摘要
目的:观察不同直径针具对颈源性头痛患者简式McGill疼痛问卷评分、颈椎活动度、头痛改善率的影响,以评价其临床疗效,并观察其压敏点痛阈的变化情况。方法:将72例颈源性头痛患者随机分为治疗组和对照组各36例,治疗组采用直径0.45 mm的毫针行压敏点恢刺法,对照组采用直径0.30 mm的毫针行压敏点恢刺法,隔日治疗1次,每周治疗3次,共治疗2周。在治疗前及疗程结束后第2天,予简式McGill疼痛问卷评分、颈椎活动度评估及痛阈测定。结果:治疗组在改善患者简式McGill疼痛问卷评分、颈椎活动度和头痛改善率方面均优于对照组(P<0.05);两组患者治疗后压敏点的痛阈均升高(P<0.05);治疗组患者治疗后压敏点的痛阈高于对照组(P<0.05)。结论:在压敏点恢刺法治疗颈源性头痛的针灸治疗中,粗针的临床疗效优于细针,其作用机制可能与松解粘连,缓解肌筋膜痉挛及纠正高位颈椎关节紊乱相关。
Objective: To observe the effects of different diameter acupuncture needles on the Short-form McGill pain Questionnaire score, range of the motion in the neck and improvement rate of headache in patients of Cervicogenic headache, evaluate the clinical effect and observe the change of pain threshold of pressure-sensitive point. Methods: A total of 72 cases of patients were randomly divided into treatment and control groups,36 cases in each group. The treatment group was treated by relaxing needling(Huici) with the 0.45 mm diameter acupuncture needles on pressure-sensitive point. The control group was treated by relaxing needling(Huici)with the 0.30 mm diameter acupuncture needles on pressure-sensitive point. Both of the groups were accepted treatment once every other day and three times per week for two week. The McGill pain questionnaire score,range of the motion in the neck and pain threshold were measured before treatment and two days after the end of treatment. Results: The treatment group showed better efficacy than control group, on Short-form McGill pain Questionnaire score, range of the motion in the neck and rate of headache(P<0.05). The pain threshold of pressure-sensitive point increased in two groups(P<0.05), and the treatment group showed higher pain threshold of pressure-sensitive point than control group(P<0.05). Conclusion: In the acupuncture treatment of Cervicogenic headache with relaxing needling(Huici) on pressure-sensitive point, the clinical effect of thick needle showed efficacy than fine needle, and its mechanism may be associated with releasing of adhesion and promoting to make a correction of the Muscle fascias' spasm and high position cervical vertebra joint disorder.
作者
谢宇锋
陈赟
冯军
余云进
杨锦兰
吴云天
XIE Yu-feng;CHEN Yun;FENG Jun;YU Yun-jin;YANG Jin-Ian;WU Yun-tian(Shenzhen Hospital of Guangzhou University of Chinese Medicine, Shenzhen Guangdong 518000, China;Guangzhou University of Chinese Medicine, Guangzhou Guangdong 510000, China)
出处
《中医药导报》
2019年第12期108-111,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
广东省中医药局科研项目(20161217)
关键词
颈源性头痛
压敏点
恢刺法
不同针具
疗效
cervicogenic headache
pressure-sensitive point
relaxing needling (Huici)
different acupuncture needles
efficacy
