针刺联合推拿治疗颈源性头痛临床研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R747.2

基金项目:


Clinical Study on Acupuncture Combined with Tuina for Cervicogenic Headache
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察针刺联合推拿治疗颈源性头痛的临床疗效。方法:将480 例门诊患者随机分为推拿组(对照组) 和针刺联合推拿组(治疗组) 各240 例。对照组采取颈部常规推拿手法治疗,治疗组采取天柱、风池、颈夹脊、肩外俞、肩井、百会、太阳等穴进行针刺治疗后,再联合颈部常规推拿手法治疗。采用疼痛视觉模拟评分法(VAS) 评估疼痛、检测血清白细胞介素-6(IL-6) 和肿瘤坏死因子-α(TNF-α),检测血浆中过氧化物酶体增殖剂激活受体(PPARα、PPARβ/δ、PPARγ),比较2 组临床疗效。结果:治疗组治愈率为25.42%,对照组为12.51%,2 组比较,差异有统计学意义(P<0.05);治疗组总有效率(92.50%) 高于对照组(77.50%),2 组比较,差异有统计学意义(P<0.05)。2 组治疗后疼痛VAS 评分较前改善,2 组治疗后比较,差异有统计学意义(P<0.05)。治疗后,2 组IL-6、TNF-α 较前改善(P<0.05);治疗后,2 组间IL-6、TNF-α 比较,差异有统计学意义(P<0.05)。2 组治疗后PPARα、PPARβ/δ、PPARγ 较前下降,治疗组治疗后PPARα、PPARβ/δ、PPARγ 均低于对照组(P<0.05)。结论:针刺联合推拿治疗颈源性头痛,临床疗效较好,能显著改善患者疼痛状况。

    Abstract:

    Abstract: Objective: To observe the clinical effect of acupuncture combined with tuina for cervicogenic headache. Methods:A total of 480 cases of patients were randomly divided into the tuina group(the control group) and the combination of acupuncture and tuina group(the treatment group), 240 cases in each group. The control group was given routine tuina manipulation for the neck,and the treatment group was given acupuncture at Tianzhu(BL 10),Fengchi(GB 20),Jingjiaji(EXB2), Jianwaiyu(SI 14), Jianjing(GB 21), Baihui(GV 20), Taiyang(EX- HN 5) points and combined with routine tuina manipulation for the neck. The pain was evaluated by Visual Analogue Scale(VAS),the levels of interleukin-6(IL-6) and tumor necrosis factor-α(TNF-α) in serum as well as the peroxisome proliferator-activated receptors(PPARα,PPARβ/δ and PPARγ) in plasma were detected,and the clinical effect in the two groups was compared. Results:The cure rate was 25.42% in the treatment group and 12.51% in the control group, the difference being significant(P<0.05); the total effective rate was 92.50% in the treatment group,higher than that of 77.50% in the control group,the difference being significant(P<0.05). After treatment,the VAS scores in the two groups were improved when compared with those before treatment,and there was significant difference being found in the comparison of the VAS scores between the two groups(P<0.05). After treatment,the levels of IL-6 and TNF-α in the two groups were improved when compared with those before treatment(P< 0.05); there was significant difference being found in the comparison of the levels of IL- 6 and TNF- α between the two groups(P<0.05). After treatment,the levels of PPARα,PPARβ/δ and PPARγ were decreased when compared with those before treatment, and the levels in the treatment group were lower than those in the control group(P<0.05). Conclusion: Acupuncture combined with tuina for cervicogenic headache has better clinical effect,which can significantly improve pain in patients.

    参考文献
    相似文献
    引证文献
引用本文

徐芳华,郝金林,刘军权.针刺联合推拿治疗颈源性头痛临床研究[J].新中医,2021,53(12):158-162

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2021-06-23
  • 出版日期: