Liu Hong-Wei, Zou Yi-Huai, Cao Ke-Gang, Yu Li-Hua, Zhang Yong, Fu Cai-Hong, Ma Da-Yong
Department of Neurology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 100700, China.
Department of Neurology, Beijing Hospital of Traditional Chinese Medicine in Shunyi District, Beijing, 101300, China.
Chin J Integr Med. 2018 Jun;24(6):409-414. doi: 10.1007/s11655-017-2547-5. Epub 2017 Jul 25.
To study the efficacy of modified Wuzhuyu Decoction Granule (, MWDG) in the treatment of migraine patients with cold and stasis obstructing meridian syndrome.
This study was a randomized, double-blind, placebo-controlled trial. A total of 78 migraine patients with cold and stasis obstructing meridian syndrome were recruited and randomly assigned by a ratio of 2:1 into a treatment group (51 cases) and a placebo group (27 cases). Patients in the treatment group were treated with MWDG while placebo granules were applied in the control group. The treatment course lasted for 12 weeks with a follow-up of 4 weeks. The primary outcome measures included frequency and days of migraine attacks and the secondary outcome measures were analgesics consumption and visual analogue scale (VAS) scores. All outcome assessments were conducted respectively at baseline, the 4th, 8th and 12th week, and the end of follow-up.
In the treatment group, significant decrease in frequency of migraine attacks were observed since the 4th week and that of analgesics consumption since the 8th week (both P<0.05). While, in the placebo group, significant decrease in frequency of migraine attacks were observed since the 8th week and that of analgesics consumption since the 12th week (both P<0.05). No significant decrease in days of migraine attacks and VAS scores of migraine pain were observed in both groups. Between the two groups, there were significant differences in VAS scores and intensity of pain appeared in the 8th week (P<0.05). However, no significant differences were found in days and frequency of migraine attacks and analgesics consumption (P>0.05).
MWDG was probably effective in the treatment of migraine especially for alleviating pain intensity. Furthermore, MWDG could reduce the frequency of migraine attacks and analgesics consumption sooner than the placebo.
研究加味吴茱萸汤颗粒(MWDG)治疗寒凝血瘀型偏头痛的疗效。
本研究为随机、双盲、安慰剂对照试验。共纳入78例寒凝血瘀型偏头痛患者,按2∶1随机分为治疗组(51例)和安慰剂组(27例)。治疗组给予MWDG治疗,对照组给予安慰剂颗粒。疗程为12周,随访4周。主要观察指标为偏头痛发作频率和天数,次要观察指标为镇痛药消耗量和视觉模拟评分(VAS)。所有观察指标分别在基线、第4、8、12周及随访结束时进行评估。
治疗组自第4周起偏头痛发作频率显著降低,自第8周起镇痛药消耗量显著降低(均P<0.05)。而安慰剂组自第8周起偏头痛发作频率显著降低,自第12周起镇痛药消耗量显著降低(均P<0.05)。两组偏头痛发作天数和偏头痛疼痛VAS评分均无显著降低。两组间第8周VAS评分和疼痛强度有显著差异(P<0.05)。然而,偏头痛发作天数、频率和镇痛药消耗量无显著差异(P>0.05)。
MWDG可能对偏头痛有效,尤其在减轻疼痛强度方面。此外,MWDG比安慰剂能更快降低偏头痛发作频率和镇痛药消耗量。