“龙虎交战”法针刺治疗颈源性头痛疗效的临床观察

发布时间：2018-01-23 02:53

本文关键词： “龙虎交战法” 针刺治疗颈源性头痛疗效观察　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的及意义：颈源性头痛是临床常见的一种头痛病症,且发病率呈上升趋势。本文拟通过临床试验,观察“龙虎交战”针法对颈源性头痛患者主要症状的改善,并与常规针刺治疗进行对比。结合其临床疗效评价,阐述其临床运用的可行性,为临床治疗提供借鉴及指导。研究方法：选取60例符合条件的受试者,分组原则采取随机对照的方式,将受试者分为2组,对照组及治疗组。对照组即常规针刺组,治疗组为“龙虎交战”针法组。每一组纳入病人30例。在穴位的选择上,我们考虑局部取穴与远端取穴相结合的原则,主要选取以下穴位,颈部：双侧风池穴、颈部夹脊穴、大椎穴,远端：双侧合谷穴以及位于足背部的太冲穴(双侧)。在局部穴位的选择上,我们借助于影像学手段,根据影像学神经节段取颈椎病变周围穴位。结合触诊手法在中医学中的重要地位,我们通过触诊寻找受试者颈部的阳性反应点,根据其疼痛性状回馈,选择压痛明显的部位,进行治疗。疗程的选择上,我们共治疗3个疗程,1周为1个疗程,每周治疗3次,隔日一次。观察指标：头痛视觉模拟评分(VAS)及其加权值；患者主要症状及体征；Zung焦虑自评量表评价(SAS)、Zung抑郁自评量表评价(SDS)；经颅彩色多普勒(TCD)检测：椎动脉(LA)、基底动脉(BA)的平均血流速度。结论及意义：“龙虎交战”针法和常规针刺治疗对于颈源性头痛的治疗均具有肯定的临床效果,能够显著缓解患者头痛症状,且治疗后疗效基本相同。“龙虎交战”针法在治疗初期较常规针刺疗效好,见效较快,远期疗效与常规针刺并无明显差异。同时“龙虎交战”法刺激量较大,部分患者难以承受。因此在临床的实际操作过程中,建议可根据患者实际情况酌情选择治疗方法。
[Abstract]:Objective and significance: cervical headache is a common headache disease in clinic, and the incidence is on the rise. This article intends to observe the improvement of the main symptoms of cervical headache patients by "Dragon and Tiger belligerent" acupuncture method through clinical trials. And compared with the conventional acupuncture treatment, combined with its clinical efficacy evaluation, expound the feasibility of its clinical application, to provide reference and guidance for clinical treatment. Research methods: 60 eligible subjects were selected. The principle of grouping was randomly controlled. The subjects were divided into two groups: the control group and the treatment group. The control group was the routine acupuncture group. The treatment group was "Dragon and Tiger belligerent" acupuncture group. Each group included 30 patients. In the selection of acupoints, we considered the principle of combining local and distal points, and mainly selected the following points. Neck: bilateral Fengchi point, neck Jiaji point, Dazhui point, distal point: bilateral Hegu point and Taichong point located on the back of foot. According to the imaging nerve segment of cervical spondylosis changes around the acupoints, combined with the important role of palpation in traditional Chinese medicine, we find the positive reaction points in the neck of the subjects through palpation, and feedback according to their pain characteristics. The choice of treatment course, we treat a total of three courses of treatment for one week as a course of treatment, three times a week. Observation measures: visual analogue score of headache and its weighted value; The main symptoms and signs of the patients; Zung anxiety Self-Rating scale (Zung) was used to evaluate Zung. Transcranial Color Doppler Imaging (TCD): vertebral artery (LAA). Conclusion: the acupuncture method of "Dragon and Tiger belligerent" and routine acupuncture have positive clinical effect on the treatment of cervical headache. Can significantly alleviate the headache symptoms of patients, and the curative effect after treatment is basically the same. "Dragon and Tiger belligerent" acupuncture treatment in the early stage of treatment is better than the conventional acupuncture, the effect is faster. There is no significant difference between the long-term effect and conventional acupuncture. At the same time, the "Dragon and Tiger belligerent" method stimulates a large amount, some patients are difficult to bear, so in the clinical practice process. It is suggested that the treatment should be chosen according to the actual situation of the patient.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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