摘要
目的:探讨芒针透刺配合理筋整脊手法治疗枕大神经痛的临床疗效。方法:将52例枕大神经痛患者随机分为观察组和对照组各26例,两组患者采用理筋整脊手法治疗,观察组在此基础上行芒针透刺治疗。两组患者于治疗前及治疗后3个月随访进行疼痛视觉模拟评分(VAS评分)、头痛持续时间评分、发作频率、头痛指数、睡眠质量评分、颈椎活动程度评分、血清中前列腺素E2(PGE2)、P物质(SP)含量和总有效率的统计。结果:治疗后,观察组与对照组VAS评分、头痛持续时间评分、发作频率、头痛指数、睡眠质量评分和颈椎活动评分均显著低于治疗前(P<0.05),观察组显著低于对照组(P<0.05);两组患者血清中PGE2、SP水平均降低(P<0.05),观察组PGE2水平显著低于对照组(P<0.05)。治疗后观察组总有效率为92.31%(24/26),对照组为84.62%(22/26),治疗后3个月随访时观察组总有效率为92.31%(24/26),对照组为80.77%(21/26),观察组均优于对照组(P<0.05)。结论:芒针透刺配合理筋整脊手法治疗枕大神经痛有较好的的疗效,可能与调节疼痛性炎性介质有关。
Objective:To explore the clinical therapeutic effect of elongated needle penetrating acupuncture combined with tendon-regulation and chiropractic manipulation in treatment of greater occipital neuralgia(GON).Methods:52 patients with GON were randomly divided into the observation group and the control group,with 26 cases in each group.Both groups were treated with tendon-regulation and chiropractic manipulation;on which basis,the observation group was also treated with elongated needle penetrating acupuncture.VAS score,headache duration score,attack frequency,headache index,sleep quality score,cervical spine activity score,serum levels of PGE2 and SP,as well as total effective rate were assessed after the treatment and during the three-month follow-up in the two groups.Results:The VAS score,headache duration score,attack frequency,headache index,sleep quality score and cervical spine activity score were all significantly lower after the treatment than those before the treatment in the two groups(P<0.05);the improvements were more significant in the observation group than those in the control group(P<0.05).The serum levels of PGE2 and SP were lower after the treatment than those before the treatment in the two groups(P<0.05);the serum level of PGE2 was lower in the observation group than that in the control group after the treatment(P<0.05).The total effective rate of the observation group was 92.31%(24/26),which was significantly higher than 84.62%(22/26)in the control group(P<0.05);the effective rate during the follow-up was 92.31%(24/26)in the observation group,which was significantly higher than 80.77%(21/26)in the control group(P<0.05).Conclusion:Elongated needle penetrating acupuncture combined with tendon-regulation and chiropractic manipulation has a good effect on GON,which may be related to regulating inflammatory mediators.
作者
阴祖新
李树明
郭妍
郝唯
吴海峥
马彦旭
程五中
YIN Zuxin;LI Shuming;GUO Yan;HAO Wei;WU Haizheng;MA Yanxu;CHENG Wuzhong(Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University,Beijing 100010,China)
出处
《针灸临床杂志》
2022年第12期15-19,共5页
Journal of Clinical Acupuncture and Moxibustion
基金
国家自然科学基金,编号:82104996
首都卫生发展科研专项项目,编号:首发2020-2-2231
京津冀协同创新共同体建设专项,编号:19245709D。
关键词
枕大神经痛
芒针
理筋整脊手法
前列腺素E2
P物质
Greater occipital neuralgia
Elongated needle
Tendon-regulation and chiropractic manipulation
PGE2
SP
