摘要
目的观察经筋理论指导下毫火针针刺结筋病灶点治疗颈源性头痛的临床效果。方法选取2017年11月~2018年12月在广西壮族自治区人民医院康复治疗中心就诊且符合颈源性头痛纳入标准的59例颈源性头痛患者为研究对象。采用随机数字表法,将其分为毫火针针刺结筋病灶点组(29例)和毫火针针刺常规穴位组(30例)。毫火针针刺结筋病灶点组以经筋理论为指导选取手足太阳经筋、手足少阳经筋、手足阳明经筋头颈周围近端及远端的结筋病灶点行毫火针治疗;毫火针针刺常规穴位组常规选取天柱穴、风池穴、完骨穴、肩井穴、合谷穴、太冲穴、足临泣穴行毫火针治疗。每3天1次,9 d为1个疗程。2个疗程后比较两组治疗前后头痛程度数字评分、头痛持续时间、头痛频率、颈部活动度以及临床效果。结果治疗后两组平均每周头痛发作频率、每次头痛发作持续时间以及头痛程度数字评分均较治疗前明显降低,且毫火针针刺结筋病灶点组低于毫火针针刺常规穴位组(P<0.05);治疗后两组颈部功能活动度评分均较治疗前明显升高,且火针针刺结筋病灶点组高于毫火针针刺常规穴位组(P<0.05);毫火针针刺结筋病灶点组临床效果高于毫火针针刺常规穴位组(P<0.05)。结论毫火针针刺结筋病灶点治疗颈源性头痛效果显著,可明显改善颈源性头痛患者的临床症状。
Objective To observe the clinical effect of milli-fire needle acupuncturing at the focus of tendon knot in treating cervical headache under the guidance of Jingjin region theory.Methods Fifty-nine patients with cervical headache who were admitted to the Rehabilitation Centre,the People ’s Hospital of Guangxi Zhuang Autonomous Region from November 2017 to December 2018 and met the inclusion criteria for cervical headache were selected as the subjects.They were divided into milli-fire needle acupuncturing at the focus of tendon knot group(29 cases) and milli-fire needle acupuncturing at the conventional point group(30 cases) by the random number table method.In the milli-fire needle acupuncturing at the focus of tendon knot group,the hand and foot Taiyang Jingjin,hand and foot Shaoyang Jingjin,hand and foot Yangming Jingjin proximal and distal ganglion lesions around the head and neck were selected treated with millimite acupuncture under the guidance of Jingjin theory.In the milli-fire needle acupuncturing at the conventional point group,tianzhu point,fengchi point,gungu point,shouljing point,hegu point,taichong point,and zulinqi point were routinely selected for mile-fire acupuncture treatment.Once every 3 days,9 days was a course of treatment.The digital headache score,headache duration,headache frequency,neck range of motion and clinical effect before and after treatment were compared between the two groups after 2 courses of treatment.Results After treatment,per week on average headache,headache every time duration,and degree of headache digital score of the two groups was significantly decreased before treatment,and milli-fire needle acupuncturing at the focus of tendon knot group was lower than milli-fire needle acupuncturing at the conventional point group(P <0.05).After treatment,the neck range of motion score of the two groups was significantly higher than those before treatment,and milli-fire needle acupuncturing at the focus of tendon knot group was hihger than milli-fire needle acupuncturing at the conventional acupoint group(P <0.05).The clinical effect of milli-fire needle acupuncturing at the focus of tendon knot group was higher than that of milli-fire needle acupuncturing at the conventional acupoint group(P <0.05).Conclusion The curative effect of milli-fire needle acupuncturing at the focus of tendon knot in treating cervical headache is significant,which can obviously improve the clinical symptoms of patients with cervical headache.
作者
梁淑芬
傅敏
吕亚南
LIANG Shufen;FU Min;LYU Yanan(Graduate School,Guangxi University of Chinese Medicine,Guangxi Zhuang Autonomous Region,Nanning 530200,China;Rehabilitation Centre,the People′s Hospital of Guangxi Zhuang Autonomous Region,Guangxi Zhuang Autonomous Region,Nanning 530021,China)
出处
《中国医药导报》
CAS
2020年第6期144-148,共5页
China Medical Herald
基金
广西重点研发计划项目（桂科AB16380239）
广西壮族自治区卫生厅中医药科技专项课题（GZMZ1204、GZLC14-32）
广西中医药大学研究生教育创新计划项目立项课题（YCSY20190022）
关键词
颈源性头痛
毫火针
结筋病灶点
经筋理论
Cervical headache
Milli-fire needle
Focus of tendon knot
Jingjin theory
