急诊科经皮电神经刺激治疗偏头痛发作：一项随机对照试验。

Treatment of migraine attacks by transcutaneous electrical nerve stimulation in emergency department: A randomize controlled trial.

机构信息

Department of Emergency Medicine, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, Turkey.

Department of Emergency Medicine, University of Bahcesehir, Goztepe Medical Park Hospital, İstanbul, Turkey.

出版信息

Am J Emerg Med. 2021 Jan;39:80-85. doi: 10.1016/j.ajem.2020.01.024. Epub 2020 Jan 15.

DOI:10.1016/j.ajem.2020.01.024

PMID:31983598

Abstract

PURPOSE

The primary purpose of this trial is to evaluate the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) therapy application in the emergency department.

METHODS

The patients were divided into 2 groups: a sham group, and a verum group. Patients in the verum group include those who use the device for the first time. Both groups were connected to visually indistinguishable devices. Both groups underwent therapy for a total of 20 min. Using the Visual Analog Scale (VAS), the patients' perceived changes in pain intensity were recorded at the 20th and 120th minutes after initiation therapy. After the 120th minute, patients' individual needs for additional treatment were assessed. Additionally, their self-reported well-being was assessed using a Likert-type verbal scale.

RESULTS

In total 151 patients that were admitted to the emergency ward were assessed, with the sham and verum group being assigned 39 patients each from this pool. For the verum group the VAS change from 0 to 120 min was -65 ± 25 and for the sham group it was -9 ± 2 (p < 0.001). Verbal scores in the 120th minute were found to be 1.2 for sham group and 4.5 in the verum group (p < 0.001). Thirty patients (76.92%) in the sham group and 1 (2%) in the verum group had additional analgesic requirement after 120 min.

CONCLUSION

TENS therapy is a fast-acting, effective therapy for the treatment of acute migraine in the emergency department.

摘要

目的

本试验的主要目的是评估经皮神经电刺激（TENS）疗法在急诊科的应用效果。

方法

患者分为 2 组：假刺激组和真刺激组。真刺激组包括首次使用该设备的患者。两组均连接到外观无法区分的设备。两组均接受总计 20 分钟的治疗。使用视觉模拟评分（VAS），在治疗开始后第 20 分钟和第 120 分钟记录患者对疼痛强度变化的感知。第 120 分钟后，评估患者对额外治疗的个人需求。此外，还使用李克特量表评估他们的自我报告的舒适度。

结果

共有 151 名入住急诊病房的患者接受了评估，其中假刺激组和真刺激组各有 39 名患者。真刺激组 VAS 从 0 到 120 分钟的变化为-65±25，而假刺激组为-9±2（p<0.001）。在第 120 分钟时，假刺激组的口头评分为 1.2，而真刺激组为 4.5（p<0.001）。假刺激组中有 30 名患者（76.92%）和真刺激组中有 1 名患者（2%）在 120 分钟后需要额外的镇痛治疗。