微针刀治疗颈源性头痛的随机对照研究

Microneedling for cervicogenic headache:a randomized controlled trial

目的 研究微针刀疗法对颈源性头痛的疗效和不良反应。方法 将60例颈源性头痛患者随机分为两组各30例,A组采用微针刀治疗4周,B组采用安慰针刀治疗4周。结果 干预4周后,A组现时疼痛强度评分(1.27±0.583)明显低于B组(3.37±0.765);A组颈部功能活动度评分(1.20±0.407)明显低于B组(2.47±0.681);A组的头痛持续时间(3.33±0.661)明显低于B组(5.30±0.988);A组的头痛频率(1.50±0.682)明显低于B组(2.73±0.691),且差异有统计学意义(P <0.05)。随访时A组头痛持续时间(3.93±0.739)与头痛频率(1.96±0.556)明显低于B组,差异有统计学意义(P <0.05)。A组与B组的不良反应发生率差异无统计学意义(P> 0.05)。结论 微针刀治疗可以有效改善颈源性头痛患者的疼痛程度,减少头痛持续时间和头痛频率,改善颈椎的活动度,并且未出现严重不良反应,临床安全性高。

Objective To determine the efficacy of micro-needle knife therapy versus placebo(sham microneedle knife) for cervicogenic headache.Method A total of 60 eligible patients with cervicogenic headache were assigned to two groups with 30 cases in each group by using a random number table.Treatment group received micro-needle knife therapy and placebo group received sham micro-needle knife.Results After 4 weeks of intervention,the pain index score was significantly lower in the treatment group(1.27 ± 0.583) than that of the placebo group(3.37 ± 0.765);the cervical range of motion was significantly lower in the treatment group A(1.20 ± 0.407) than that of the placebo group(2.47 ± 0.681);the headache duration was significantly lower in the treatment group(3.33 ± 0.661) than that of the placebo group(5.30 ± 0.988);the headache frequency was significantly lower in the treatment group(1.50 ± 0.682) than that of the placebo group(2.73 ± 0.691),and the differences in the data of the two groups were statistically significant.The duration of headache(3.93 ± 0.739) and frequency of headache(1.96 ± 0.556) were significantly lower in the treatment group than that of the placebo group at follow-up,and the difference was statistically significant(P < 0.05).The occurrence of adverse reactions was not statistically significant in the two groups(P > 0.05) Conclusions Micro-needle knife therapy could effectively improve the pain level of cervicogenic headache patients,reduce the headache duration and headache frequency,and improve the mobility of cervical spine.Acupuncture-related adverse events during treatment were infrequent in both groups and it′s safe for cervicogenic headache.