世界中医药

作者	单位
乔晋琳1，丁宇1，张秀芬2，权武成2，梁朝3，阎立3，蔡军4，刘倩1，陈婷婷1，罗晶1，贾杰海1，张静1，王燮荣1	1 中国人民解放军海军总医院,北京,100048 2 武警北京总队第二医院,北京,100000 3 中国中医科学院望京医院,北京,100102 4 北京电力总医院,北京,100073

摘要点击次数: 1493

全文下载次数: 1241

中文摘要:

目的:探讨王燮荣针刀-整脊手法治疗颈源性头痛的临床疗效。方法:选取2013年12月至2016年1月多中心收治的颈源性头痛患者300例,随机分为针刀整脊组150例和神经阻滞组150例。分别给予针刀联合王氏颈椎整脊手法和神经阻滞组治疗,治疗1次/周,3次为1个疗程。观察治疗结束后3个月、6个月VAS评分及临床疗效,进行统计学分析。结果:针刀整脊组治疗颈源性头痛近期、远期总有效率分别为97.3%、92.0%,较单纯神经阻滞组治疗91.3%、68.7%,治疗前后及组间比较VAS评分差异均有统计学意义（P<0.05）。结论:针刀联合王氏颈椎整脊手法治疗颈源性头痛临床疗效满意,安全有效,疗效稳定,值得推广。

English Summary:

To investigate the clinical efficacy of Wang Xierong’s acupotomy and chiropractic manipulation in treating cervicogenic headache. Methods:A total of 300 patients with cervicogenic headache admitted to Navy General Hospital of PLA from month, 20 to month, 20 were randomly divided into acupotomy-chirapractic group （n=150） and nerve block group （n=150）, each of which was treated respectively with acupotomy combined with cervical spinal manipulation and the injection of nerve-numbing substance （one time a week, three times a course for both treatments）. The VAS score and clinical efficacy of 3 months and 6 months after treatment were observed and analyzed statistically. Results:The short-term and long-term total effective rates of acupotomy-chiropractic group treating cervicogenic headache were 97.3% and 92.0% respectively, with those of nerve block group being 91.3% and 68.7%. Through comparison, the differences of VAS score before and after treatment as well as between groups were statistically significant （P<0.05）. Conclusion:Acupotomy combined with Wang’s cervical spine manipulation in the treatment of cervicogenic headache has satisfactory, safe and stable curative effect that is worth application.

查看全文查看/发表评论下载PDF阅读器