压敏点恢刺法治疗颈源性头痛的随机对照试验

发布时间：2018-12-12 20:00

【摘要】：目的:观察压敏点恢刺法对颈源性头痛的临床疗效以及对颈椎活动度的影响。方法:观察颈源性头痛患者72例,随机分为治疗组和对照组,各36例。两组的针刺取穴均为颈枕部的压敏点,治疗组在压敏点施以恢刺法针刺治疗,而对照组则在压敏点施以单纯的提插、捻转,隔日1次,3次为1个疗程,共治疗两个疗程。治疗前后对患者的头痛视觉模拟评分、颈椎活动度进行评估,并根据疼痛视觉模拟评分的改善率构成比分析其临床疗效。结果:两种针刺手法在压敏点进行针刺治疗颈源性头痛,均能有效降低患者头痛的视觉模拟评分和改善患者的颈椎活动度(P0.05),但治疗组明显优于单纯提插、捻转对照组;两组在头痛改善率方面总有效率均为100%,但治疗组的显效率高达100%,而单纯提插、捻转组的显效率仅为61.11%,两组差别有统计学意义(P0.05)。结论:压敏点恢刺法治疗本病,不仅可以改善患者疼痛的症状,而且可以改善其颈椎的活动度,临床疗效明显优于单纯提插、捻转对照组,值得临床推广应用。
[Abstract]:Objective: to observe the clinical effect of pressure-sensitive point resuscitation on cervical headache and its effect on cervical motion. Methods: 72 patients with cervical headache were randomly divided into treatment group and control group, 36 cases each. The acupuncture points of the two groups were all the pressure-sensitive points of the neck and occipital region. The treatment group was treated with restoring acupuncture at the pressure-sensitive point, while the control group was treated with simple lifting and twirling at the pressure-sensitive point, once every other day, 3 times as a course of treatment for two courses of treatment. The visual analogue score of headache and cervical motion were evaluated before and after treatment, and the clinical efficacy was analyzed according to the improvement rate ratio of pain visual analogue score. Results: the treatment of cervical headache with two kinds of acupuncture manipulation at pressure-sensitive point could effectively reduce the visual analogue score of headache and improve the cervical vertebra movement (P0.05), but the treatment group was superior to simple lifting and inserting. Twisting control group; The total effective rate of the two groups in the improvement rate of headache was 100, but the effective rate of the treatment group was as high as 100, and the significant effect rate of twisting group was only 61.111.The difference between the two groups was statistically significant (P0.05). Conclusion: the treatment of this disease not only can improve the symptoms of pain, but also improve the motion of cervical vertebrae. The clinical curative effect is obviously better than that of simple lifting and twisting control group, which is worthy of clinical popularization and application.
【作者单位】：广州中医药大学深圳医院;
【基金】：深圳市科技创新计划项目,编号:JCYJ20150331091533450 福田区卫生公益性项目,编号:FTWS2015023
【分类号】：R246.9

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