针刀松解“项七针”及肌肉附着点治疗颈源性头痛临床研究

Clinical Study of "Nape Seven Needles" and Muscle Attachments Treatment of Cervical Headache

目的:观察针刀松解"项七针"及肌肉附着点治疗颈源性头痛的临床疗效。方法:将36例患者,随机分成对照组和治疗组,每组18例。治疗组使用针刀松解"项七针"及肌肉附着点治疗,"项七针"定位:取风池(双侧)、天柱(双侧)、完骨(双侧)、风府穴,肩胛提肌附着点即肩胛骨内上角为标记点;对照组使用针刺疗法治疗,针刺穴位选择:双侧颈夹脊穴、风池(双侧)、天柱(双侧)、肩井(双侧)及阿是穴。两组患者均以1个月为1个疗程,共治疗1个疗程后进行疗效判定。结果:治疗组痊愈5例,显效11例,无效2例,有效率为88.9%;对照组痊愈3例,显效11例,无效4例,有效率为77.8%。两组比较,差异有统计学意义(P<0.05)。结论:针刀松解"项七针"及肌肉附着点治疗颈源性头痛疗效显著。

Objective： To observe the clinical efficacy of ＂ nape seven needles＂ and muscle attachment points in treatment of cervical headache. Methods： 36 patients were randomly divided into control group and treatment group,with 18 cases in each group.Seven needles Locating is as follows： taking the wind pool（ double）,Tianzhu（ double）,Wangu（ double） Fengfu,levator scapula shoulder blade attachment point in the upper corner is the marker; the control group received acupuncture therapy,in which the acupuncture point selected are bilateral neck Jiaji,the wind pool（ double-sided）,Tianzhu（ bilateral）,shoulder well（ bilateral） and Ashi hole. Both group experienced a course of treatment for a month. Results： The effective rate of the treatment group was 88. 9%with 5 cases being recovered and 11 cases being effectively cured while the effective rate of the control group was 77. 8% with 3cases being recovered and 11 cases being effectively cured. The differences of the two groups were statistically significant（ P〈0. 05）. Conclusion： The ＂ nape seven needles＂ and muscle attachment points treatment of cervical headache is significant effective in clinics.