM).
We investigated self-reported efficacy of CAM in people with chronic headache from the general population. Respondents with possible self-reported chronic headache were interviewed by physicians experienced in headache diagnostics. CAM queried included acupuncture, chiropractic, homeopathy, naprapathy, physiotherapy, psychological treatment, and psychomotor physiotherapy. Sixty-two % and 73% of those with primary and secondary chronic headache had used CAM.Self-reported efficacy of CAM ranged from 0-43% without significant differences between gender, headache diagnoses, co-occurrence of migraine, medication use or physician contact.
CAM is widely used, despite self-reported efficacy of different CAM modalities is modest in the management of chronic headache.
慢性头痛与残疾和高利用率的医疗保健有关,包括补充和替代医学(CAM)。
我们调查了普通人群中慢性头痛患者对 CAM 的自我报告疗效。经验丰富的头痛诊断医师对可能有自我报告的慢性头痛的受访者进行了访谈。询问的 CAM 包括针灸、脊椎按摩疗法、顺势疗法、整脊疗法、物理疗法、心理治疗和运动理疗。62%和 73%的原发性和继发性慢性头痛患者使用过 CAM。CAM 的自我报告疗效在 0-43%之间,性别、头痛诊断、偏头痛共病、药物使用或医生接触之间无显著差异。
尽管不同 CAM 方式在慢性头痛管理中的自我报告疗效有限,但 CAM 的使用仍然很广泛。