邵氏无痛手法配合牵引下正骨、针灸治疗颈源性头痛  

Clinical Observations on Shao's Painless Manipulation Therapy Combined with Bone-Setting Under Traction,Acupuncture and Moxibustion in Treatment of Cervicogenic Headache

作　　者：李长河 牛俊革 LI Changhe;NIU Junge(Zhengzhou Municipal Hospital of Pains on Neck,Shoulder and Waist,Zhengzhou Henan China 45005)

机构地区：[1]郑州市颈肩腰腿痛医院,河南郑州450052

出　　处：《中医学报》2018年第7期1355-1358,共4页Acta Chinese Medicine

基　　金：国家"十一五"重点专科建设项目(16J2X1L116K119)

摘　　要：目的:探讨邵氏无痛手法配合牵引下正骨、针灸治疗颈源性头痛的临床疗效。方法:将62例颈源性头痛患者随机分为两组,按照对枕部、颈部、背部痛区、痛线的划分,确定治疗部位。其中常规组31例,应用牵引下正骨、针灸进行治疗;试验组31例,在常规组治疗基础上配合邵氏无痛手法进行治疗。对比两组临床疗效、疼痛视觉模拟评分(visual analogue scale,VAS)、复发率。结果:试验组有效率为96.77%,对照组有效率为80.65%,两组比较,差异有统计学意义(P<0.05)。两组治疗后VAS较治疗前显著降低(P<0.05),且试验组较常规组降低幅度更为明显(P<0.05)。试验组复发率12.50%,常规组复发率31.25%,两组比较,差异有统计学意义(P<0.05)。结论:应用邵氏诊疗法,摸位准确,手法得当,同时配合牵引下正骨、针灸治疗颈源性头痛疗效确切。Objective：To investigate the clinical efficacy of Shaw＇s painless manipulation combined with traction of bone and acupuncture in the treatment of cervical headache. Methods：Sixty-two patients with cervicogenic headache were randomly divided into two groups. The treatment site was determined according to the division of the occipital region,neck region,back pain region and pain line. Among them,31 patients in the routine group were treated with traction under the bone and acupuncture. Another 31 patients in the experimental group were treated with Shaw＇s painless method on the basis of routine group therapy. The clinical efficacy and visual analogue scale（ VAS） score and the recurrence rate were compared between the two groups. Results：The effective rate was 96. 77% in the experimental group and 80. 65% in the control group. The difference between the two groups was statistically significant（ P〈0. 05）. The VAS after treatment in both groups was significantly lower than that before treatment（ P〈0. 05）,and the decrease was more significant in the experimental group than in the conventional group（ P〈0. 05）. The recurrence rate was12. 50% in the experimental group and 31. 25 in the conventional group. There was a statistically significant difference between the two groups（ P〈0. 05）. Conclusion：Shaw＇ s diagnosis therapy is accurate determine the treatment position. With appropriate technique,and traction under the bone and acupuncture treatment of cervical headache the curative efficacy is significant.

关 键 词：颈源性头痛 邵氏无痛手法 牵引疗法 针灸疗法 

分 类 号：R245.472[医药卫生—针灸推拿学]