脐针治疗颈源性头痛的随机对照研究  

Umbilical Acupuncture in the Treatment of Cervicogenic Headache: A Randomized Controlled Study

作　　者：汪婷 龚晓炜 包烨华[1] 楚佳梅[1] 余静[1] 曾友华[1] 刘小平[1] 朱颖[1] WANG Ting;GONG Xiaowei;BAO Yehua(Hangzhou Traditional Chinese Medicine Hospital Afiliated to Zhejiang Chinese Medical University,Hangzhou(310007),China;Baiyang Community Health Service Center,Baiyang Street,Qiantang District)

机构地区：[1]浙江中医药大学附属杭州市中医院,杭州310007 [2]杭州市钱塘区白杨街道白杨社区卫生服务中心

出　　处：《浙江中医药大学学报》2022年第11期1283-1287,1291,共6页Journal of Zhejiang Chinese Medical University

基　　金：浙江省中医药科技计划项目(2020ZA081);杭州市医学重点学科建设项目资助(2020SJZDXK05)。

摘　　要：[目的]观察脐针治疗颈源性头痛的临床疗效。[方法]选取2020年4月20日至2021年8月31日浙江中医药大学附属杭州市中医院武林及丁桥院区针灸康复科门诊的颈源性头痛患者120例,随机分为脐针治疗组和常规针刺组,脐针治疗组选取巽、离、坤、乾、坎位,常规针刺组选取太阳、丝竹空透率谷、风池、外关、侠溪、颈夹脊(C1~C3),两组均隔日治疗1次,每周3次,共计10次。比较治疗前后两组头痛频率、头痛持续时间、颈部肌肉的压痛阈,探究脐针治疗对颈源性头痛的临床疗效。[结果]治疗后两组头痛频率、头痛持续时间、颈部肌肉的压痛阈均较治疗前改善,差异有统计学意义(P<0.05);脐针治疗组头痛频率、头痛持续时间、颈部肌肉压痛阈(完骨、风池)的改善均优于常规针刺组,差异有统计学意义(P<0.05)。[结论]相较于常规针刺,脐针治疗颈源性头痛疗效显著,可明显改善头痛频率、头痛持续时间以及颈部肌肉的压痛阈。[Objective] To observe the clinical effect of umbilical acupuncture on cervicogenic headache. [Methods] A total of 120patients from Wulin and Dingqiao Hospitals of Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University from April 20, 2020 to August 31, 2021, who had cervicogenic headache were randomly divided into umbilical acupuncture treatment group and routine acupuncture group. The umbilical acupuncture treatment group was selected from Xun, Li, Kun, Gan and Kan, while the routine acupuncture group was selected from EX-HN5, SJ23 through GB8, GB20, SJ5, GB43, cervical EX~B2(C1~C3). The two groups were treated once every other day, 3 times a week, for a total of 10 times. The headache frequency, headache duration and neck muscle tenderness threshold were compared between the two groups before and after treatment, and the clinical effect of umbilical acupuncture on cervicogenic headache was explored. [Results] After treatments, headache frequency, headache duration and neck muscle tenderness threshold in both groups were relieved compared with those before treatments, and the difference was statistically significant(P<0.05). Umbilical acupuncture treatment group was better than routine acupuncture group in relieving headache frequency, headache duration and neck muscle tenderness threshold(GB12, GB20), and the difference was statistically significant(P <0.05). [Conclusion] Compared with routine acupuncture, umbilical acupuncture is more effective in treating cervicogenic headache, and has a significant effect on headache frequency, headache duration and neck muscle tenderness threshold.

关 键 词：颈源性头痛 脐针 针刺疗法 神阙 压痛阈 临床疗效 

分 类 号：R245[医药卫生—针灸推拿学]