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颈痛颗粒联合颈脊神经后支射频消融术对颈源性头痛疗效观察

孔宪斌 陈旭义 涂悦 孙世中 杨慧 孙中磊

天津中医药大学学报2017,Vol.36Issue(6):445-448,4.
天津中医药大学学报2017,Vol.36Issue(6):445-448,4.DOI:10.11656/j.issn.1673-9043.2017.06.12

颈痛颗粒联合颈脊神经后支射频消融术对颈源性头痛疗效观察

Clinical observation on the treatment of cervical headache by Jingtong granules combined with posterior ramus of cervical spinal nerve radiofrequency ablation

孔宪斌 1陈旭义 2涂悦 3孙世中 2杨慧 3孙中磊2

作者信息

  • 1. 天津中医药大学,天津 300193
  • 2. 中国人民武装警察部队后勤学院附属医院脑系科中心,天津 300162
  • 3. 天津市神经创伤修复重点实验室,天津 300162
  • 折叠

摘要

Abstract

[Objective] To observe the effect of Jingtong granules combined with posterior ramus of cervical spinal nerve radiofrequency ablation on cervical headache. [Methods] A prospective study, from June 2014 to December 2015, we analyzed 99 cases of recurrent CEH (the Type of qi Stagnancy and Blood Stasis) patients , the test is divided into 3 groups , one group of 30 cases received jingtong granules treatment ( jingtong granules group ) . 4 g/ times , 3 times/day, for 4 weeks; one group of 30 cases received posterior ramus of cervical spinal nerve radiofrequency ablation treatment(RF group); one group of 30 cases received jingtong granules combined with posterior ramus of cervical spinal nerve radiofrequency ablation treatment (combined group). Patients fill in the VAS scale, SDS scale, and recorded the ROM score before treatment, 1 days, 7 days and 28 days after treatment. [Results] VAS, SDS and ROM of three groups had no significant difference before treatment (P>0.05). After treatment, VAS, SDS, ROM were tend to improve in each groups, and there was a significant difference within groups (P<0.05). Between the three groups, the VAS value of combined group is better than the Jingtong granules group and RF group, the difference was statistically significant (P<0.05);comparison of ROM score, SDS score of three groups, there was no significant difference between the groups (P>0.05). [Conclusion] Jingtong granules combined with posterior ramus of cervical spinal nerve radiofrequency ablation alleviate headache superior to posterior ramus of cervical spinal nerve radiofrequency ablation and Jingtong granules. Both of the three methods can alleviate the poor cervical mobility and depression, and the effect is basically the same. They were close to normal level after treatment.

关键词

颈痛颗粒/颈脊神经后支射频消融术/颈源性头痛/颈椎活动度/抑郁

Key words

Jingtong granules/cervical spinal nerve radiofrequency ablation/cervicogenic headache/cervical mobility/depression

分类

医药卫生

引用本文复制引用

孔宪斌,陈旭义,涂悦,孙世中,杨慧,孙中磊..颈痛颗粒联合颈脊神经后支射频消融术对颈源性头痛疗效观察[J].天津中医药大学学报,2017,36(6):445-448,4.

基金项目

国家科技重点研发计划项目(2016YFC1101500) (2016YFC1101500)

国家自然科学基金面上项目(11672332). (11672332)

天津中医药大学学报

OACSTPCD

1673-9043

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