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基于"经筋理论"运用多功能套针浮刺疗法治疗颈源性头痛的临床研究OACSTPCD

Clinical Study of Floating Needling Therapy with Multi-Functional Trocar in Treatment of Cervicogenic Headache Based on'Meridian-Sinew Theory'

中文摘要英文摘要

目的:评价基于"经筋理论"运用多功能套针浮刺疗法对颈源性头痛的临床疗效.方法:将64例颈源性头痛患者随机分为观察组与对照组各31例(各脱落1例).观察组采用多功能套针浮刺疗法,对照组为常规针刺治疗,两组患者均治疗7 d.分别于治疗前后观察两组患者的视觉模拟量表(VAS)评分、头痛影响测定表-6(HIT-6)评分、颈椎功能障碍指数(NDI)评分和伴随症状量表评分,并于治疗结束后3个月观察复发率.结果:两组患者的VAS量表评分、HIT-6量表评分、NDI量表评分及伴随症状积分治疗后均优于治疗前,差异有统计学意义(P<0.05),且观察组比对照组效果更佳,差异有统计学意义(P<0.05);于治疗后3个月随访,以上量表评分与治疗后相比均有改善,且观察组优于对照组,差异有统计学意义(P<0.05);观察组临床总有效率为93.55%(29/31),高于对照组的83.87%(26/31),差异有统计学意义(P<0.05).结论:应用多功能套针浮刺疗法能有效改善颈源性头痛患者症状,见效较快且效果持久,值得临床推广应用.

Objective:To evaluate clinical efficacy of floating needling therapy with multi-functional trocar in treatment of cervicogenic headache.Methods:64 patients with cervicogenic headache were randomly divided into the observation group and the control group,with 31 patients in each group in the end(each group shedding 1 case).The observation group was treated with floating needling with multi-functional trocar,whereas the control group was treated with conventional needling.Both groups were treated for 7 days.The scores of visual Analog Scale(VAS),Headache Impact Testing scale-6(HIT-6),Neck Disability Index scale(NDI)and the total score of concomitant symptoms scale were observed before and after the treatment in the two groups.The recurrence rate was observed 3 months after the treatment.Results:The scores of VAS,HIT-6,NDI and concomitant symptoms were improved after the treatment compared with those before the treatment in the two groups(P<0.05),and the improvements in the observation group were more significant than those in the control group(P<0.05);during the 3-month follow-up,the scores of the above scales were improved compared with those after the treatment,and the improvements in the observation group were more significant than those in the control group(P<0.05).The total clinical efficacy of the observation group was 93.55%(29/31),which was higher than 83.87%(26/31)in the control group(P<0.05).Conclusion:The application of floating needling therapy with multi-functional trocar can effectively improve the symptoms of cervicogenic headache,and the effect is fast and long-lasting,therefore it is worthy of clinical promotion and application.

袁娜;陈英华;王婷;吴琳;李俊峰;孙玮

黑龙江中医药大学,黑龙江哈尔滨 150040黑龙江中医药大学附属第一医院,黑龙江哈尔滨 150040

中医学

颈源性头痛经筋理论多功能套针浮刺疗法

Cervicogenic headacheMeridian-sinew theoryMulti-functional trocarFloating needling therapy

《针灸临床杂志》 2024 (009)

37-42 / 6

国家自然科学基金,编号:82074530;黑龙江省自然科学基金,编号:ZD2021H007.

10.19917/j.cnki.1005-0779.024172

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