摘要
目的观察颈2横突局部注射配合直线偏振光近红外线治疗颈源性头痛的疗效。方法56例确诊为颈源性头痛患者随机分为2组治疗组28例,予颈2横突局部注射得保松加直线偏振光近红外线局部照射治疗;对照组28例,予颈2横突局部注射得保松。评估2组患者治疗前、后疼痛的程度并观察治疗效果。结果2组患者治疗后VAS评分分别与治疗前比较均有下降,差异有统计学意义(P<0.05);并且治疗组VAS评分下降(6.1±1.8)分,较对照组的(3.8±2.5)分明显,二者间差异有统计学意义(P<0.05)。治疗组的治愈率为82.1%,好转率为14.3%,无效率为3.6%;对照组的治愈率为46.4%,好转率为32.1%,无效率为21.4%,2组间疗效比较差异有统计学意义(P<0.05)。结论颈2横突局部注射配合直线偏振光近红外线治疗颈源性头痛的疗效显著,患者头痛症状可得到明显改善,较单用颈2横突局部注射治疗效果好。
Objective To explore the efficacy of local injection on cervical 2 processus transversus combined with super-laser irradiation for cervicogenic headache. Methods Fifty-six cervicogenic headache patients were randomly divided into a treatment group （25 cases） and a control group （25 cases）. Patients in the treatment group were given local injection of Diprospan on cervical 2 processus transversus and super-laser irradiation, while those in the control group were only given local injection with Diprospan on cervical 2 processus transversus. All the patients were assessed with visual analogous scale （VAS） before and after treatment. Results The pain of all patients was improved after treatment. The VAS score in both groups were reduced after treatment, and the difference was significant as compared with that before treatment （ P 〈 0.05）. The decrease of VAS score was 6.1 ± 1.8 and 3.8 ± 2.5 in the treatment group and control group, respectively. There was statistically significant difference between the two groups in terms of the decrease of VAS score （P 〈 0.05）. In the treatment group, the cure rate, improved rate and inefficacy rate were 82. 1% , 14. 3% and 3.6% , respectively, while those in the control group were 46.4% , 32. 1% and 21.4%. There was statistically significant difference between the two groups （P 〈 0.05 ）. Conclusion The combined use of local injection on cervical 2 processus transversus and super-laser irradiation has better effect on cervicogenic headache.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2005年第11期681-683,共3页
Chinese Journal of Physical Medicine and Rehabilitation
