银质针疗法联合颈2背根神经节脉冲射频治疗颈源性头痛的疗效分析

Analysis of curative effect of silver needle therapy combined with pulse radiofrequency adjacent to the cervical 2 dorsal root ganglion in treatment of cervicogenic headache

目的 分析银质针疗法联合颈2背根神经节脉冲射频治疗颈源性头痛的效果。方法 选出80例颈源性头痛患者作为研究对象,按照治疗方法不同分成对照组和观察组,每组40例。对照组采用颈2背根神经节脉冲射频治疗,观察组采用银质针疗法联合颈2背根神经节脉冲射频治疗。对比两组临床治疗效果,治疗前后的视觉模拟评分法(VAS)评分、颈椎关节活动度(ROM)、颈部血管搏动指数(PI)、阻力指数(RI)、椎动脉平均血流速度(Vm),治疗满意度。结果 观察组治疗总有效率92.50%高于对照组的75.00%,对比有差异(P<0.05)。治疗后,两组VAS评分低于本组治疗前, ROM大于本组治疗前,且观察组VAS评分(2.05±0.34)分低于对照组的(5.22±1.06)分, ROM(41.04±8.21)°大于对照组的(34.18±8.57)°,对比有差异(P<0.05)。治疗后,两组PI、RI小于本组治疗前, Vm大于本组治疗前,且观察组PI(0.61±0.42)、RI(0.51±0.07)小于对照组的(0.85±0.53)、(0.61±0.11), Vm(36.98±6.38)cm/s大于对照组的(30.13±5.92)cm/s,对比有差异(P<0.05)。观察组满意度97.50%高于对照组的85.00%,对比有差异(P<0.05)。结论 联合治疗(银质针疗法+颈2背根神经节脉冲射频)可有效缓解颈源性头痛患者的疼痛和活动受限,提高临床治疗效果,改善血流动力学,值得临床推广。

Objective To analyze the effect of silver needle therapy combined with pulse radiofrequency adjacent to the cervical 2 dorsal root ganglion in treatment of cervicogenic headache.Methods 80 patients with cervicogenic headache were selected as research subjects and divided into a control group and an observation group according to different treatment methods,with 40 cases in each group.The control group was treated with pulse radiofrequency adjacent to the cervical 2 dorsal root ganglion,and the observation group was treated with silver needle therapy combined with pulse radiofrequency adjacent to the cervical 2 dorsal root ganglion.Both groups were compared in terms of clinical effects,visual analogue scale(VAS)score,cervical range of motion(ROM),cervical vascular pulsation index(PI),resistance index(RI),vertebral artery mean blood flow velocity(Vm)before and after treatment,and treatment satisfaction.Results The total effective rate of the observation group treatment was 92.50%,which was higher than the control group's 75.00%,and there was a difference in comparison(P<0.05).After treatment,VAS score in both groups was lower than that before treatment,and ROM was higher than that before treatment;the observation group had lower VAS score of(2.05±0.34)points than(5.22±1.06)points in the control group,and higher ROM of(41.04±8.21)°than(34.18±8.57)°in the control group;there was a difference in comparison(P<0.05).After treatment,PI and RI in both groups were lower than those before treatment,and Vm was higher than that before treatment;the observation group had PI of(0.61±0.42)and RI of(0.51±0.07),which were lower than(0.85±0.53)and(0.61±0.11)in the control group;the observation group had higher Vm of(36.98±6.38)cm/s than(30.13±5.92)cm/s in the control group;there was a difference in comparison(P<0.05).The satisfaction of the observation group was 97.50%,which was higher than the control group's 85.00%(P<0.05).Conclusion Combined therapy(silver needle therapy+pulse radiofrequency adjacent to the cervical 2 dorsal root ganglion)can effectively relieve pain and activity limitation in patients with cervicogenic headache,improve clinical treatment effect and improve hemodynamics,which is worthy of clinical promotion.