世界中医药
文章摘要
引用本文:付国静1,魏竞竞1,2,樊雪鸣1,朴京泽2,宫晓1,陈文洁1,郭春莉1,梁晓1,申伟1,张允岭1.中药治疗紧张性头痛的临床研究证据图[J].世界中医药,2023,(06):.  
中药治疗紧张性头痛的临床研究证据图
Chinese Medicines for Treatment of Tension-type Headache:an Evidence Map of Clinical Studies
投稿时间:2021-06-18  
DOI:10.3969/j.issn.1673-7202.2023.06.013
中文关键词:  紧张性头痛  中医  中药  证据图  临床研究  研究现状  质量评价
English Keywords:Tension-type headache  Traditional Chinese medicine  Chinese medicine  Evidence map  Clinical study  Research status  Quality assessment
基金项目:中央级公益性科研院所基本科研业务费专项资金资助(ZZ13-024-3);首都卫生发展科研专项项目(首发2020-2-4173);国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄学者)——国家中医药领军人才支持计划项目(国中医药人教发[2018]12号)
作者单位
付国静1,魏竞竞1,2,樊雪鸣1,朴京泽2,宫晓1,陈文洁1,郭春莉1,梁晓1,申伟1,张允岭1 1 中国中医科学院西苑医院北京100091 2 北京中医药大学研究生院北京100029 
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中文摘要:
      目的:系统收集中药治疗紧张性头痛(TTH)临床研究的现有证据,评价中药治疗紧张性头痛临床研究的现状。方法:计算机检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生物医学文献数据库(CBM)、EMbase、PubMed、Cochrane Library、Web of science、ClinicalTrials.gov和中国临床试验注册中心共10个数据库,检索时限为建库至2020年10月,纳入有关中药治疗TTH的临床研究,采用证据图方法呈现临床研究的证据分布情况。结果:共纳入471项临床研究,其中随机对照试验378项,非随机对照试验41项,队列研究1项,病例系列研究51项,文献总发表数量在总体上随时间变化呈增长趋势,但呈“锯齿状”波动;方法学质量评价结果显示目前中药治疗紧张性头痛的临床研究质量较低;中药治疗紧张性头痛对总有效率、安全性事件、头痛持续时间、头痛强度、头痛发作频率、焦虑抑郁量表关注度较高,对经济学指标及远期预后指标关注较低。疗程集中在15~30 d。结论:目前中药治疗TTH的临床研究质量较低,未来需要开展更多高质量的临床研究为中药治疗TTH提供更充分的证据。
English Summary:
      To evaluate the research status of Chinese medicines for the treatment of tension-type headache(TTH) based on the available clinical studies.Methods:The clinical studies involving Chinese medicines for TTH was retrieved from the China National Knowledge Infrastructure(CNKI),China Science Periodical Database(CSPD),Chinese Citation Database(CCD),China Biology Medicine disc(CBM),PubMed,Excerpta Medica Database(EMbase),Cochrane Library,Web of Science,ClinicalTrials.gov,and Chinese Clinical Trial Registry from the inception to October 2020.The evidence map method was employed to visualize the distribution of evidence.Results:A total of 471 clinical studies were selected,including 378 randomized controlled trials,41 non-randomized controlled trials,1 cohort study,and 51 case series studies.The total number of publications showed an increasing trend with fluctuations over time.The available clinical studies generally had low quality.These studies cared more about the total response rate,safety events,headache duration,headache intensity,headache frequency,and emotional scale,while rarely concerning the economic indexes and long-term prognosis indexes,with the treatment courses concentrated on 15~30 days.Conclusion:The high-quality evidence of Chinese medicines for TTH treatment is insufficient,and more high-quality clinical studies remain to be carried out.
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