基于《黄帝内针》理论指导的针刺联合颈部松解手法治疗颈源性头痛的临床研究

Clinical study on acupuncture combined with cervical relaxation technique for cervicogenic headache based on the theory guiding of Inner Needle of Huangdi

目的观察基于《黄帝内针》理论指导的针刺联合颈部松解手法治疗颈源性头痛(CEH)的临床疗效。方法将80例CEH患者按照随机数字表法分为2组。对照组40例采用颈部松解手法治疗,治疗组40例在对照组治疗基础上联合基于《黄帝内针》理论指导的针刺治疗。2组均治疗7 d。比较2组治疗前后疼痛数字评分(NRS)、头痛持续时间、头痛频率及颈椎关节活动度(ROM),并统计疗效。结果治疗组总有效率95.0%(38/40),对照组总有效率80.0%(32/40),治疗组疗效优于对照组(P<0.05)。治疗后2组疼痛NRS、头痛频率均较本组治疗前降低(P<0.05),头痛持续时间均缩短(P<0.05),且治疗后治疗组疼痛NRS、头痛频率均低于对照组(P<0.05),头痛持续时间短于对照组(P<0.05)。治疗后2组颈椎ROM评分均较本组治疗前降低(P<0.05),且治疗后治疗组低于对照组(P<0.05)。结论基于《黄帝内针》理论指导的针刺疗法联合颈部松解手法能够明显减轻CEH患者的临床症状,其疗效优于单纯手法治疗。

Objective To observe the clinical effect of acupuncture combined with cervical relaxation technique for cervicogenic headache(CEH)based on the theory guiding of Inner Needle of Huangdi.Methods Totally 80 CEH patients were randomly assigned into treatment group and control group,40 cases in each one.Patients in treatment group were treated with acupuncture combined with neck relaxation manipulation based on the theory guiding of Inner Needle of Huangdi.Patients in control group were performed with cervical relaxation technique alone.Treated 7 days a course,aiming to compare headache numerical score(NRS),headache duration,headache frequency,and cervical spine range of motion(ROM),the curative effect was counted.Results The total effective rates in treatment group were better than those in the control group[95.0%(38/40)vs 80.0%(32/40),(P<0.05),respectively];compared with before treatment,NRS score,headache frequency,and headache duration in groups were lower after treatment,which were significantly lower in treatment group than in control group(P<0.05),cervical spine ROM scores in groups were lower after treatment(P<0.05),and which in treatment group was significantly lower than in control group(P<0.05).Conclusion For CEH patients,acupuncture combined with cervical relaxation manipulation based on the theory guiding of Inner Needle of Huangdi can significantly reduce the clinical symptoms,and which is better than manipulation alone.