摘要
目的:观察浮针配合悬吊运动治疗颈源性头痛的临床疗效。方法:收集2017年9月—2018年10月于中山市中医院就诊的颈源性头痛患者58例,随机分为针刺组和浮针组,每组各29例。针刺组采用常规针刺疗法,浮针组采用浮针配合悬吊运动。所有治疗均1次/天,5天为1个疗程,共治疗2个疗程。记录患者治疗第3次、第5次、第10次疼痛视觉模拟法(VAS)评分、颈椎活动度(ROM)评分,观察两组治疗前后的变化;3个月后对患者进行随访,记录患者3个月内因颈源性头痛加重再次行医疗干预的例数。结果:治疗前两组VAS评分、颈椎活动度(ROM)评分差异无统计学意义(P>0.05)。治疗第3次、第5次、第10次两组VAS评分均较前明显降低,差异有统计学意义(P<0.05);两组间相比,治疗第3次、第5次浮针组优于针刺组,差异有统计学意义(P<0.05);治疗第10次,两组VAS评分相比差异无统计学意义(P>0.05)。治疗第3次、第5次、第10次两组颈椎活动度(ROM)评分均较前改善,差异有统计学意义(P<0.05),但两组间同一治疗阶段相比,差异无统计学意义(P>0.05);3个月后随访记录患者3个月内因颈源性头痛加重而再次行医疗干预的例数,其中浮针组2例,针刺组有11例,所占比例分别是13.80%和37.93%。结论:对颈源性头痛患者采用浮针配合悬吊运动的治疗方法,可迅速改善患者头痛症状,且疗效持久,复发率低,值得推广。
Objective:To observe the clinical effect of floating acupuncture combined with sling exercise training in the treatment of cervical headache.Methods:58 patients with cervical headache were randomly divided into the acupuncture group(n=29)and the floating acupuncture group(n=29).The acupuncture group was treated with routine needling therapy;the floating acupuncture group was treated with floating acupuncture combined with sling exercise training.The treatment was once per day,5 times were taken as one course of treatment;the treatment duration was two courses.VAS scores and ROM scores were observed after 3rd,5th and 10th of treatment in the two groups.The patients were followed up after 3 months to record the number of repeated medical interventions due to cervical headache within 3 months.Results:There were no significant differences in VAS scores and ROM scores between the two groups before the treatment(P>0.05).The VAS scores were significantly lower after 3rd,5th and 10th of treatment in the two groups(P<0.05);of which the floating acupuncture group was superior to the acupuncture group after 3rd,5th of treatment(P<0.05);however there was no statistical difference between the two groups after 10th of treatment(P>0.05).The ROM scores were significantly improved after 3rd,5th and 10th of treatment(P<0.05);of which there were no statistical difference between the two groups at the same time point(P>0.05).The number of repeated medical interventions in the floating acupuncture group was 13.80%(2 cases)and it was 37.93%(11 cases)in the acupuncture group.Conclusion:Floating acupuncture combined with sling exercise training can quickly improve the headache symptoms of patients in the treatment of cervical headache,the curative effect is lasting,and the recurrence rate is low.The therapy is worth popularizing.
作者
万颖
WAN Ying(Colledge of Acupuncture&Moxibustion and Rehabilitation of Guangzhou University of Chinese Medicine,Guangzhou 510080,China)
出处
《针灸临床杂志》
2019年第12期18-22,共5页
Journal of Clinical Acupuncture and Moxibustion
关键词
浮针
悬吊运动
颈源性
头痛
Floating acupuncture
Sling exercise training
Cervical
Headache
作者简介
万颖(1992-),女,2016级针灸推拿专业硕士研究生。
