滞针提插项三穴治疗颈源性头痛疗效观察及对炎症因子的影响  

Curative Effect Observation on Method of Lifting and Thrusting of Sticking Needle on Fengchi, Tianzhu and Tianyou Acupoints for Cervical Headache and Its Effect on Inflammatory Factors

作　　者：潘胜莲[1] 王庆来[1] 郑士立[1] 邹晓静[1] PAN Shenglian;WANG Qinglai;ZHENG Shili;ZOU Xiaojing

机构地区：[1]浙江中医药大学附属温州市中医院,浙江温州325000

出　　处：《新中医》2018年第9期175-178,共4页New Chinese Medicine

基　　金：浙江省温州市科技局科技项目(Y20160210)

摘　　要：目的:观察滞针提插项三穴治疗颈源性头痛的临床疗效及对炎症因子的影响。方法:将80例患者随机分为治疗组、常规针刺组各40例,治疗组采用滞针提插项三穴,即风池、天柱、天牖穴;常规针刺组采用常规针刺疗法;5天为1疗程,2疗程后,观察2组治疗前后简明麦吉尔疼痛量表[疼痛分级指数评定(PRI)、视觉模拟定级评分(VAS)和现有痛强度(PPI)]评分,检测血清白细胞介素-6(IL-6)、一氧化氮(NO)及肿瘤坏死因子-α(TNF-α)水平,并统计临床疗效。结果:治疗后2组简明麦吉尔疼痛量表总分及PRI、VAS、PPI评分均较治疗前明显下降(P<0.0 1),且治疗组上述各项评分下降较常规针刺组更显著(P<0.0 1)。治疗后2组血清IL-6、NO及TNF-α水平均较治疗前明显下降(P<0.0 1),且治疗组上述指标改善较常规针刺组更显著(P<0.0 1)。总有效率治疗组为92.5%,常规针刺组为70.0%,2组比较,差异有统计学意义(P<0.05)。结论:滞针提插项三穴治疗颈源性头痛疗效显著,可显著改善患者简明麦吉尔疼痛量表评分及炎症因子水平,疗效优于常规针刺治疗。Objective：To observe the clinical effect of the method of lifting and thrusting of sticking needle on Fengchi,Tianzhu and Tianyou acupoints for cervical headache and its effect on inflammatory factors. Methods： Divided 80 cases of patients into the treatment group and the routine acupuncture group randomly,40 cases in each group. The treatment group adopted the method of lifting and thrusting of sticking needle on Fengchi,Tianzhu and Tianyou acupoints,while the routine acupuncture group adopted conventional acupuncture method. There were five days in one course of treatment. After two courses of treatment, observed the scores of brief Mc Gill pain questionaire,including the pain rating index（PRI）,scores of visual analogue scale（VAS） and present pain intensity（PPI）.Detected the levels of interleukin-6（IL-6）, nitric oxide（NO） and tumor necrosis factor-α（TNF-α） in serum, and carried out the statistics of the clinical curative effect. Results： After treatment, the total scores of the brief Mc Gill pain questionaire and scores of PRI, VAS and PPI in the two groups were decreased significantly when compared with those before treatment（P〈0.01）, and the above scores in the treatment group were decreased more significantly than those in the routine acupuncture group（P〈0.01）. After treatment, levels of IL-6, NO and TNF-α in serum in the two groups were decreased obviously when compared with those before treatment（P〈0.01）,and the above indexes in the treatment group were improved more obviously than those in the routine acupuncture group（P〈0.01）. The total effective rate was 92.5% in the treatment group and was 70.0% in the routine acupuncture group, the difference being significant（P〈0.05）. Conclusion： The method of lifting and thrusting of sticking needle on Fengchi, Tianzhu and Tianyou acupoints has remarkable curative effect in treating cervical headache,and can improve scores of brief Mc Gill pain questionaire and levels of inflammatory factors,whose ther

关 键 词：颈源性头痛 滞针提插 风池穴 天柱穴 天牖穴 炎症因子 

分 类 号：R246.9[医药卫生—针灸推拿学]