并针疗法治疗颈源性头痛的临床疗效观察  

Observation on Clinical Efficacy of Simultaneous Double-needle Acupuncture for the Treatment of Cervicogenic Headache

作　　者：杨艳芳 刘步平[2] 张美娟 邓嘉颖 苏家丽 YANG Yan-Fang;LIU Bu-Ping;ZHANG Mei-Juan;DENG Jia-Ying;SU Jia-Li(Clinical Medical School of Acupuncture,Moxibution and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006 [2]广州中医药大学公共卫生与管理学院,广东广州510006

出　　处：《广州中医药大学学报》2022年第10期2309-2314,共6页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察并针疗法治疗颈源性头痛的临床疗效。【方法】将70例颈源性头痛患者随机分为治疗组和对照组,每组各35例。治疗组给予并针疗法治疗(取颈部相关肌肉如斜方肌、头夹肌、颈夹肌、椎枕肌群的激痛点为治疗点,采用双针并刺、齐头并进、快速刺入治疗点进行治疗),对照组给予常规针刺治疗,每周治疗2次,共治疗4周。观察2组患者治疗前、治疗1周后和治疗4周后头痛程度视觉模拟量表(VAS)评分、头痛指数评分、颈椎活动度(ROM)评分的变化情况,并于治疗4周后评价2组患者的临床疗效。【结果】(1)治疗4周后,治疗组的显效率和总有效率分别为65.71%(23/35)、91.43%(32/35),对照组分别为42.86%(15/35)、88.57%(31/35);组间比较,治疗组的显效率(χ^(2)检验)和总体疗效(秩和检验)均明显优于对照组(P<0.05)。(2)治疗1周后和治疗4周后,2组患者的头痛程度VAS评分和头痛指数评分均较治疗前改善(P<0.05),治疗4周后又均较治疗1周后改善(P<0.05),且治疗组在治疗1周后对头痛程度VAS评分和头痛指数评分的改善作用均明显优于对照组(P<0.05)。(3)治疗组患者治疗1周后和治疗4周后的颈椎ROM评分情况均较治疗前改善(P<0.05),且治疗4周后又较治疗1周后改善(P<0.05);而对照组患者仅治疗4周后较治疗前改善(P<0.05)。组间比较,治疗组患者治疗1周后对颈椎ROM评分情况的改善作用明显优于对照组(P<0.05),而治疗4周后比较,差异无统计学意义(P>0.05)。(4)治疗过程中,2组患者均无不良反应和严重并发症发生。【结论】并针疗法治疗颈源性头痛疗效确切,可短时间内减轻患者的疼痛症状,改善患者的颈部活动度,提高患者的生活质量。Objective To observe the clinical efficacy of simultaneous double-needle acupuncture for the treatment of cervicogenic headache.Methods Seventy patients with cervicogenic headache were randomly divided into the treatment group and the control group,with 35 cases in each group.The treatment group was given simultaneous double-needle acupuncture therapy on the trigger point of the relevant neck muscles such as the trapezius,splenius capitis,splenius cervicis and vertebro-occipital muscle groups,and the treatment was carried out by simultaneous double-needle acupuncture and rapid needle insertion,while the control group was given conventional acupuncture therapy.The patients of both groups were treated twice a week for 4 weeks.The changes in the pain visual analogue scale(VAS)scores,headache index scores and cervical range of motion(ROM)scores of the two groups were observed before treatment and after one week and 4 weeks of treatment.After 4 weeks of treatment,the clinical efficacy of the two groups was evaluated.Results(1)After 4 weeks of treatment,the markedly effective rate and total effective rate in the treatment group were 65.71%(23/35)and 91.43%(32/35)respectively,and those in the control group were 42.86%(15/35)and 88.57%(31/35),respectively.The intergroup comparison showed that the markedly effective rate analyzed by Chi-square test and overall efficacy analyzed by rank sum test in the treatment group were superior to those in the control group(P<0.05).(2)After one week and4 weeks of treatment,the pain VAS scores and headache index scores in the two groups were improved compared with those before treatment(P<0.05),and the scores in the two groups after 4 weeks of treatment were much improved compared with those after one week of treatment(P<0.05).The intergroup comparison showed that the improvement of pain VAS scores and headache index scores in the treatment group after one week of treatment was superior to that in the control group(P<0.05).(3)The cervical ROM scores in the treatment group after one week

关 键 词：并针疗法 激痛点 颈源性头痛 疼痛视觉模拟量表(VAS)评分 头痛指数评分 颈椎活动度(ROM)评分 

分 类 号：R246.6[医药卫生—针灸推拿学]