电针结合神经松动术治疗枕神经痛的临床观察

发布时间：2018-08-07 18:36

【摘要】：目的:观察电针结合神经松动术对枕神经痛的影响,探讨枕神经痛的治疗方案。方法:枕神经痛患者随机分为电针治疗组19例、神经松动术组22例及电针结合神经松动术组21例。电针治疗组采用电针针刺玉枕、风池、天柱、完骨等穴;神经松动术组采用C2神经松动术治疗;电针结合神经松动术组将两种方法结合治疗。均每日治疗1次,治疗2周。治疗前后评价视觉模拟量尺(VAS)评分、头痛6点行为评分(BRS-6)并评价疗效。结果:与本组治疗前相比,各组患者VAS评分、BRS-6评分均降低(P0.05),电针结合神经松动术组较其他两组降低更明显(P0.01,P0.05)。电针治疗组、神经松动术组和电针结合神经松动术组的总有效率分别为78.95%(15/19)、68.18%(15/22)和90.48%(19/21),电针结合神经松动术组总有效率高于电针治疗组和神经松动术组(P0.05)。结论:电针、神经松动术以及电针结合神经松动术均能改善枕神经痛患者的症状,疗效确切。电针结合神经松动术疗法对于枕神经痛的疗效优于单纯电针疗法或神经松动术疗法。
[Abstract]:Objective: to observe the effect of electroacupuncture combined with nerve loosening on occipital neuralgia and explore the treatment scheme of occipital neuralgia. Methods: patients with occipital neuralgia were randomly divided into electroacupuncture group (n = 19), nerve loosening group (n = 22) and electroacupuncture combined with nerve loosening group (n = 21). Electroacupuncture treatment group with electroacupuncture Yu pillow, Fengchi, Tianzhu, and other points; nerve loosening group with C2 nerve loosening treatment; electroacupuncture combined with nerve loosening group will combine the two methods. All patients were treated once a day for 2 weeks. Visual analogue scale (VAS) score, headache 6 point behavior score (BRS-6) and curative effect were evaluated before and after treatment. Results: compared with before treatment, the VAS score and BRS-6 score of each group were all decreased (P0.05), the electroacupuncture combined with nerve loosening group was significantly lower than that of the other two groups (P0.01 P05). The total effective rates of electroacupuncture group, nerve loosening group and electroacupuncture combined group were 78.95% (15 / 19) and 90.48% (19 / 21), respectively. The total effective rate of electroacupuncture combined with nerve loosening group was higher than that of electroacupuncture group and nerve loosening group (P0.05). Conclusion: electroacupuncture, nerve loosening and electroacupuncture combined with nerve loosening can improve the symptoms of patients with occipital neuralgia. The curative effect of electroacupuncture combined with nerve loosening for occipital neuralgia is better than that of electroacupuncture alone or nerve loosening.
【作者单位】：黑龙江中医药大学附属第二医院康复中心;黑龙江中医药大学研究生院;
【基金】：黑龙江中医药大学创新人才基金(No.051290)
【分类号】：R246.6

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