刃针治疗颈源性头痛临床观察  

Clinical Observation of Blade Needle for Cervicogenic Headache

作　　者：杨洸[1] 李亚楠 盛录 南恒 夏厚纲 苏友新 

机构地区：[1]河南省洛阳正骨医院,河南洛阳471002 [2]福建省卫生职业技术学院,福建福州350101

出　　处：《新中医》2018年第2期127-130,共4页New Chinese Medicine

基　　金：河南省中医药科学研究专项课题(2015ZY02060)

摘　　要：目的:观察刃针治疗颈源性头痛的临床疗效。方法:将60例颈源性头痛患者随机分为2组各30例。刃针组采用刃针治疗,药物组采用尼美舒利分散片治疗。分别在治疗前和治疗9天后采用简化McGill疼痛评分表对2组患者疼痛情况进行评定,并观察有无不良反应。结果:治疗后,2组疼痛分级指数(PRI)的感觉评分及总分均下降,前后比较,差异均有统计学意义(P<0.05);治疗后,2组间感觉评分及总分分别比较,差异均有统计学意义(P<0.05),提示刃针疗法优于口服尼美舒利片分散片。治疗后,2组视觉模拟评分(VAS)及现有疼痛强度(PPI)评分均下降,治疗前后比较,差异均有统计学意义(P<0.05),提示2组治疗均有效。且2组比较,刃针组评分下降更明显,组间比较,差异均有统计学意义(P<0.05),提示刃针疗法优于口服尼美舒利片分散片。研究过程中未发现晕针、感染等不良反应。结论:刃针治疗颈性头痛能明显减轻头痛的症状,具有较好的疗效,值得临床运用。Objective：To observe the clinical effect of blade needle for cervicogenic headache. Methods：Divided 60 cases of patients with cervicogenic headache into two groups randomly,30 cases in each group. The blade-needle group received blade-needle therapy,while the medicine group was given nimesulide dispersible tablets. Evaluated pain of the two groups with simplified McGill pain questionnaire before treatment and in the 9 th day after treatment,and then observed whether there was any adverse reaction. Results：After treatment, the sensory scores of pain rating index（PRI） and total scores in both groups were decreased, differences being significant（P〈0.05）. The respective comparisons of sensory scores and total scores between the two groups showed significance in differences（P〈0.05）. After treatment,the scores of visual analogue scales（VAS） of pain and present pain intensity（PPI） were all decreased when compared with those before treatment,differences being significant（P〈0.05）. The scores in the blade-needle group were decreased more remarkably in comparison between the two groups, differences being significant（P〈0.05）,which indicated both treatments were effective and the blade-needle therapy was superior to the therapy of oral nimesulide dispersible tablets. There was no acupuncture syncope,infection and other adverse reaction being found during the process of study. Conclusion：Blade-needle therapy can obviously relieve the symptoms of headache and has good curative effect in treating cervicogenic headache,which is worthy of clinical application.

关 键 词：颈源性头痛 刃针疗法 疼痛分级指数 现有疼痛强度 视觉模拟评分 疼痛 

分 类 号：R681.5[医药卫生—骨科学]