摘要
目的探讨经皮神经电刺激(TENS)联合康复疗法对颈源性头痛患者头痛程度、睡眠质量及疼痛整体变化印象(PGIC)评分的影响.方法选择2020年5月—2022年1月我院收治的64例颈源性头痛患者,以随机数字表法分为对照组与观察组,每组32例.对照组采用常规康复疗法干预,观察组在此基础上采用TENS干预,均持续干预3个月.比较两组患者的头痛程度及匹茨堡睡眠质量指数量表(PSQI)、PGIC、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分.结果干预后,观察组的头痛程度轻于对照组,差异有统计学意义(P<0.05).干预后,观察组的PSQI、SAS、SDS评分分别为(2.15±0.79)分、(49.28±1.07)分、(47.25±1.04)分,均低于对照组的(5.26±1.13)分、(52.63±2.13)分、(50.46±1.18)分,组间差异有统计学意义(P<0.05).干预后,观察组的PGIC评分为(6.14±0.05)分,高于对照组的(4.28±0.16)分,差异有统计学意义(P<0.05).结论将TENS联合康复疗法应用于颈源性头痛患者中,可有效减轻其头痛程度,改善睡眠质量及疼痛整体变化印象,纾解负性心理,值得临床推广使用.
Objective To investigate the effect of transcutaneous electrical nerve stimulation(TENS)combined with rehabilitation therapy on headache degree,sleep quality and patient global impression of change(PGIC)score in patients with cervical headache.Methods 64 patients with cervical headache admitted to our hospital from May 2020 to January 2022 were divided into a control group and an observation group by random number table method,with 32 cases in each group.The control group was treated with conventional rehabilitation therapy,and the observation group was treated with TENS on the basis of this intervention.The intervention lasted for 3 months.The severity of headache and the scores of Pittsburg sleep quality index(PSQI),PGIC,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were compared between the two groups.Results After intervention,the severity of headache in the observation group was less than that in the control group,the difference was statistically significant(P<0.05).After intervention,the PSQI,SAS and SDS scores of the observation group were(2.15±0.79)points,(49.28±1.07)points and(47.25±1.04)points,respectively,which were lower than(5.26±1.13)points,(52.63±2.13)points and(50.46±1.18)points of the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the PGIC score of the observation group was(6.14±0.05)points,which was higher than(4.28±0.16)points of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of TENS combined with rehabilitation therapy in patients with cervical headache can effectively reduce the degree of headache,improve the quality of sleep and the overall impression of pain change,relieve negative psychology,and is worthy of clinical promotion and use.
作者
康方方
袁笠婷
KANG Fangfang;YUAN Liting(Department of Neurology,Weihai Maternal and Child Health Hospital,Weihai Shandong,264200,China)
出处
《反射疗法与康复医学》
2022年第22期51-53,61,共4页
Reflexology And Rehabilitation Medicine
关键词
颈源性头痛
经皮神经电刺激
康复疗法
疼痛程度
睡眠质量
Cervical headache
Transcutaneous electrical nerve stimulation
Rehabilitation therapy
Degree of pain
Sleep quality
作者简介
康方方(1981-),女,山东威海人,本科,副主任医师,研究方向:神经内科疾病诊疗。
