针刀配合颈椎整复手法治疗颈源性头痛的临床疗效观察  

Clinical observation of needle-knife therapy combined with bone-reduction manipulation to treat cervicogenic headache

作　　者：梁朝[1] 吴剑聪[2] 黄大鹏 乔晋琳 闫立[1] 李媛媛 庄卫国 

机构地区：[1]中国中医科学院望京医院骨科,北京100102 [2]北京按摩医院腰痹病科,北京100032 [3]北京燕化医院康复医学科,北京102500 [4]海军总医院康复医学科,北京100048 [5]北京市通州区中西医结合医院骨科,北京101100

出　　处：《中国医刊》2018年第2期168-172,共5页Chinese Journal of Medicine

基　　金：国家科技支撑计划子课题(2013BAI13B034)

摘　　要：目的探讨针刀配合颈椎整复手法治疗颈源性头痛的临床疗效。方法选择望京医院骨科门诊2014年7月至2015年11月收治的颈源性头痛患者41例,随机分为治疗组(21例)和对照组(20例),治疗组采用针刀配合颈椎整复手法治疗,对照组采用神经阻滞疗法治疗。观察两组治疗前后的视觉模拟评分(visual analogue scale,VAS)及病情分级评分并进行统计分析。结果治疗组脱落1例,故两组完成观察的患者均为20例。治疗组有效率为85%,对照组有效率为55%,两组比较差异有显著性(P<0.05)。治疗组治疗后VAS和病情分级评分均优于对照组,差异有显著性(P<0.05)。治疗组治疗后的枕下痛、前额痛病情分级评分均优于对照组,差异有显著性(P<0.05),而两组治疗后偏头痛病情分级评分比较差异无显著性(P>0.05)。结论针刀配合颈椎整复手法治疗颈源性头痛起效快,疗效明显,不良反应少,是一种安全、有效的治疗方法。针刀配合颈椎整复手法治疗颈源性头痛所致的枕下痛、前额痛效果优于神经阻滞法。Objective To observe the clinical efficacy of cervicogenic headache treated by needle-knife therapy combined with bonereduction manipulation. Method Forty-one patients with cervicogenic headache were randomly divided into the treatment group cc（21 patients） and the control group. Patients of treatment group were treated with needle-knife therapy combined and bone-reduction manipulation, patients of control group were treated with nerve block therapy. VAS score and illness grading scale were evaluated before and after each treatment. Result Effective rate in treatment group was 85%, in control group was 55%.There were significant differences between two groups（P〉0.05）. VAS score and illness grading scale of treatment group was better than control group. There were significant differences between two groups（P〉0.05）. Illness grading scale of suboccipital pain and forehead pain of treatment group was better than control group. There were significant differences between two groups（P〉0.05）. While there were not significant differences between two groups（P〉0.05） of illness grading scale of migraine. Conclusion The clinical efficacy of cervicogenic headache treated by needle-knife therapy combined with bone-reduction manipulation was significant. It is a safty and effective treatment. The clinical efficacy of suboccipital pain and forehead pain treated by needle-knife therapy was better than nerve block therapy.

关 键 词：颈源性头痛 针刀 颈椎整复手法 神经阻滞 

分 类 号：R681.5[医药卫生—骨科学]