程氏“通脱法”针刺治疗颈源性头痛的临床研究

发布时间：2018-08-23 15:21

【摘要】：目的：观察程氏“通脱法”针刺与普通针刺治疗颈源性头痛患者治疗后及治疗结束1个月后随访时的临床疗效。方法：本次研究的病例均来自于2015年3月-2015年12月就诊于常州市中医院针灸科门诊的颈源性头痛患者。将60例患者随机分为通脱法针刺组30例和普通针刺组30例。隔天治疗1次,一个疗程5次,共治疗1个疗程。分别于治疗前、治疗后、治疗结束1月后随访时对头痛程度(VAS)、头痛持续时间、头痛频率、颈椎活动度(ROM)、睡眠质量(QS)、疼痛分级指数(PRI)进行评分。在治疗结束时和1月后随访时对数据结果归纳分析并评价疗效。结果：通脱法针刺组治疗后头痛症状缓解总有效率为96.67%,普通针刺组为93.33%,两组治疗后组间比较无统计学意义(P0.05)。但通脱法针刺组1月后随访时症状缓解总有效率为93.33%,普通针刺组为66.67%,两组1月后随访时组间比较有统计学意义(P0.05)。通脱法针刺组症状缓解治疗后和1月后随访时组内比较无统计学意义(P0.05),普通针刺组症状缓解治疗后和1月后随访时组内比较有统计学意义(P0.05)。两种治疗方法各自治疗1疗程后均可使VAS、头痛持续时间、头痛频率评分降低,三项评分治疗前后组内比较有显著统计学差异(P0.01),但组间比较无统计学差异(P0.05)。两种治疗方法1月后随访时各项头痛评分与各自治疗前组内比较有显著统计学差异(P0.01),但组间比较有统计学差异(P0.05)。.两种治疗方法各自治疗1疗程后均可使ROM评分、QS评分、PRI评分降低,组内比较治疗前后均有显著统计学差异(P0.01),组间比较也有统计学差异(P0.05)。两种治疗方法1月后随访时三项评分组内比较均有显著统计学差异(P0.01),组间比较有统计学差异(P0.05)。结论：1程氏“通脱法”能有效改善颈源性头痛症状,且程氏“通脱法”远期疗效较普通针刺法更优。2程氏“通脱法”能有效改善颈源性头痛患者的颈部症状、睡眠质量、疼痛感觉,近远期疗效均优于普通针刺法。3本研究采用程氏“通脱法”治疗颈源性头痛取得较满意的临床疗效,优化了临床治疗颈源性头痛的取穴组合和取穴先后顺序,为今后在相关领域的临床和实验研究提供了新的思路和方法。
[Abstract]:Objective: to observe the clinical effect of Cheng's "Tongtu method" acupuncture and common acupuncture on cervical headache patients after treatment and 1 month follow-up. Methods: all the patients in this study were from March 2015 to December 2015 in the Department of Acupuncture and moxibustion Department of Changzhou Hospital of traditional Chinese Medicine. 60 patients were randomly divided into Tongde acupuncture group (n = 30) and common acupuncture group (n = 30). Treatment once every other day, 5 times a course of treatment, a total of one course of treatment. (VAS), headache duration, headache frequency, (ROM), sleep quality and (QS), pain index (PRI) were evaluated before and after treatment and 1 month after treatment. The data were analyzed and evaluated at the end of treatment and 1 month follow-up. Results: the total effective rate of relieving headache symptoms was 96.67 in the Tongtu acupuncture group and 93.33 in the common acupuncture group. There was no significant difference between the two groups after treatment (P0.05). But the total effective rate of symptom relief was 93.33 in the Tongde acupuncture group and 66.67 in the common acupuncture group. There was significant difference between the two groups at the follow-up after one month (P0.05). There was no significant difference in symptom relief and 1 month follow-up in Tongde acupuncture group (P0.05), but there was statistical significance in general acupuncture group after symptom relief treatment and 1 month follow-up (P0.05). After one course of treatment, VAS, headache duration, headache frequency score were decreased. There was significant difference between the three groups before and after treatment (P0.01), but there was no statistical difference between the two groups (P0.05). There was a significant difference in headache score between the two groups after 1 month follow-up (P0.01), but there was significant difference between the two groups (P0.05). After one course of treatment, the ROM score and QS score and PRI score of the two treatment groups were significantly lower than those before and after treatment (P0.01), and there was also a statistical difference between the two groups (P0.05). There was significant statistical difference in the three scores between the three groups (P0.01), and there was statistical difference between the two treatment methods (P0.05). ConclusionThe Cheng's "through and off method" can effectively improve the cervical headache symptoms, and the long term curative effect of Cheng's "Tongde" method is better than that of the common acupuncture method. 2. Cheng's "through and off method" can effectively improve the neck symptoms and sleep quality of patients with cervical headache. The short-term and long-term effects of pain sensation were better than that of common acupuncture. 3. In this study, Cheng's "Tongde method" was used to treat cervical headache with satisfactory clinical effect, and the combination of acupoints and the order of acupoint extraction were optimized for clinical treatment of cervical headache. It provides new ideas and methods for clinical and experimental research in related fields.
【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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