摘要
目的:观察温针灸联合推拿对颈源性头痛患者疗效、生存质量及颈部血流动力学的影响。方法:随机数字表法将120例颈源性头痛患者分为观察组和对照组,每组60例。对照组患者行推拿按摩法,观察组在对照组基础上行温针灸治疗,测定治疗前后两组患者右侧椎动脉(RVA)、左侧椎动脉(LVA)、基底动脉(BA)的收缩期峰流速(Vs)、平均流速(Vm),评定患者疼痛程度(VAS)及生存质量(QOL),对患者中医症候进行积分,观察治疗过程中的不良反应,比较两组患者治疗效果。结果:观察组总有效率为88.33%,显著高于对照组(P<0.05)。治疗后中医症候积分、VAS评分较治疗前显著降低(P<0.05),QOL评分显著升高(P<0.05),观察组下降或升高的幅度大于对照组,差异显著(P<0.05);治疗后两组患者RVA、LVA和BA的Vs、Vm值显著增加(P<0.05),治疗后观察组患者各指标增加的幅度显著高于对照组(P<0.05);两组患者治疗过程中均无严重不良反应。结论:温针灸联合推拿治疗颈源性疼痛能提高患者血流速度,改善患者中医症候及生活质量,较单一推拿治疗疗效更好,安全性高。
Objective: To investigate the effect of needle warming moxibustion combined with massage on curative effect,quality of life and cervical hemodynamics of patients with cervicogenic headache. Methods: 120 patients with cervicogenic headache were randomly divided into observation group and controlled group with 60 cases in each group. The controlled group was treated with massage while the observation group was treated with needle warming moxibustion combined with massage. The peak systolic velocity(Vs) and mean velocity(Vm) of right vertebral artery(RVA),left vertebral artery(LVA) and basilar artery(BA) in the two groups were determined before and after treatment. The pain degree(VAS) and quality of life(QOL) were evaluated,and scores of TCM symptoms were recorded. Adverse reactions during treatment were observed,and the curative effect was compared between the two groups. Results: The total effective rate of the observation group was significantly higher than that of the controlled group(P<0.05). After treatment,TCM symptom scores and VAS scores were significantly decreased(P<0.05),while QOL scores were increased significantly(P<0.05),and changes in the observation group were greater than those in the controlled group(P<0.05). After treatment,the Vs and Vm values of RVA,LVA and BA in the two groups increased significantly(P<0.05),and increase of each index in the observation group was significantly greater than that in the controlled group(P<0.05). There was no serious adverse reaction in the two groups during treatment. Conclusion: Needle warming moxibustion combined with massage can improve the blood flow velocity,TCM symptoms and quality of life of patients with cervicogenic headache. The curative effect is better than massage alone and the safety is high.
作者
陶丽
任泓颖
TAO Li;HONG Ying(Department of Bone Rehabilitation of Traditional Chinese Medicine,Nanchong Municipal Central Hospital,Nanchong Sichuan 637000,China)
出处
《四川中医》
2019年第3期179-181,共3页
Journal of Sichuan of Traditional Chinese Medicine
关键词
温针灸
推拿
颈源性头痛
疗效
Needle warming moxibustion
Massage
Cervicogenic headache
Curative effect
