不同直径针具在压敏点恢刺法治疗颈源性头痛中的疗效差异分析
|
摘要
目的:观察不同直径针具对颈源性头痛患者简式McGill疼痛问卷评分、颈椎活动度、头痛改善率的影响,以评价其临床疗效,并观察其压敏点痛阈的变化情况。方法:将72例颈源性头痛患者随机分为治疗组和对照组各36例,治疗组采用直径0.45 mm的毫针行压敏点恢刺法,对照组采用直径0.30 mm的毫针行压敏点恢刺法,隔日治疗1次,每周治疗3次,共治疗2周。在治疗前及疗程结束后第2天,予简式McGill疼痛问卷评分、颈椎活动度评估及痛阈测定。结果:治疗组在改善患者简式McGill疼痛问卷评分、颈椎活动度和头痛改善率方面均优于对照组(P<0.05);两组患者治疗后压敏点的痛阈均升高(P<0.05);治疗组患者治疗后压敏点的痛阈高于对照组(P<0.05)。结论:在压敏点恢刺法治疗颈源性头痛的针灸治疗中,粗针的临床疗效优于细针,其作用机制可能与松解粘连,缓解肌筋膜痉挛及纠正高位颈椎关节紊乱相关。
Objective: To observe the effects of different diameter acupuncture needles on the Short-form McGill pain Questionnaire score, range of the motion in the neck and improvement rate of headache in patients of Cervicogenic headache, evaluate the clinical effect and observe the change of pain threshold of pressure-sensitive point. Methods: A total of 72 cases of patients were randomly divided into treatment and control groups,36 cases in each group. The treatment group was treated by relaxing needling(Huici) with the 0.45 mm diameter acupuncture needles on pressure-sensitive point. The control group was treated by relaxing needling(Huici)with the 0.30 mm diameter acupuncture needles on pressure-sensitive point. Both of the groups were accepted treatment once every other day and three times per week for two week. The McGill pain questionnaire score,range of the motion in the neck and pain threshold were measured before treatment and two days after the end of treatment. Results: The treatment group showed better efficacy than control group, on Short-form McGill pain Questionnaire score, range of the motion in the neck and rate of headache(P<0.05). The pain threshold of pressure-sensitive point increased in two groups(P<0.05), and the treatment group showed higher pain threshold of pressure-sensitive point than control group(P <0.05). Conclusion: In the acupuncture treatment of Cervicogenic headache with relaxing needling(Huici) on pressure-sensitive point, the clinical effect of thick needle showed efficacy than fine needle, and its mechanism may be associated with releasing of adhesion and promoting to make a correction of the Muscle fascias' spasm and high position cervical vertebra joint disorder.
Objective: To observe the effects of different diameter acupuncture needles on the Short-form McGill pain Questionnaire score, range of the motion in the neck and improvement rate of headache in patients of Cervicogenic headache, evaluate the clinical effect and observe the change of pain threshold of pressure-sensitive point. Methods: A total of 72 cases of patients were randomly divided into treatment and control groups,36 cases in each group. The treatment group was treated by relaxing needling(Huici) with the 0.45 mm diameter acupuncture needles on pressure-sensitive point. The control group was treated by relaxing needling(Huici)with the 0.30 mm diameter acupuncture needles on pressure-sensitive point. Both of the groups were accepted treatment once every other day and three times per week for two week. The McGill pain questionnaire score,range of the motion in the neck and pain threshold were measured before treatment and two days after the end of treatment. Results: The treatment group showed better efficacy than control group, on Short-form McGill pain Questionnaire score, range of the motion in the neck and rate of headache(P<0.05). The pain threshold of pressure-sensitive point increased in two groups(P<0.05), and the treatment group showed higher pain threshold of pressure-sensitive point than control group(P <0.05). Conclusion: In the acupuncture treatment of Cervicogenic headache with relaxing needling(Huici) on pressure-sensitive point, the clinical effect of thick needle showed efficacy than fine needle, and its mechanism may be associated with releasing of adhesion and promoting to make a correction of the Muscle fascias' spasm and high position cervical vertebra joint disorder.
引文
[1]SJAASTAD O,BAKKETEIG L S.Prevalence of cervicogenic headache:Vaga study of headache epidemiology[J].Acta Neurol Scand,2008,117(3):173-180.
[2]李石良,韩峰,张辰宇.330例颈源性头痛临床特征回顾性分析[J].中国骨伤,2010,23(3):208-211.
[3]KNACKSTEDT H,BANSEVICIUS D,AASETH K,et al.Cervicogenic headache in the general population:the Akershus study of chronic headache[J].Cephalalgia,2010,30(12):1468-1476.
[4]唐旭,任路影,李亦梅.针刺治疗颈源性头痛疗效:更新的系统评价[J].中国疼痛医学杂志,2017,23(11):830-836.
[5]谢宇锋,陈赟,冯军,等.压敏点恢刺法治疗颈源性头痛的临床疗效分析[J].中国中医急症,2016,25(7):1383-1385.
[6]谢宇锋,陈赟,冯军,等.压敏点恢刺法治疗颈源性头痛的随机对照试验[J].针灸临床杂志,2017,33(4):36-39.
[7]Headache Classification Subcommittee of the International Headache Society.The International classification of headache disorders,2nd edition[J].Cephalalgia,2004,24(Suppl 1):9-160.
[8]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:186.
[9]张义,郭长青.撬拨刺法探幽[J].中国针灸,2013,33(3):229.
[10]刘建励,林咸明.结合颈部解剖和十二经筋理论对颈源性头痛的治疗探析[J].实用中医内科学杂志,2011,25(9):26-28,31.
[11]王延艳.颈2、3背根神经节脉冲射频联合神经阻滞在颈源性头痛患者中的应用[J].中国现代药物应用,2017,11(3):72-73.
[12]朱兵,荣培晶,贲卉,等.针刺镇痛的节段性机制与全身性机制研究[J].针刺研究,2007,32(3):144.
[13]吴珠.节段性与非节段性电针治疗慢性颈痛的临床研究[D].广州:广州中医药大学,2012.
[14]卢鑫.节段远近穴位伤害与非伤害刺激治疗慢性颈痛的临床研究[D].广州:广州中医药大学,2012.
[2]李石良,韩峰,张辰宇.330例颈源性头痛临床特征回顾性分析[J].中国骨伤,2010,23(3):208-211.
[3]KNACKSTEDT H,BANSEVICIUS D,AASETH K,et al.Cervicogenic headache in the general population:the Akershus study of chronic headache[J].Cephalalgia,2010,30(12):1468-1476.
[4]唐旭,任路影,李亦梅.针刺治疗颈源性头痛疗效:更新的系统评价[J].中国疼痛医学杂志,2017,23(11):830-836.
[5]谢宇锋,陈赟,冯军,等.压敏点恢刺法治疗颈源性头痛的临床疗效分析[J].中国中医急症,2016,25(7):1383-1385.
[6]谢宇锋,陈赟,冯军,等.压敏点恢刺法治疗颈源性头痛的随机对照试验[J].针灸临床杂志,2017,33(4):36-39.
[7]Headache Classification Subcommittee of the International Headache Society.The International classification of headache disorders,2nd edition[J].Cephalalgia,2004,24(Suppl 1):9-160.
[8]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:186.
[9]张义,郭长青.撬拨刺法探幽[J].中国针灸,2013,33(3):229.
[10]刘建励,林咸明.结合颈部解剖和十二经筋理论对颈源性头痛的治疗探析[J].实用中医内科学杂志,2011,25(9):26-28,31.
[11]王延艳.颈2、3背根神经节脉冲射频联合神经阻滞在颈源性头痛患者中的应用[J].中国现代药物应用,2017,11(3):72-73.
[12]朱兵,荣培晶,贲卉,等.针刺镇痛的节段性机制与全身性机制研究[J].针刺研究,2007,32(3):144.
[13]吴珠.节段性与非节段性电针治疗慢性颈痛的临床研究[D].广州:广州中医药大学,2012.
[14]卢鑫.节段远近穴位伤害与非伤害刺激治疗慢性颈痛的临床研究[D].广州:广州中医药大学,2012.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |