针刺疗法结合手法对颈源性头痛镇痛时效的观察  

Observation on analgesic effect of acupuncture combined with manipulation on cervicogenic headache

作　　者：刘彬 赵文 LIU Bin;ZHAO Wen(The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine,Guiyang 550002,Guizhou,China)

机构地区：[1]贵州中医药大学第二附属医院,贵州贵阳550002

出　　处：《中国骨伤》2021年第6期514-517,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的:观察针刺疗法结合手法与单纯手法治疗颈源性头痛的疗效差异,验证手法与针刺疗法针刺的协同效应。方法:将颈源性头痛患者60例分为针刺疗法结合手法组(A组)和手法组(B组)。A组30例,男12例,女18例,年龄(41.37±12.09)岁,病程(23.73±15.54)个月;B组30例,男14例,女16例,年龄(42.40±12.05)岁,病程(25.53±14.33)个月。针刺疗法结合手法组取双侧风池(GB20),完骨(GB12),C2、C4棘突下左右旁开2寸的阿是穴,先针刺疗法,留针30 min,然后在上述穴位上行手法治疗20 min,手法组单用手法治疗。两组均每日治疗1次,每治疗5 d间隔2 d,10次为1个疗程,共治疗2个疗程。观察两组的镇痛起效时间、首次治疗后镇痛维持时间;并采用McGill疼痛询问量表比较两组首次治疗后以及2个疗程后的疼痛评分。结果:两组间镇痛起效时间比较,差异无统计学意义[(5.97±3.21)min vs.(7.30±3.97)min,P>0.05]。针刺疗法结合手法组镇痛维持时间长于手法组[(12.13±6.34)h vs.(8.17±4.36)h,P<0.05]。首次治疗后两组疼痛分级指数(pain rating index,PRI),视觉模拟量表(visual analogue scale,VAS),现有疼痛强度(present pain intensing,PPI)评分比较,差异无统计学意义(均P>0.05);2个疗程后针刺疗法结合手法组3项评分均低于手法组(均P<0.05)。结论:针刺疗法可以延长手法治疗的止痛时间,并且可以提高手法治疗的镇痛疗效。Objective:To compare therapeutic effects between nape acupuncture combined with manipulation and simple manipulation in treating cervicogenic headache,and to verify the synergistic effect of manipulation and nape acupuncture.Methods:Total 60 patients with cervicogenic headache were divided into two groups:nape acupuncture combined with manipulation group(group A)and manipulation group(group B).There were 30 patients in group A,including 12 males and 18 females with an average age of(41.37±12.09)years old,and an average course of disease of(23.73±15.54)months;there were 30 patients in the manipulation group(group B),including 14 males and 16 females with an average age of(42.40±12.05)years old,and an average course of disease of(25.53±14.33)months.In the group A,acupuncture therapy was performed firstly at the bilateral Fengchi(GB20),Wangu(GB12)and Ashi points 2 inches from the left and right sides under C2 and C4 spinous processes,and after retaining the needle for 30 minutes,the manipulation therapy was performed at the above points for 20 minutes.In the group B,manipulation therapy was performed alone.The patients in both groups were treated once a day,every 5 days of treatment interval 2 days,10 times as a course of treatment,a total of 2 courses of treatment.The average onset time of analgesia and the average maintenance time of analgesia after the first treatment were observed,and the McGill Pain Questionnaire was used to compare the average pain scores between the two groups after the first treatment and two courses of treatment.Results:There was no significant difference in the onset time of analgesia between the two groups[(5.97±3.21)min vs(7.30±3.97)min,P>0.05].The duration of analgesia in the group A was longer than that in the group B[(12.13±6.34)h vs(8.17±4.36)h,P<0.05].There was no significant difference in pain rating index(PRI),visual analogue scale(VAS)and present pain intensity(PPI)scores between the two groups after the first treatment(all P>0.05);after the two courses,the scores of thre

关 键 词：颈源性头痛 针刺疗法 肌肉骨骼手法 穴位 背部 

分 类 号：R685[医药卫生—骨科学]