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经皮电刺激神经疗法治疗偏头痛的效果

Effect of percutaneous electrical nerve stimulation for the treatment of migraine.

作者信息

Li Hong, Xu Qiao-Rong

机构信息

Department of Neurology, The People's Hospital of Yan'an, Yan'an Fifth Unit, Department of Neurology, Xianyang Hospital of Yan'an University, Xianyang, China.

出版信息

Medicine (Baltimore). 2017 Sep;96(39):e8108. doi: 10.1097/MD.0000000000008108.

Abstract

BACKGROUND

This study aimed to assess the effectiveness and safety of percutaneous electrical nerve stimulation (PENS) in migraine treatment.

METHODS

Sixty-two patients with at least 2 migration attacks each month were recruited and randomly divided into a verum PENS group and a sham PENS group in a ratio of 1:1. All patients received verum or sham PENS 30 minutes daily, 5 times weekly for 12 weeks. The primary outcomes were change in monthly migraine days (MMD) and the 50% responder rate (RR). Secondary outcomes were evaluated using the monthly migraine attacks (MMA), monthly headache days (MHD), and monthly acute antimigraine drug intake (MAADI). All outcome measurements were performed at treatment initiation to establish a baseline and again after 12 weeks of treatment.

RESULTS

At the end of the 12 weeks, the group receiving verum PENS exhibited statistically significant decrease in the mean MMD compared with the group receiving sham PENS intervention (P < .05). Additionally, the 50% RR was significantly higher in the verum PENS group than that in the sham PENS group (P < .05). Furthermore, the MMA, MHD, and MAADI were also significantly lower in the verum PENS group that those in the sham PENS group (P < .05).

CONCLUSION

The results of this study demonstrated that verum PENS is more effective and safe than Sham PENS for the treatment of migraine.

摘要

背景

本研究旨在评估经皮电神经刺激(PENS)治疗偏头痛的有效性和安全性。

方法

招募了62名每月至少有2次偏头痛发作的患者,并按照1:1的比例随机分为真PENS组和假PENS组。所有患者每天接受30分钟的真刺激或假刺激,每周5次,共12周。主要结局指标为每月偏头痛天数(MMD)的变化和50%缓解率(RR)。次要结局指标采用每月偏头痛发作次数(MMA)、每月头痛天数(MHD)和每月急性抗偏头痛药物摄入量(MAADI)进行评估。所有结局指标均在治疗开始时进行测量以建立基线,并在治疗12周后再次测量。

结果

在12周结束时,接受真PENS治疗的组与接受假PENS干预的组相比,平均MMD有统计学意义的下降(P<0.05)。此外,真PENS组的50%RR显著高于假PENS组(P<0.05)。此外,真PENS组的MMA、MHD和MAADI也显著低于假PENS组(P<0.05)。

结论

本研究结果表明,真PENS在治疗偏头痛方面比假PENS更有效且更安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29f3/5626275/f8d02b54d09d/medi-96-e8108-g001.jpg

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