神经傍刺治疗枕神经痛疗效观察

Observations on the Efficacy of Nerve-proximal Needling for Treating Occipital Neuralgia

目的观察神经傍刺治疗枕神经痛的疗效。方法将82例枕神经痛患者随机分为两组。治疗组46例,采用神经傍刺法（取上天柱、天牖穴）;对照组36例,采用一般针刺法（取天柱、风池、百会、失眠Ⅱ、完骨、合谷等）。3~5次为1疗程。最多治疗3个疗程。结果近期总有效率治疗组为93.48%,对照组为69.44%,两组比较差异有统计学意义（P〈0.01）。远期治愈率治疗组为64.10%,对照组为43.34%,两组比较差异有统计学意义（P〈0.05）。结论神经傍刺法治疗枕神经痛疗效优于一般针刺法。

Objective To investigate clinical efficacy of nerve-proximal needling for treating occipital neuralgia. Methods Eighty- two patients were randomly allocated to two groups. The treatment group of 48 cases was treated by nerve-proximal needling （ points Tianzhu and Tianyou were selected） and the control group, by conventional acupuncture （points Tianzhu, Fengchi, Baihui, Shimian Ⅱ , Wangu and Hegu were selected）. One course of treatment consisted of 3 - 5 times. Three courses of treatment were given at most. Results The short-term total efficacy rate was 93.48% in the treatment group and 69.44% in the control group; There was a statistically significant difference between the two groups （P 〈 0.01 ）. The long-term total efficacy rate was 64.10% in the treatment group and 43.34% in the control group; there was a statistically significant difference （P 〈 0.05 ）. Conclusion Nerve-proximal needling is better than conventional acupuncture in treating occipital neuralgia.