齐刺颈夹脊为主治疗颈源性头痛:随机对照研究  

Triple acupuncture method at cervical Jiaji(EX-B 2)for cervicogenic headache:a randomized controlled trial

作　　者：褚慧玲 胡丙成 

机构地区：[1]黑龙江省中医药科学院,哈尔滨150036

出　　处：《中国针灸》2016年第1期29-32,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的：比较齐刺颈夹脊为主与常规针刺治疗颈源性头痛的疗效差异。方法：将66例患者随机分为齐刺组和常规针刺组,每组33例。两组取穴相同,均选取颈夹脊穴C1~C7,以及百会、强间、脑空、风池、风府、天柱等头部腧穴。两组头部腧穴均采用常规针刺,齐刺组予颈夹脊穴齐刺,常规针刺组予颈夹脊穴直刺25~40mm,每天1次,治疗5次为一疗程,共治疗2个疗程。观察和比较两组治疗前后简化McGill量表评分变化,并比较两组疗效。结果：治疗后两组简化McGill量表评分均降低（均P〈0.01）,且齐刺组治疗后McGill量表评分与常规针刺组比较差异无统计学意义（均P〉0.05）;齐刺组愈显率为75.8%（25/33）、总有效率为93.9%（31/33）,均优于常规针刺组的57.6%（19/33,P〈0.01）、84.8%（28/33,P〈0.05）。结论：齐刺颈夹脊为主治疗颈源性头痛疗效优于常规针刺。Objective To compare the efficacy difference between triple acupuncture method at cervical Jiaji（EX-B 2）and conventional acupuncture for cervicogenic headache.Methods A total of 66 patients were randomly divided into a triple acupuncture group and a conventional acupuncture group,33 cases in each one.The acupoints selected in the two groups were identical,including C1 to C7of cervical Jiaji（EX-B 2）as well as Baihui（GV 20）,Qiangjian（GV 18）,Naokong（GB 19）,Fengchi（GB 20）,Fengfu（GV 16）,Tianzhu（BL 10）,etc.The conventional acupuncture was performed at acupoints on the head in the two groups;triple acupuncture was performed at cervical Jiaji（EX-B 2）in the triple acupuncture group while perpendicular acupuncture was performed with a depth of 25 to 40mm in the conventional acupuncture group.The treatment was given once a day.Five treatments were considered as one session and totally two sessions were required.The changes of simplified McGill scale before and after acupuncture were observed in the two groups,and the efficacy of the two groups was compared.ResultsAfter acupuncture,the simplified McGill scale was both reduced in the two groups（both P〈0.01）,and there was no significant difference between the two groups after treatment（all P〉0.05）.The cured and markedly effective rate was 75.8%（25/33）and the total effective rate was 93.9%（31/33）in the triple acupuncture group,which were superior to 57.6%（19/33,P〈0.01）and 84.8%（28/33,P〈0.05）in the conventional acupuncture group respectively.Conclusion The efficacy of triple acupuncture method at cervical Jiaji（EX-B 2）is superior to that of conventional acupuncture for cervicogenic headache.

关 键 词：颈源性头痛 针刺疗法 齐刺 穴 夹脊 随机对照研究 

分 类 号：R246.6[医药卫生—针灸推拿学]