局部刃针闭合松解配合针刺远部腧穴治疗颈源性头痛临床观察

Clinical Observation on Cervicogenic Headache Treated by Acupuncture on the Traditional Distal Acupoints Combined with Blade Needle Closed Loosing on Local Soft Tissue

目的观察局部刃针闭合松解配合针刺远部腧穴治疗颈源性头痛的临床疗效。方法100例颈源性头痛病人随机分为观察组与对照组,每组50例。对照组给予药物治疗:美洛昔康片7.5 mg,口服;盐酸氟桂利嗪胶囊10 mg,睡前口服。观察组采用局部刃针闭合松解配合针刺远部腧穴治疗。观察并比较治疗前及治疗2周后两组的头痛程度视觉模拟评分(VAS评分)、反应颈椎活动功能的颈椎活动度(ROM评分)及临床疗效。结果①观察组治疗前后VAS评分分别为(7.33±1.97)、(1.87±0.70),对照组分别为(7.15±2.06)、(3.29±1.14),两组治疗前与治疗后VAS评分比较,差异有显著性(P<0.05);治疗后两组间比较,差异亦有显著性(P<0.05)。②观察组治疗前后ROM评分分别为(2.90±0.36)、(1.23±0.48),对照组分别为(2.87±0.51)、(1.43±0.63),两组治疗前与治疗后ROM评分比较,差异均有显著性(P<0.05);治疗后两组间比较,差异亦有显著性(P<0.05)。③临床疗效结果观察组50例中,痊愈26例,显效17例,有效5例,无效2例;对照组50例中,痊愈20例,显效12例,有效13例,无效5例,两组比较,观察组疗效优于对照组(P<0.05)。结论局部刃针闭合松解配合针刺远部腧穴治疗颈源性头痛疗效理想,值得临床推广应用。

Objective To observe efficacy of blade needle closed loosing on local soft tissue combined with acupuncture on the traditional distal acupoints for cervicogenic headache. Methods 100 patients with cervicogenic headache were randomly divided into observational group and control group, with 50 cases in each group. Patients in the observational group were treated by blade needle closed loosing on local soft tissue combined with acupuncture on the traditional distal acupoints. While patients in the control group were given Meloxicam(7.5 mg, qd) and Flunarizine Hydrochloride(10 mg,qd, before bedtime) for 2 consecutive weeks. Visual analogue scale(VAS) scores of headache symptom, Cervical vertebra activity(ROM score) and Clinical comprehensive curative effect were observed and compared before and two weeks after treatment in two groups. Results ① The scores of VAS were(7.33 ± 1.97) and(1.87 ± 0.70) before and after treatment in the observational group separately, those were(7.15 ± 2.06) and(3.29 ± 1.14) in the control group, indicating the significant difference in comparison(P < 0.05). The difference in VAS after treatment was significant between the two groups(P < 0.05). ② The ROM scores before and after treatment in the observation group were(2.90 ± 0.36) and(1.23 ±0.48), and that of the control group were(2.87 ± 0.51) and(1.43 ± 0.63). There was significant difference between the two groups before and after treatment(P < 0.05). There was also a significant difference between the two groups after treatment(P < 0.05). ③ Of the 50 cases in the observation group, 26 cases were cured, 17 cases were markedly effective,5 cases were effective and 2 cases were ineffective. Of the 50 cases in the control group, 20 cases were cured, 12 cases were markedly effective, 13 cases were effective and 5 cases were ineffective. The curative effect of the observation group was better than that of the control group(P < 0.05). Conclusion The combined therapy of blade needle closed loosing on local soft tissue and acupuncture on the traditional distal acupoints on cervicogenic headache has ideal curative effect and is worthy of clinical popularization and application.