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草药(头痛散)对偏头痛的影响:一项双盲随机临床试验。

Effect of herbal medicine (Jodeungsan) on migraine: A double-blind randomized clinical trial.

作者信息

Kim Seyoung, Seo Jihye, Kim Cheol-Hyun, Sung Hyun-Kyung, Go Ho-Yeon, Jung Woo Sang, Kwon Seungwon, Kwak Minjung, Lee Sangkwan

机构信息

Stroke Korean Medicine Research Center, Wonkwang University, Iksan, Korea.

Department of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University, Iksan Wonkwang University Gwangju Medical Center, Iksan, Korea.

出版信息

Integr Med Res. 2022 Dec;11(4):100885. doi: 10.1016/j.imr.2022.100885. Epub 2022 Aug 5.

Abstract

BACKGROUND

Migraine is a relatively common disease that has a significant effect on the daily activities of affected individuals. The purpose of this study was to explore the effects of herbal medicine (Jodeungsan, JDS) on migraine.

METHODS

Sixty-four patients with migraine were recruited and randomized to either the JDS or placebo group at a 1:1 ratio. The subjects received JDS or placebo daily for four weeks. The primary outcome was a change in the number of headache attack days (HADs), and the secondary outcome measures were the headache impact test (HIT), migraine-specific quality of life (MSQoL), the deficiency and excess pattern identification questionnaire (DEPIQ), the cold and heat pattern identification questionnaire (CHPIQ), and the blood stasis pattern questionnaire (BSPQ).

RESULTS

In all, 61 of the 64 patients took the investigational drugs for four weeks. The number of HADs did not significantly differ between the JDS and placebo groups at the end of the study. However, the HIT and MSQoL results showed significant improvement over the baseline in both groups.

CONCLUSION

JDS did not have a significant effect on chronic migraine. Larger studies are needed to confirm this result.

TRIAL REGISTRATION

Clinical Research Information Service (https://cris.nih.go.kr/): KCT0003121.

摘要

背景

偏头痛是一种相对常见的疾病,对患者的日常活动有显著影响。本研究的目的是探讨草药(头痛散,JDS)对偏头痛的影响。

方法

招募了64例偏头痛患者,并以1:1的比例随机分为JDS组或安慰剂组。受试者每天服用JDS或安慰剂,持续四周。主要结局是头痛发作天数(HADs)的变化,次要结局指标包括头痛影响测试(HIT)、偏头痛特异性生活质量(MSQoL)、虚实辨证问卷(DEPIQ)、寒热辨证问卷(CHPIQ)和血瘀证问卷(BSPQ)。

结果

64例患者中共有61例服用研究药物四周。研究结束时,JDS组和安慰剂组的HADs数量没有显著差异。然而,两组的HIT和MSQoL结果均显示相对于基线有显著改善。

结论

JDS对慢性偏头痛没有显著影响。需要更大规模的研究来证实这一结果。

试验注册

临床研究信息服务(https://cris.nih.go.kr/):KCT0003121。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e00/9440383/d14b3607bdd2/gr1.jpg

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