摘要
Objective： To observe the clinical efficacy of nerve-near needling for occipital neuralgia. Methods： Eighty-two subjects were randomly allocated into two groups： treatment group in which 46 cases was treated by nerve-near needling [points Tianzhu （BL 10） and Tianyou （TE 16） were selected], and control group in which 36 cases were treated by conventional acupuncture [points Tianzhu（BL 10）, Fengchi（GB 20）, Baihui（GV 20）, Shimian II （Extra）, Wangu （GB 12） and Hegu（LI 4） were selected]. One course of treatment consisted of 3-5 times, and three courses of treatment were given at most before calculating efficacy. Results： The short-term total effective rate was 93.5% in the treatment group and 69.4% in the control group, with a statistically significant difference between the two groups （P〈0.01）; the long-term total effective rate was 64.1% in the treatment group and 43.3% in the control group, with a statistically significant difference between the two groups （P〈0.05）. Conclusion： Nerve-near needling is better than conventional acupuncture in 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。治疗3～5次为1疗程。最多治疗3个疗程,观察疗效。结果:近期总有效率治疗组为93.5%,对照组为69.4%,两组比较差异有统计学意义(P<0.01)。远期治愈率治疗组为64.1%,对照组为43.3%,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。
