DOI QR코드

DOI QR Code

군발성 두통에 대한 최근 침치료 연구 동향

Recent Clinical Research on Acupuncture Therapy for Cluster Headache

  • 김성은 (부산대학교 한의학전문대학원 한의학과) ;
  • 이애리 (부산대학교 한의학전문대학원 한의학과) ;
  • 이인 (부산대학교한방병원 한방내과)
  • Sung-eun Kim (Dept. of Korean Medicine, Pusan National University of Korean Medicine) ;
  • Ae-ri Lee (Dept. of Korean Medicine, Pusan National University of Korean Medicine) ;
  • In Lee (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University)
  • 투고 : 2023.11.27
  • 심사 : 2023.12.29
  • 발행 : 2023.12.30

초록

Objectives: This study presents evidence by analyzing the research trends in acupuncture treatment for cluster headache in the last 10 years. Methods: Randomized controlled trials (RCTs) about acupuncture for cluster headache were searched from the China National Knowledge Infrastructure, PubMed, Cochrane Library, Oriental Medicine Advanced Searching Integrated System, ScienceON, Korean Studies Information Service System, and Research Information Sharing Service. The search terms were the combinations of "cluster headache", "acupuncture", and "needle therapy", and the articles were restricted to those published between 2013 and 2023. Only RCTs were selected. The risk of bias (RoB) was assessed according to the revised Cochrane RoB2 criteria. Results: Six RCTs were selected and analyzed in this review. All selected studies were conducted in China. All RCTs comprised 628 participants. Manual acupuncture was used in all studies. Acupuncture targeting the sphenopalatine ganglion was performed in two papers published after 2020. ST8, Ex-HIN3, and GB14 were the most frequently used acupoints in acupuncture treatment. The most commonly used indicators for evaluation were headache attack frequency, clinical efficacy, and the visual analog scale. In each study, adding acupuncture treatment to conventional therapy had significant effects in relieving the symptoms of cluster headaches. Conclusion: The results suggest that acupuncture is an effective treatment for cluster headache. To ensure objective evidence for the effectiveness of acupuncture treatment in cluster headache, it is important to continue large-scale case reports and RCTs.

키워드

과제정보

이 과제는 부산대학교 기본연구지원사업(2년)에 의하여 연구되었음.

참고문헌

  1. Katsarava Z, Obermann M, Yoon MS, Dommes P, Kuznetsova J, Weimar C, et al. Prevalence of cluster headache in a population-based sample in Germany. Cephalalgia 2007;27(9):1014-9.  https://doi.org/10.1111/j.1468-2982.2007.01380.x
  2. Fischera M, Marziniak M, Gralow I, Evers S. The incidence and prevalence of cluster headache: a meta-analysis of population-based studies. Cephalalgia 2008;28(6):614-8.  https://doi.org/10.1111/j.1468-2982.2008.01592.x
  3. Moon HS, Park JW, Lee KS, Chung CS, Kim BK, Kim JM, et al. Clinical Features of Cluster Headache Patients in Korea. J Korean Med Sci 2017;32(3):502-6.  https://doi.org/10.3346/jkms.2017.32.3.502
  4. Sohn JH, Cho SJ. Recommendations and guidelines on the treatment of cluster headache. Korean Journal of Headache 2017;18(1):1-4. 
  5. Hong YH, Cho SJ, Bae DW, Chung PW, Moon HS, Chu MK, et al. Exploratory Study of the Effectiveness of Oxygen Therapy Using Home Oxygen Concentrators for Cluster Headache. Journal of the Korean Neurological Association 2020;38(1):29-32.  https://doi.org/10.17340/jkna.2020.1.5
  6. Yu JS. A Case Study of a Patient with Cluster Headache Diagnosed as Soyang-sangpung Symptomatology. Journal of Sasang Constitutional Medicine 2016;28(4):396-402.  https://doi.org/10.7730/JSCM.2016.28.4.396
  7. Lee H, Bae IH, Ha WJ, Kim SH, Cho KH, Moon SK, et al. A case of Cluster Headache treated with Traditional Korean Medicine. The Journal of the Society of Stroke on Korean Medicine 2020;21(1):39-46. 
  8. Kim MG, Cho HB, Kim GW, Koo BS. Korean Medicine Treatment for a Patient with Cluster Headache: A Case Report. Journal of Oriental Neuropsychiatry 2022;33(2):215-25.  https://doi.org/10.7231/JON.2022.33.2.215
  9. Chen YR, Zai FL. Efficacy Evaluation of Sphenopalatine Ganglion Acupuncture Combined with Fascia Release in the Treatment of Episodic Cluster Headache. Journal Of Changzhi Medical College 2023;37(01):27-31. 
  10. Zai FL, Ji LX, Cheng JH, Chen YR, Liu H. Acupuncture at sphenopalatine ganglion combined with conventional acupuncture for episodic cluster headache: a randomized controlled trial. Chinese Acupuncture & Moxibustion 2022;42(6):603-7. 
  11. 李强, 高鹏举, 杨兰. 针灸联合那拉曲坦对丛集性 头痛的预防性治疗作用. 山西医药杂志 2020;49(15):2025-7. 
  12. Liu C, Zhang Y, Liu YL, Zhao YF. Therapeutic Observation of Acupuncture plus Medication for Insomnia Due to Cluster Headache. Shanghai Journal of Acupuncture and Moxibustion 2019;38(07):718-22. 
  13. Liu C, Gao JJ, Xu J, Zhang Y, Liu YL. Therapeutic Efficacy of Acupuncture plus Sumatriptan for Acute Attack of Cluster Headache and the Change in Cerebral Hemodynamics. Shanghai Journal of Acupuncture and Moxibustion 2018;37(08):869-73. 
  14. Wang CC, Zou W. Clinical Observation of Shu Feng An Shen Needling plus Distal Points Selection for Cluster Headache. Shanghai Journal of Acupuncture and Moxibustion 2015;34(12):1190-1. 
  15. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 2018;38(1):1-211.  https://doi.org/10.1177/0333102417738202
  16. Schindler EAD, Burish MJ. Recent advances in the diagnosis and management of cluster headache. BMJ 2022;376:e059577. 
  17. Rozen TD, Fishman RS. Cluster headache in the United States of America: demographics, clinical characteristics, triggers, suicidality, and personal burden. Headache 2012;52(1):99-113.  https://doi.org/10.1111/j.1526-4610.2011.02028.x
  18. Sohn JH, MD, Lee MJ, MD, Cho SJ, MD. Update on Treatment of Cluster Headache. Journal of the Korean Neurological Association 2021;39(3):113-20.  https://doi.org/10.17340/jkna.2021.3.1
  19. Kang TR. Effect of Electroacupuncture at GB14 on Brain Activity. Korean Journal of Acupuncture 2019;36(4):241-51.  https://doi.org/10.14406/acu.2019.026
  20. Lee SS, Kim DW, Ahn KP, Eom HJ, Nam Y. Effects of Acupuncture therapy on Cerebral Blood Flow in Migraineurs. The Journal of Korean Acupuncture & Moxibustion Society 2001;18(6):135-40. 
  21. Kim SJ, Kim NS, Kim JY, Kim YS, Nam SS. Effect of Acupuncture at Yintang Point(EX-HN3) on Heart Rate Variability in Healthy Adults with Mental Stress. The Journal of Korean Acupuncture & Moxibustion Medicine Society 2012;29(6):47-56. 
  22. Mojica, J, Mo B, Ng A. Sphenopalatine Ganglion Block in the Management of Chronic Headaches. Curr Pain Headache Rep 2017;21(6):27. 
  23. Wang K, Chen L, Wang Y, Wang C, Zhang L. Sphenopalatine Ganglion Acupuncture Improves Nasal Ventilation and Modulates Autonomic Nervous Activity in Healthy Volunteers: A Randomized Controlled Study. Sci Rep 2016;18(6):29947. 
  24. Sanchez-Gomez LM, Polo-deSantos M, Pinel-Gonzalez A, et al. Systematic review of the safety and effectiveness of peripheral neurostimulation of the sphenopalatine ganglion for the treatment of refractory chronic cluster headache. Neurologia 2021;36(6):440-50.  https://doi.org/10.1016/j.nrleng.2017.11.002
  25. Wang N, Dou Z, Ni J. Case-control study of low-temperature plasma coblation and radiofrequency thermocoagulation in the treatment of sphenopalatine neuralgia. China Medicine 2021;16(08):1185-9.