手法配合牵引治疗颈源性头痛临床观察  

Clinical observation on the treatment of cervical headache with massage and traction

作　　者：郝学茂 张志伟[1] 王钲[1] 

机构地区：[1]北京按摩医院,北京100035

出　　处：《中国骨伤》2007年第z1期63-64,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨手法配合牵引治疗颈源性头痛的临床疗效并对该方法治疗机制进行分析.方法:颈源性头痛患者56例,男22例,女34例;年龄19～65岁,平均46岁.采用随机法分为实验组与对照组,实验组28例,男12例,女16例,年龄19～60岁,平均44岁,采用手法配合牵引治疗;对照组28例,男10例,女18例,年龄22～65岁,平均48岁,采用单纯牵引治疗.对两组病例的头痛程度、压痛程度、治疗效果进行观测对比,并对两种治疗方法的治疗机制进行讨论分析.结果:实验组在头痛程度、压痛程度、治疗效果各项观测指标上均优于对照组(P＜0.05),按照中药新药治疗颈椎病的临床指导原则的疗效判定标准评定.实验组:临床痊愈22例,显效3例,有效2例,无效1例,总有效率96.4%;对照组:临床痊愈13例,显效6例,有效3例,无效6例,总有效率78.6%.两组疗效差异具有显著性(P＜0.05).结论:采用手法配合牵引治疗颈源性偏头痛疗效显著,治疗机制科学,方法简捷,易于推广.Objective:To explore the effect of massage and traction in treating cervical headache and analyze its mechanism.Methods:Fifty-six patients (22 male and 34 female with an average age of 46 years ranged from 19 to 65 years) with cervical headache were divided randomly into experimental group and control group.In experimental group,twenty-eight patients (12 male and 16 female with an average age of 44 years ranged from 19 to 60 years) were treated with massage and traction,and in control group,28 patients (10 male and 18 female with an average age of 48 years ranged from 22 to 65 years) were treated with single traction.The ache and tender degree,and therapeutic efficacy were observed.Mechanism of the two methods was analyzed.Results:All the index in the experimental group were better than those in the control group(P<0.05).According to the standard of Clinical Principles of Treatment on Cervical Spondylopathy with Herbs and New Medicine, 22 cases were cured,3 cases improved dramatically,2 cases improved and 1 case ineffective in experimental group,the totally effective rate was 96.4%.13 cases cured,6 cases improved dramatically,3 cases improved and 6 cases ineffective in control group.The totally effective rate was 78.6%.There was a significant difference between the two groups(P<0.05).Conclusion:Massage and traction in treating cervical headache provides a simple method with a high successful rate,satisfactory effect,scientific mechanism.This method can be easily popularized.

关 键 词：颈源性头痛 正骨手法 牵引术 

分 类 号：R68[医药卫生—骨科学]