Safonov M I, Naprienko M V
Sechenov First Moscow State Medical University, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(5):22-25. doi: 10.17116/jnevro20171175122-25.
To evaluate the effect of different reflexology techniques on main clinical indices of patients with chronic migraine, the number of analgesics used and dynamics of chronic migraine comorbid disorders.
The study included 84 patients (60 women (71.5%) and 24 men (28.5%)), aged from 18 to 63 years, with a diagnosis of chronic migraine. Patients were randomized in 4 groups - Su Jok (n=22), acupuncture (n=22), electroacupuncture (n=20), control (n=20). Topiramate was administered in all groups in dose of 100 mg daily. Patients were evaluated before treatment, after 4 and 16 weeks from randomization.
There was a marked regression in frequency of headache in reflexological groups in comparison with the control. The number of days with headache was 19±1.12 at baseline and 6.57±1.3 days after treatment in the Su Jok group; 21.6±1.688 and 7±1.786 days in the acupuncture group; 20.25±1.97 and 5.75±0.633 days in the electroacupuncture group. Each of the methods had an impact on various clinical aspects of chronic migraine and comorbid disorders: Su Jok was most effective in treatment of autonomic disorders, the use of acupuncture resulted in the significant reduction of headache intensity and regression of anxiety disorders. The electroacupuncture group showed a significant increase in pain threshold and the least number of days with headache per month.
Reflexotherapy is a method of choice in the complex treatment of patients with chronic migraine. Taking into account complex diagnosis, the individually oriented approach in prescribing of different reflexology techniques for successful treatment and subsequent rehabilitation of patients with chronic migraine is required.
评估不同反射疗法技术对慢性偏头痛患者主要临床指标、所用镇痛药数量以及慢性偏头痛合并症动态变化的影响。
该研究纳入了84例年龄在18至63岁之间、诊断为慢性偏头痛的患者（60名女性（71.5%）和24名男性（28.5%））。患者被随机分为4组——手针疗法组（n = 22）、针刺疗法组（n = 22）、电针疗法组（n = 20）、对照组（n = 20）。所有组均每日服用100毫克托吡酯。在随机分组前、随机分组后4周和16周对患者进行评估。
与对照组相比，反射疗法组的头痛频率有显著下降。手针疗法组头痛天数基线时为19±1.12天，治疗后为6.57±1.3天；针刺疗法组分别为21.6±1.688天和7±1.786天；电针疗法组分别为20.25±1.97天和5.75±0.633天。每种方法对慢性偏头痛及其合并症的不同临床方面都有影响：手针疗法在治疗自主神经紊乱方面最有效，针刺疗法能显著降低头痛强度并使焦虑症病情缓解。电针疗法组的痛阈显著提高，每月头痛天数最少。
反射疗法是慢性偏头痛患者综合治疗的首选方法。考虑到复杂的诊断情况，需要采用个性化的方法为慢性偏头痛患者成功治疗及后续康复开具不同的反射疗法技术。
