Gerilim Tipi Baş Ağrısında Akupunktur Tedavisinin Etkinliğinde Cinsiyetlerin Karşılaştırılması

Year 2022, Volume: 11 Issue: 3, 462 - 470, 04.10.2022

Burak Gülcen Nermin Tepe

https://doi.org/10.53424/balikesirsbd.1137670

Abstract

Amaç: Gerilim tipi baş ağrısı (TTH), erişkinlerde yaşam boyu ortalama %46 prevalans (%12-78) ile en sık görülen baş ağrısı tipidir. Akupunktur tedavisi, gerilim tipi baş ağrısında yardımcı tedavilerden biri olduğundan, bu çalışmada akupunkturun cinsiyetler arasındaki yanıt farkını değerlendirmek istedik. Gereç ve Yöntem: Bu retrospektif çalışmada, poliklinikte konvansiyonel tıbbi tedavi almayan (tıbbi tedaviyi reddeden veya ilaç yan etkileri nedeniyle intoleransı olan) ve önceden belirlenmiş akupunktur tedavisi seanslarını tamamlayan 18-60 yaş arası TTH hastalarının 2017-2019 yılları arasındaki tıbbi kayıtları incelenmiştir. Cinsiyetler arasında aylık atak sıklığı, atak şiddeti (Görsel Analog Skala) ve akupunktur tedavisi öncesi ve sonrası atak süreleri kaydedildi. Bulgular: Kriterlere uygun toplam 17 hasta çalışmaya alındı. Cinsiyetler arası aylık atak sıklığı, atakların süre ve şiddetinde tedavi öncesi ve sonrası istatistiksel olarak anlamlı farklılık bulunmadı. Kadınlarda aylık atak sıklığı ve VAS (Visual Analog Skala) skoru tedavi öncesi ve sonrası istatistiksel olarak anlamlı şekilde azalmış bulundu. Erkeklerde ise tedavi öncesi ve sonrası aylık atak sıklığı, atakların süre ve şiddetinde istatiksel açıdan farklılık bulunmadı. Sonuç: Akupunkturun kronik TTH tedavisinde ilaç kullanmak istemeyen veya yan etkileri nedeniyle tolerabilite problemi yaşayan özellikle kadınlarda alternatif tedavi seçeneği olarak değerlendirilmesi gerekir.

Keywords

Gerilim tipi baş ağrısı, Akupunktur, Cinsiyet farklılığı

Supporting Institution

BALIKESİR ÜNİVERSİTESİ TIP FAKÜLTESİ

Comparison of Genders in the Effectiveness of Acupuncture Therapy in Tension-Type Headache

Abstract

Objective: Tension-type headache (TTH) with an average lifetime prevalence of 46% (12-78%) in adults is the most common primary headache type. Acupuncture treatment is one of the adjunctive therapies in tension type headache so we wanted to evaluate the response difference of acupuncture between genders. Materials and Methods: In this retrospective study, the medical records of TTH patients, aged between 18 and 60, who did not receive conventional medical treatment (patient refusing medical treatment or intolerance due to drug side effects) and completed pre-determined sessions of acupuncture therapy in the outpatient clinics between 2017 and 2019 were evaluated. The monthly attack frequency, attack severity (Visual Analogue Scale), and the duration of attacks before and after acupuncture treatment between genders were documented. Results: A total of 17 patients meeting the study criteria were included in the study. No statistically significant difference in the frequency, the duration, and the severity of monthly attacks before and after the treatment were found between the genders. The monthly attack frequency and Visual Analogue Scale (VAS) score were found to be significantly decreased in women themselves before and after treatment in themselves. There was no statistically significant difference in the frequency, duration and severity of monthly attacks before and after the treatment among the men. Conclusion: Acupuncture should be considered as an alternative treatment option, especially in women with chronic TTH who do not want to use drugs or who have tolerability problems due to side effects or combination with medical therapy.

Keywords

Tension-type headache, Acupuncture, Gender differences

References

• Bendtsen, L., Evers, S., Linde, M., Mitsikostas, D. D., Sandrini, G., Schoenen, J., & EFNS (2010). EFNS guideline on the treatment of tension-type headache - report of an EFNS task force. European journal of neurology, 17(11), 1318–1325. https://doi.org/10.1111/j.1468-1331.2010.03070.x
• Endres, H. G., Böwing, G., Diener, H. C., Lange, S., Maier, C., Molsberger, A., Zenz, M., Vickers, A. J., & Tegenthoff, M. (2007). Acupuncture for tension-type headache: a multicentre, sham-controlled, patient-and observer-blinded, randomised trial. The journal of headache and pain, 8(5), 306–314. https://doi.org/10.1007/s10194-007-0416-5
• Fumal, A., & Schoenen, J. (2008). Tension-type headache: current research and clinical management. The Lancet. Neurology, 7(1), 70–83. https://doi.org/10.1016/S1474-4422(07)70325-3
• Gaul, C., Eismann, R., Schmidt, T., May, A., Leinisch, E., Wieser, T., Evers, S., Henkel, K., Franz, G., & Zierz, S. (2009). Use of complementary and alternative medicine in patients suffering from primary headache disorders. Cephalalgia : an international journal of headache, 29(10), 1069–1078. https://doi.org/10.1111/j.1468-2982.2009.01841.x
• 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
• Herman, P. M., Craig, B. M., & Caspi, O. (2005). Is complementary and alternative medicine (CAM) cost-effective? A systematic review. BMC complementary and alternative medicine, 5, 11. https://doi.org/10.1186/1472-6882-5-11
• Huang, J., Shen, M., Qin, X., Guo, W., & Li, H. (2020). Acupuncture for the Treatment of Tension-Type Headache: An Overview of Systematic Reviews. Evidence-based complementary and alternative medicine : eCAM, 2020, 4262910. https://doi.org/10.1155/2020/4262910
• Ingalhalikar, M., Smith, A., Parker, D., Satterthwaite, T. D., Elliott, M. A., Ruparel, K., Hakonarson, H., Gur, R. E., Gur, R. C., & Verma, R. (2014). Sex differences in the structural connectome of the human brain. Proceedings of the National Academy of Sciences of the United States of America, 111(2), 823–828. https://doi.org/10.1073/pnas.1316909110
• Kaniecki R. G. (2012). Tension-type headache. Continuum (Minneapolis, Minn.), 18(4), 823–834. https://doi.org/10.1212/01.CON.0000418645.32032.32
• Linde, K., Allais, G., Brinkhaus, B., Fei, Y., Mehring, M., Vertosick, E. A., Vickers, A., & White, A. R. (2016). Acupuncture for the prevention of episodic migraine. The Cochrane database of systematic reviews, 2016(6), CD001218. https://doi.org/10.1002/14651858.CD001218.pub3
• Maurer, M., Firminger, K., Dardess, P., Ikeler, K., Sofaer, S., & Carman, K. L. (2016). Understanding Consumer Perceptions and Awareness of Hospital-Based Maternity Care Quality Measures. Health services research, 51 Suppl 2(Suppl 2), 1188–1211. https://doi.org/10.1111/1475-6773.12472
• Melchart, D., Streng, A., Hoppe, A., Brinkhaus, B., Witt, C., Wagenpfeil, S., Pfaffenrath, V., Hammes, M., Hummelsberger, J., Irnich, D., Weidenhammer, W., Willich, S. N., & Linde, K. (2005). Acupuncture in patients with tension-type headache: randomised controlled trial. BMJ (Clinical research ed.), 331(7513), 376–382. https://doi.org/10.1136/bmj.38512.405440.8F
• Kennis, K., Kernick, D., & O'Flynn, N. (2013). Diagnosis and management of headaches in young people and adults: NICE guideline. The British journal of general practice : the journal of the Royal College of General Practitioners, 63(613), 443–445. https://doi.org/10.3399/bjgp13X670895
• Racine, M., Tousignant-Laflamme, Y., Kloda, L. A., Dion, D., Dupuis, G., & Choinière, M. (2012). A systematic literature review of 10 years of research on sex/gender and experimental pain perception - part 1: are there really differences between women and men?. Pain, 153(3), 602–618. https://doi.org/10.1016/j.pain.2011.11.025
• Schwartz, B. S., Stewart, W. F., Simon, D., & Lipton, R. B. (1998). Epidemiology of tension-type headache. JAMA, 279(5), 381–383. https://doi.org/10.1001/jama.279.5.381
• Stovner, L. j., Hagen, K., Jensen, R., Katsarava, Z., Lipton, R., Scher, A., Steiner, T., & Zwart, J. A. (2007). The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia : an international journal of headache, 27(3), 193–210. https://doi.org/10.1111/j.1468-2982.2007.01288.x
• Zhao, L., Chen, J., Li, Y., Sun, X., Chang, X., Zheng, H., Gong, B., Huang, Y., Yang, M., Wu, X., Li, X., & Liang, F. (2017). The Long-term Effect of Acupuncture for Migraine Prophylaxis: A Randomized Clinical Trial. JAMA internal medicine, 177(4), 508–515. https://doi.org/10.1001/jamainternmed.2016.9378