针刺研究2018，Vol.43Issue(3)：185-188,4.DOI:10.13702/j.1000-0607.170136
电针结合神经松动术治疗枕神经痛的临床观察
Treatment of Occipital Neuralgia by Electroacupuncture Combined with Neural Mobilization
摘要
Abstract
Objective To observe the effect of electroacupuncture (EA) combined with neural mobilization (NM) in the treatment of occipital neuralgia .Methods A total of 62 occipital neuralgia patients were randomized into EA group (19 cases) , NM group (22 cases) and EA+NM group (21 cases) .EA was applied at acupoint-pairs as Yuzhen (BL 9)-Tianzhu (BL 10) , Fengchi (GB 20)-Wangu (GB 12) ,etc .NM intervention consisted of occipital muscle group mobilization ,C2 spinous process mobilization ,cervical joint passive movement management mobilization ,etc .,was performed at the impaired cervical spine seg-ment .The two methods were used in combination for patients in the EA+NM group .All the treatment was given once a day for 2 weeks .Before and after treatment ,the visual analogue scale (VAS) and the 6-point (1-6 points) behavioral rating scale (BRS-6) of headache were used to assess the severity of pain .The therapeutic effect was evaluated according to the"Criteria for Diagno-sis and Cure-Improvement of Clinical Conditions" formulated by State Administration of Traditional Chinese Medicine of the Peo-ple's Republic of China in 1994 .Results After treatment ,both VAS and BRS-6 scores were significantly lower than those before treatment in each of the three groups ( P<0 .05) ,and were significantly lower in the EA +NM group than in the simple EA and simple NM groups ( P<0 .01 ,P<0 .05) .The total effective rates were 78 .95％ (15/19) in the EA group ,68 .18％ (15/22) in the NM group ,and 90 .48％ (19/21) in the EA+NM group ,with an obviously better therapeutic effect being in the EA+NM group relevant to each of the other two treatment groups ( P<0 .05) .Conclusion EA ,NM and EA combined with NM can improve symptoms of patients with occipital neuralgia ,and EA+NM has a synergic analgesic effect for occipital neuralgia .关键词
枕神经痛/电针/神经松动术Key words
Occipital neuralgia/Electroacupuncture/Neural mobilization分类
医药卫生引用本文复制引用
王艳,郭子楠,杨震,汪顺..电针结合神经松动术治疗枕神经痛的临床观察[J].针刺研究,2018,43(3):185-188,4.基金项目
黑龙江中医药大学创新人才基金(No.051290) （No.051290）
