威芎镇痛散热熨疗法联合常规医护措施治疗颈源性头痛临床研究

Clinical Study on Hot Compress with Weixiong Zhentong Powder Combined with Routine Medical and Nursing Measures for Cervicogenic Headache

目的:观察在常规内服止痛药物、推拿正骨手法治疗和护理干预的基础上给予威芎镇痛散热熨颈部治疗颈源性头痛(CEH)的疗效。方法:将112例CEH患者按随机数字表法分为对照组和观察组各56例。2组患者均予美洛昔康片和推拿正骨手法治疗,并施予综合护理措施。观察组加用威芎镇痛散热熨颈部治疗。2组疗程均为2周。治疗前、治疗2周后采用疼痛数字评分法(NRS)评定疼痛程度,评定颈部功能活动度(ROM)评分,记录头痛持续时间和每周的头痛频率。评价2组的临床疗效。结果:治疗2周后,观察组临床疗效优于对照组(P<0.05)。2组疼痛NRS评分及ROM评分均较治疗前下降,头痛持续时间缩短、每周头痛频率减少,差异均有统计学意义(P<0.01)。观察组疼痛NRS评分及ROM评分均低于对照组(P<0.01),头痛持续时间短于对照组(P<0.01),每周头痛频率少于对照组(P<0.01)。结论:在常规内服止痛药物、推拿正骨手法治疗和护理干预的基础上给予威芎镇痛散热熨颈部,可进一步减轻CEH患者的疼痛程度、减少头痛的发作,改善颈部的活动范围,提高临床效果。

Objective:To observe the curative effect of hot compress with Weixiong Zhentong powder at the neck in the treatment of cervicogenic headache(CEH) on a basis of routine oral administration of painkillers, tuina and bone-setting manipulation as well as nursing intervention. Methods:A total of 112 cases of CEH patients were divided into the control group and the observation group according to random number table method,56 cases in each group. Both groups were given meloxicam tablets,tuina and bone-setting manipulation as well as comprehensive nursing measures. The observation group was additionally treated with hot compress with Weixiong Zhentong powder at the neck. Both groups were treated for two weeks. Before treatment and after two-week treatment,the degree of pain was evaluated by Number Rating Scale(NRS);scores of cervical range of motion(ROM) were evaluated;the duration of headache,and the weekly frequency of headache were recorded. The clinical effect was evaluated in the two groups. Results:After two-week treatment,the clinical effect in the observation group was better than that in the control group(P<0.05). The scores of NRS for pain and ROM in the two groups were decreased when compared with those before treatment,the duration of headache shortened,and the weekly frequency of headache reduced, the difference being significant(P<0.01). The scores of NRS for pain and ROM in the observation group were lower than those in the control group(P<0.01),the duration of headache shorter(P<0.01),and the weekly frequency of headache lower(P<0.01). Conclusion:On a basis of routine oral administration of painkillers,tuina and bone-setting manipulation as well as nursing intervention,the therapy of hot compress with Weixiong Zhentong powder at the neck can further decrease pain degree of CEH patients,reduce seizure of headache,improve cervical range of motion,and enhance clinical effect.