悬吊运动训练对颈源性头痛的疗效  

Effect of Sling-exercise Therapy on Cervicogenic Headache

作　　者：孟朋民[1] 刘伟明[2] 杨泉林[1] 郑丽军[1] 苏心镜[1] 

机构地区：[1]河北北方学院附属第二医院麻醉与疼痛医学科,河北张家口市075100 [2]中国康复研究中心北京博爱医院,北京市100068

出　　处：《中国康复理论与实践》2014年第1期79-81,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察悬吊运动训练治疗颈源性头痛的临床疗效。方法颈源性头痛患者60例,按就诊顺序分为两组。Ⅰ组(n=30)行C2椎旁阻滞,每周1次;Ⅱ组(n=30)在颈椎旁阻滞基础上配合悬吊运动训练,悬吊运动训练每周3次。均治疗4周。观察治疗前与治疗后1个月、3个月、6个月的疼痛视觉模拟评分(VAS)、每月疼痛发作次数及临床疗效。结果治疗后VAS评分,Ⅰ组治疗后1个月、3个月,Ⅱ组治疗后1个月、3个月、6个月均较治疗前显著改善(P<0.001);治疗后3个月、6个月,Ⅱ组较Ⅰ组改善更显著(P<0.001)。治疗后疼痛发作次数,Ⅰ组治疗后1个月、3个月,Ⅱ组治疗后1个月、3个月、6个月均较治疗前减少(P<0.05);治疗后3个月、6个月,Ⅱ组较Ⅰ组减少更明显(P<0.05)。治疗后Ⅰ组优良率33.3%,Ⅱ组73.3%(P<0.01)。结论配合悬吊运动训练治疗颈源性头痛优于单一采用颈椎旁阻滞,远期效果更佳。Objective To investigate the efficacy of sling-exercise therapy on cervicogenic headache. Methods 60 patients with cervico-genic headache were divided into 2 groups with 30 patients each. Group I received paravertebral block of C2 once a week for 4 weeks, and Group II received sling-exercise therapy 3 times a week in addition. The Visual Analogue Score （VAS）, frequency of pain （per month） be-fore and 1, 3, 6 months after treatment were recorded, and the incidence of improvement was observed. Results In group I, VAS significant-ly improved 1 and 3 months after treatment （P〈0.001）, while it lasted 6 months in group II （P〈0.001）. The VAS improved more in group II 3, 6 months after treatment （P〈0.001）. It was similar in pain frequency. The incidence of improvement was 33.3%（10/30） and 73.3%（22/30） in group I and group II, respectively （P〈0.01）. Conclusion Sling-exercise therapy may improve the efficacy of paravertebral block on cervicogenic headache, especially for the long-term.

关 键 词：颈源性头痛 椎旁阻滞 悬吊运动训练 

分 类 号：R681.5[医药卫生—骨科学]