针刺肌筋膜触发点技术联合替扎尼定治疗颈源性头痛的临床研究

Clinical study on of acupuncture technique at myofascial trigger points combined with tizanidine in treating cervicogenic headache

目的观察针刺肌筋膜触发点技术联合替扎尼定治疗颈源性头痛的临床疗效。方法选取2018年7月至2021年12月该院收治的颈源性头痛患者90例,采用随机数字法分为对照组和观察组,每组45例。对照组口服替扎尼定,每天3次,第1周每次1 mg,第2周开始每次2 mg,连续治疗4周。同时,给予颈椎操训练,指导患者平时保持良好坐位姿势。观察组在口服替扎尼定、颈椎操训练基础上给予颈部针刺肌筋膜触发点治疗。比较2组患者治疗前及治疗后2、4周视觉模拟疼痛量表(VAS)、颈椎活动度(ROM)评分变化,以及总有效率等。结果2组患者治疗后2、4周VAS、颈椎ROM评分均明显低于治疗前,且观察组患者治疗后2、4周VAS、颈椎ROM评分均明显低于对照组,差异均有统计学意义(P<0.05);观察组患者总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论针刺肌筋膜触发点技术联合口服替扎尼定治疗颈源性头痛临床疗效显著,不良反应小,操作技术简单,值得临床推广应用。

Objective To observe the clinical efficacy of acupuncture technique at myofascial trigger points combined with tizanidine in the treatment of cervicogenic headache.Methods A total of 90 patients with cervicogenic headache treated in this hospital from July 2018 to December 2021 were selected and divided into the control group and observation group by the random number table method,45 cases in each group.The control group orally took tizanidine,3 times daily,1 mg each time at the first week,2 mg each time at the second week,for continueous 4 weeks.At the same time,the cervical vertebral training was given,and the patients were guided to persist the good sitting position.The observation group was given the acupuncture at myofascial trigger points on the basis of orally taking tizanidine and cervical vertebral training.The visual analogue scale(VAS)score and cervical range of motion(CROM)score before treatment and in 2,4 weeks after treatment were compared between the two groups.And the total effective rates were compared between the two groups.Results The VAS scores and the CROM scores in 2,4 weeks after treatment in the two groups were significantly lower than those before treatment,moreover the VAS scores and the CROM scores in 2,4 weeks after treatment in the the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate in the observation group was was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The acupuncture technique at myofascial trigger points combined with oral tizanidine in the treatment of cervicogenic headache is remarkable,has little adverse reactions and easy operation technique,and is worthy of clinical promotion and application.