Using pharmacopuncture for chronic tension-type headache treatment

Автор: Lyudmila N. Belimova, Viktor A. Balyazin

Журнал: Saratov Medical Journal @sarmj

Статья в выпуске: 2 Vol.2, 2021 года.

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Objective: assessing pharmacopuncture effect on pain syndrome and level of anxiety-depressive disorders in patients with chronic tension-type headache (CTTH). Materials and methods. An open-label controlled trial was conducted on 95 CTTH patients split among two groups by means of adaptive randomization. The comparison group subjects were receiving 35-70 mg/day of amitriptyline and 450 mg/day of tolperisone, while patients of the treatment group were assigned 2-4 courses of pharmacopuncture by the original method. The results were evaluated on the basis of the scores obtained via Visual Analogue Scale (VAS), McGill Pain Questionnaire, Beck Depression Inventory (BDI), and State-Trait Anxiety Inventory (STAI) sensu Ch. Spielberger and Yu. Khanin. Results. Patients in both clinical groups were inclined to a positive evaluation of received treatment. Based on the results of McGill Pain Questionnaire, we determined both affective and sensory pain descriptors, with a predominance of the latter. Both groups exhibited moderate depressive symptoms according to BDI of the psychological status. Prevalence of trait anxiety over reactive anxiety was determined by STAI. According to VAS, pain intensity after the treatment declined from 5.26±0.87 to 1.7±0.78 points (p<0.05) and from 5.17±0.78 to 1.65±0.79 (p<0.05) in the comparison group versus the treatment group. An improvement of anxiety and depression indicators was detected. Conclusion. Our results have demonstrated that pharmacopuncture is very promising in treating CTTH patients.

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Chronic tension-type headache, non-pharmacological treatment, reflexology, pharmacopuncture

Короткий адрес: https://sciup.org/149135022

IDR: 149135022   |   DOI: 10.15275/sarmj.2021.0201

Список литературы Using pharmacopuncture for chronic tension-type headache treatment

  • Ghadiri-Sani M, Silver N. Headache (chronic tension-type). BMJ Clin Evid 2016; 1205. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4747324/
  • Bendtsen L, Evers S, Linde M, et al. EFNS guideline on the treatment of tension-type headache: Report of an EFNS task force. Eur J Neurol 2010; 17(11): 1318-25. https://doi.org/j.1468-1331.2010.03070.x
  • Akhmadeyeva LR, Azimova YuE, Karakulova YuV, et al. Clinical guidelines on the treatment and diagnostics of the tension-type headache. Russian Medical Journal 2016; 24 (7): 411-9. [In Russian].
  • Linde K, Allais G, Brinkhaus B. Acupuncture for the prevention of tension-type headache. Cochrane Database Syst Rev 2016; 4: CD007587. https://doi.org/10.1002/14651858.CD007587.pub2.
  • Sun Y, Gan TJ. Acupuncture for the management of chronic headache: A systematic review. Anesth Analg 2008; 107 (6): 2038-47. https://doi.org/10.1213/ane.0b013e318187c76a
  • Jiang H, Zhang X, Lu J, et al. Antidepressant-like effects of acupuncture-insights from DNA methylation and histone modifications of brain-derived neurotrophic factor. Front Psychiatry 2018; 9: 102. https://doi.org/10.3389/fpsyt.2018.00102.
  • Medvedeva LA, Zagorulko OI, Shevtsova GE. Reflexology of chronic pain: Clinical practice from the standpoint of evidence-based medicine. Russian Journal of Pain 2017; 53 (2): 74-81. [In Russian].
  • Koreshkina MI. Current approaches to the tension-type headache treatment. Pharmateca 2013; 272 (19): 22-5. [In Russian].
  • The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33 (9): 629-808. https://doi.org/10.1177/0333102413485658.
  • A standard international acupuncture nomenclature: Memorandum from a WHO meeting. Bull World Health Organ 1990; 68 (2): 165-9. https://pubmed.ncbi.nlm.nih.gov/2364475
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