温针灸治疗颈源性头痛:随机对照研究  

Warming-needle moxibustion for cervical headache:a randomized controlled trial

作　　者：姚旭[1] 林咸明[1] 

机构地区：[1]浙江中医药大学附属第三医院针灸科,杭州310005

出　　处：《中国针灸》2016年第5期463-466,共4页Chinese Acupuncture & Moxibustion

基　　金：浙江省中医药科技计划项目:2011ZA043

摘　　要：目的:验证温针灸治疗颈源性头痛的临床疗效。方法:将颈源性头痛患者61例随机分为温针组(30例)、针刺组(31例)。两组取穴均为天柱、风池、完骨、天牗、合谷、太冲、足临泣,其中针刺组采用单纯针刺治疗;温针组中天柱、风池、完骨穴采用温针灸治疗,余穴采用针刺治疗。两组均隔日治疗1次,每周治疗3次,共计4周。比较治疗前后两组头痛持续时间、头痛频率、头痛程度数字评分、颈部功能活动度评分,并评定两组临床疗效。结果:治疗后,两组头痛持续时间、头痛频率、头痛程度数字评分、颈部功能活动度评分均较治疗前改善(均P<0.05),温针组头痛持续时间、头痛频率、头痛程度数字评分、颈部功能活动度评分改善均优于针刺组(均P<0.05);温针组总有效率为84.3%(25/30),针刺组为61.3%(19/31),温针组疗效优于针刺组(P<0.05)。结论:温针灸治疗颈源性头痛疗效显著,可明显改善头痛症状及颈部功能活动。Objective To evaluate the clinical efficacy of warming-needle moxibustion on cervical headache.Methods Sixty-one patients of cervical headache were randomly divided into a warming-needle moxibustion group（30cases）and an acupuncture group（31 cases）.Tianzhu（BL 10）,Fengchi（GB 20）,Wangu（GB 12）,Tianyou（TE 16）,Hegu（LI 4）,Taichong（LR 3）and Zulinqi（GB 41）were selected in the two groups.Patients in the acupuncture group were treated with acupuncture;patients in the warming-needle moxibustion group were treated with warming-needle moxibustion at Tianzhu（BL 10）,Fengchi（GB 20）and Wangu（GB 12）and acupuncture at the remaining acupoints.The treatment was given once every other day,3 times a week,and totally 4-week treatment was given.The duration and frequency of headache,numerical rating scale（NRS）of headache and cervical range of motion（ROM）were compared before and after treatment in the two groups;also the efficacy of the two groups was evaluated.Results After treatment,the duration and frequency of headache,headache NRS and cervical ROM score were improved in both groups（all P〈0.05）,which were more significant in the warming-needle moxibustion group（all P〈0.05）.The total effective rate was 84.3%（25/30）in the warming-needle moxibustion group,which was significantly superior to 61.3%（19/31）in the acupuncture group（P〈0.05）.Conclusion The warming-needle moxibustion presents significant efficacy on cervical headache,which can obviously improve headache symptoms and cervical ROM.

关 键 词：颈源性头痛 温针灸 针刺疗法 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]