注射针刀与中医正骨手法治疗颈源性头痛的临床研究

Curative Effect of Injected Small Needle-knife Therapy Combined with Bone-reduction Maneuver to Treat Cervicogenic Headache

目的:研究注射针刀结合中医正骨手法治疗颈源性头痛的临床疗效。方法:将194例颈源性头痛患者随机分为治疗组120例和对照组74例,治疗组采用注射针刀与中医正骨手法,对照组为理疗药物治疗,均治疗3周后观察各组的临床症状改善情况。结果:治疗组有效率98.3%,对照组74.3%,2组比较差异有统计学意义(P<0.05)。2组效果评价用彩色多普勒超声观察颈源性头痛患者治疗前后椎动脉血流动力学变化情况及目测类比评分法(VAS)评定疼痛程度,治疗组优于对照组(P<0.05)。结论:注射针刀与中医正骨手法相结合治疗颈源性头痛具有明显效果,运用彩色多普勒超声观察,疗效肯定,为中医治疗科学化提供了一种新方法。

Objective：To detect the curative effect of injected small needle-knife therapy combined with bone-reduction maneuver to treat cervicogenic headache. Methods： All 194 cases of cervicogenic headache were randomly divided into treat- ment group （120 cases） and control group （74 cases）. The patients of treatment group were treated with injected small needle-knife therapy combined with bone-reduction maneuver, and patients of control group were treated with physiotherapy and drug. The improved clinical symptoms were observed three weeks after treatment. Results： The effective rate of treatment group was 98.3%, and control group was 74.3%, the difference was statistically significant （P〈0.05）. The color Doppler ultrasound was used to evaluation the blood flow velocity changes of vertebral artery before and after treatment and the visual analog scale （VAS） were used to assess the degree of pain of the patients. The treatment group was su- perior to the control group （P〈0.05）. Conclusion： The injected small needle-knife therapy combined with bone-reduction maneuver is effective to treat ervicogenic headache by evaluating of color Doppler ultrasound. It provides a new scientific method for TCM and has a wide application prospect.