针刺治疗紧张型头痛的疗效及安全性的Meta分析

Objective:To analyze and evaluate the efficacy and safety of acupuncture in the treatment of tension-type headache.Methods:By retrieving documents on the randomized controlled trials of acupuncture in the treatment of Tension-type Headache in Pub Med, Cochrane Library, EMBASE, web of science, CNKI, Wanfang, VIP and CBM dating from January 2012 to December 2021, two researchers.Meta-analyzed data\'s outcome indicators of total effective rate and VAS score with Revman5.3 and STATA17.0. Results: Under the guidance of the inclusion and exclusion criteria, 13 literatures were finally included, with a cumulative sample size of 918 cases. After meta analysis, the following results were obtained: Western medicine group: Total effective rate group:RR = 1.20, z = 4.24 (P < 0.0001);VAS score group: SMD = 0.64, z = 4.61 (P < 0.00001),show that curative effect of acupuncture was better than that of Western medicine. In the traditional / conventional acupuncture group:Total effective rate group:RR = 1.21, z = 3.62 (P = 0.0003 < 0.05);VAS score group:SMD = 0.33, z = 2.77 (P = 0.006 < 0.05),show that curative effect of special acupuncture was better than that of traditional / conventional acupuncture. Egger regression test: total effective rate: Western medicine group P = 0.264 > 0.05, indicating no publication bias; In the traditional / routine acupuncture group, P = 0.012 < 0.05, indicating publication bias; VAS score: Western medicine group P = 0.943 > 0.05, indicating no publication bias; Traditional / routine acupuncture group P = 0.633 > 0.05, indicating no publication bias.Conclusion: In the treatment of TTH, acupuncture is superior to western medicine both in efficacy and safety. Meanwhile, many new acupuncture manipulation techniques have better curative effects than traditional / conventional acupuncture. It is clear that acupuncture has a great development space in clinics.