吴梦超 1吴娟 1陆琴 1秦洁 1蒋茹 1章文觉1
作者信息
- 1. 江苏省宜兴市中医医院,宜兴 214200
- 折叠
摘要
Abstract
Objective To observe the clinical efficacy of intradermal needle at Hegu(LI4)in the treatment of post-concussion headache and its effect on the sleep quality of patients.Method A total of 150 patients with post-concussion headache were selected and randomly divided into a control group,a tuina group and an intradermal needle group,with 50 patients in each group.The control group was given oral Nimodipine tablets and routine care,while the tuina group was treated with finger-kneading manipulation at Hegu on the basis of the treatment in the control group,and the intradermal needle group was treated with intradermal needle at Hegu on the basis of the treatment in the control group.The change in the Chinese medicine pattern score,headache duration,visual analog scale(VAS)score,transcranial Doppler parameters(blood flow velocity of anterior,middle,posterior and basilar arteries),serum nerve damage factors[(neuron-specific enolase(NSE),ubiquitin C-terminal hydrolase-L1(UCHL1)and myelin basic protein(MBP)],sleep duration,number of nocturnal awakenings and Pittsburgh sleep quality index(PSQI)were observed in the three groups.The clinical efficacy and adverse effects of the three groups were compared.Result The total effective rate of the intradermal needle group was 94.0%,which was higher than that of the control group(74.0%)and the tuina group(80.0%)(P＜0.05).After treatment,the Chinese medicine pattern scores,headache duration and VAS scores of headache,dizziness,nausea and vomiting,insomnia and dreaminess,and memory loss in the intradermal needle group were lower than those in the control group and the tuina group(P＜0.05),while the Chinese medicine pattern scores,headache duration and VAS scores of headache in the tuina group were lower than those in the control group(P＜0.05).After treatment,the mean blood flow rate of anterior,middle and posterior cerebral arteries in the intradermal needle group was lower than that of the control group and tuina group(P＜0.05),and the mean blood flow rate of basilar artery of the intradermal needle group was lower than that of the control group(P＜0.05);the levels of serum NSE,UCHL1 and MBP in the intradermal needle group were lower than that of the control group and tuina group(P＜0.05);the sleep time of the intradermal needle group was more than that of the control group(P＜0.05),the number of nocturnal awakenings and PSQI scores of the intradermal needle group were lower than those of the control group and tuina group(P＜0.05),and the differences in the incidence of adverse reactions among the three groups were not statistically significant(P＞0.05).Conclusion On the basis of oral Nimodipine tablets and routine care,the clinical efficacy of intradermal needle at Hegu in treating post-concussion headache was better than that of tuina at Hegu,which could effectively improve the clinical symptoms of the patients,alleviate the headache,improve the quality of sleep,and prolong the sleeping time,which might be related to the reduction of serum NSE,UCHL1 and MBP levels and the improvement of cerebral vascular blood flow velocity.关键词
皮内针疗法/揿针/耳穴贴压/头痛/脑震荡/睡眠质量Key words
Intradermal needle therapy/Thumbtack needle/Auricular point sticking/Headache/Concussion/Sleep quality分类
医药卫生
