短刺针法结合旋颈调枢法治疗颈源性头痛的临床疗效观察  

Clinical Observation on the Efficacy of Short Thrust Needling Combined with Neck Rotation and Axis Adjustment for the Treatment of Cervicogenic Headache

作　　者：王永亮[1,2] 梅荣军[1] 刘晓阳 由佳鑫 李岳峰 尹世琦 于连君 张健[2] WANG Yongliang;MEI Rongjun;LIU Xiaoyang;YOU Jiaxin;LI Yuefeng;YIN Shiqi;YU Lianjun;ZHANG Jian(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The Third Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150036,China;Hegang Hekuang Hospital,Hegang 154100,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第三医院,黑龙江哈尔滨150036 [3]鹤岗鹤矿医院,黑龙江鹤岗154100

出　　处：《中医药学报》2024年第11期60-65,共6页Acta Chinese Medicine and Pharmacology

基　　金：黑龙江省自然科学基金项目(YQ2020H029);黑龙江省中医药管理局科研项目(ZHY2022-195)。

摘　　要：目的:探究短刺针法结合旋颈调枢法治疗颈源性头痛的临床疗效及安全性。方法:随机选取黑龙江中医药大学附属第三医院推拿科2022年1月—2023年1月就诊的颈源性头痛患者100例纳入本研究。采用随机数字表法将其随机分为对照组和观察组,每组50例。对照组给予口服安普洛治疗,60 mg/次,3次/d,治疗2周;观察组给予短刺针法结合旋颈调枢法治疗,隔日1次,每周治疗3次,治疗2周。比较两组患者治疗前后视觉模拟疼痛量表(VAS)、颈椎活动度评分(ROM)、测量寰齿侧间隙两侧差值、枢椎棘突中心点到齿状突中线的垂直距离差值及其安全性评价。结果:治疗2周后,两组患者的VAS评分较治疗前均明显下降(P<0.01),且观察组的VAS评分明显低于对照组(P<0.01)。治疗2周后,两组患者的颈椎关节活动度(ROM)较治疗前均显著升高(P<0.01),且观察组的ROM评分明显高于对照组(P<0.01)。治疗2周后,观察组患者寰齿侧间隙两侧差值和棘突中点到齿状突中线的垂直距离差值较治疗前均显著降低(P<0.01),而对照组无明显差异(P>0.05),且观察组的寰齿侧间隙两侧差值和棘突中点到齿状突中线的垂直距离差值较对照组均显著降低(P<0.01)。观察组的总有效率为91.1%(41/45),对照组为68.2%(30/44),观察组的临床疗效显著优于对照组(P<0.01)。结论:短刺针法结合旋颈调枢法治疗颈源性头痛与口服安普洛相比疗效更佳。Objective:To explore the clinical efficacy and safety of Short Thrust Needling combined with Neck rotation and axis adjustment in the treatment of cervicogenic headache.Methods:A total of 100 patients with cervicogenic headache,who were treated at the Department of Tuina,the Third Affiliated Hospital of Heilongjiang University of Chinese Medicine,from January 2022 to January 2023,were randomly selected for this study.They were randomly divided into a control group and an observation group,with 50 cases in each group,using a random number table.The control group received oral Amprol treatment,60 mg per dose,3 times a day for 2 weeks.The observation group was treated with Short Thrust Needling combined with Neck rotation and axis adjustment every other day,3 times a week,for 2 weeks.The Visual Analog Scale(VAS)for pain,cervical range of motion(ROM),the difference in the lateral atlanto-odontoid space,the vertical distance from the midpoint of the spinous process to the midline of the odontoid process,and safety evaluations were compared between the two groups before and after treatment.Results:After 2 weeks of treatment,the VAS scores in both groups significantly decreased compared to before treatment(P<0.01),and the VAS score in the observation group was significantly lower than in the control group(P<0.01).After 2 weeks,the ROM in both groups significantly improved compared to before treatment(P<0.01),with the observation group showing a higher ROM score than the control group(P<0.01).The difference in the lateral atlanto-odontoid space and the vertical distance from the midpoint of the spinous process to the midline of the odontoid process significantly decreased in the observation group after treatment(P<0.01),while there were no significant changes in the control group(P>0.05).The observation group had significantly lower differences in these measurements compared to the control group(P<0.01).The overall effective rate was 91.1%(41/45)in the observation group,compared to 68.2%(30/44)in the control group,with t

关 键 词：短刺针法 旋颈调枢法 颈源性头痛 安普洛 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]