项八穴针刺联合推拿手法治疗颈源性头痛的临床观察

徐磊; 唐雨亭; 蔡连芹; 江勇

doi:10.16766/j.cnki.issn.1674-4152.003042

项八穴针刺联合推拿手法治疗颈源性头痛的临床观察

doi: 10.16766/j.cnki.issn.1674-4152.003042

蚌埠医学院第一附属医院康复医学科，安徽蚌埠 233004

基金项目:

安徽省名中医工作室建设项目 201811

详细信息

通讯作者:
江勇，E-mail：498917800@qq.com

中图分类号: R245.31 R244.1
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- 被引次数: 0
出版历程
- 收稿日期: 2023-01-09
- 网络出版日期: 2023-08-26

Clinical observation of acupuncture nape eight points combined with manipulation therapy in the treatment of cervicogenic headache

Department of Rehabilitation Medicine, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

摘要

摘要: 目的采用随机对照试验观察项八穴针刺联合推拿手法治疗颈源性头痛的临床疗效，为颈源性头痛的治疗提供高质量的临床证据。方法选取2020年6月—2022年5月于蚌埠医学院第一附属医院康复医学科就诊的70例颈源性头痛患者，采用随机数字表法分为治疗组(35例)和对照组(35例)。治疗组给予针刺项八穴联合推拿手法治疗；对照组给予口服布洛芬治疗。治疗结束后，观察2组治疗前后简化McGill量表评分(SF-MPQ)、颈椎功能障碍指数(NDI)的变化情况，并比较2组临床疗效。结果 2组治疗前SF-MPQ评分中的PRI、VAS、PPI评分和NDI评分差异无统计学意义(均P>0.05)；治疗后SF-MPQ评分中的PRI、VAS、PPI评分和NDI评分较治疗前差异有统计学意义(均P＜0.05)；治疗组治疗后SF-MPQ评分中的PRI、VAS、PPI评分和NDI评分[(5.46±0.95)分、(3.26±0.74)分、(1.34±0.48)分、(14.89±1.60)分]优于对照组[(6.43±1.01)分、(4.51±0.92)分、(2.37±0.73)分、(18.74±3.11)分，t=4.148、6.297、6.951、6.522，均P＜0.05]，差异有统计学意义。治疗组和对照组总有效率分别为97.1%、77.14%，2组比较差异有统计学意义(P＜0.05)。结论项八穴针刺联合推拿手法治疗可以显著改善颈源性头痛的临床症状，改善颈椎的功能，同时减轻患者厌烦、害怕的情感障碍。
- 项八穴 /
- 针刺 /
- 推拿手法治疗 /
- 颈源性头痛
Abstract: Objective To investigate the clinical effect of acupuncture of the nape eight points combined with manipulation therapy in the treatment of cervicogenic headache by randomized controlled trial. This study provides high quality clinical evidence for the treatment of cervicogenic headache. Methods Seventy patients with cervicogenic headache who were admitted to the Department of Rehabilitation Medicine, the First Affiliated Hospital of Bengbu Medical College from June 2020 to May 2022 were randomly divided into treatment group (35 cases) and control group (35 cases) by a random table method. The treatment group received acupuncture at nape eight points combined with manipulation therapy, and the control group received oral ibuprofen. After treatment, the short-form McGill pain questionnaire (SF-MPQ) score and the neck dDisability index (NDI) score were observed before and after treatment in the two groups. Clinical efficacy was also compared between the two groups. Results There were no significant differences in the PRI, VAS, PPI and NDI scores of the SF-MPQ scores between the two groups before treatment (all P>0.05). The post-treatment PRI, VAS, PPI and NDI scores of the SF-MPQ were significantly different from the pre-treatment scores (all P < 0.05). The PRI, VAS, PPI and NDI scores in the SF-MPQ score in the treatment group [(5.46±0.95) points, (3.26±0.74) points, (1.34±0.48) points, (14.89±1.60) points] were better than those in the control group [(6.43±1.01) points, (4.51±0.92) points, (2.37±0.73) points, (18.74±3.11) points, t=4.148, 6.297, 6.951, 6.522, all P < 0.05], the differences were statistically significant. The total effective rate was 97.1% in the treatment group and 77.14% in the control group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion The acupuncture nape eight points combined with manipulation therapy can significantly improve the clinical symptoms of cervicogenic headache, improve the function of the cervical spine, and alleviate the patient ' s emotional disturbance of boredom and anxiety.
- Nape eight points /
- Acupuncture /
- Manipulation therapy /
- Cervicogenic headache

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表 1 2组颈源性头痛患者一般资料比较

Table 1. Comparison of general data between two groups of patients with cervicogenic headache

组别	例数	性别(例)		年龄(x±s，岁)	病程(x±s，d)
组别	例数	男性	女性	年龄(x±s，岁)	病程(x±s，d)
治疗组	35	18	17	53.23±13.75	41.77±10.76
对照组	35	16	19	52.66±14.86	39.77±11.65
统计量		0.229^a		0.167^b	0.746^b
P值		0.632		0.868	0.458
注：^a为χ²值，^b为t值。

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表 2 2组颈源性头痛患者临床疗效比较[例(%)]

Table 2. Comparison of clinical efficacy between two groups of patients with cervicogenic headache [cases(%)]

组别	例数	治愈	显效	好转	无效	总有效
治疗组	35	0	12(34.29)	22(62.86)	1(2.86)	34(97.14)
对照组	35	0	0	27(77.14)	8(22.86)	27(77.14)
注：2组的总有效率比较，χ²=4.590，P=0.032。

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表 3 2组颈源性头痛患者治疗前后疼痛程度比较(x±s，分)

Table 3. Comparison of pain intensity before and after treatment in the two groups of of patients with cervical headache(x±s, points)

组别	例数	PRI		VAS		PPI
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
治疗组	35	26.94±3.07	5.46±0.95^a	6.91±1.15	3.26±0.74^a	3.20±0.72	1.34±0.48^a
对照组	35	26.80±3.39	6.43±1.01^a	7.00±1.21	4.51±0.92^a	3.37±0.73	2.37±0.73^a
t值		0.185	-4.148	-0.304	-6.297	-0.989	-6.951
P值		0.854	＜0.001	0.762	＜0.001	0.326	＜0.001
注：与同组治疗前比较, ^aP＜0.05。

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表 4 2组颈源性头痛患者治疗前后颈椎功能比较(x±s，分)

Table 4. Comparison of cervical function before and after treatment in the two groups of patients with cervicogenic headache (x±s, points)

组别	例数	治疗前	治疗后
治疗组	35	28.37±2.54	14.89±1.60^a
对照组	35	27.49±2.29	18.74±3.11^a
t值		1.530	-6.522
P值		0.131	＜0.001
注：与同组治疗前比较, ^aP＜0.05。

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