针刺配合推拿治疗颈源性头痛疗效观察

摘要

目的：观察针刺配合推拿治疗颈源性头痛的临床疗效。方法将97例颈源性头痛患者随机分为治疗组62例和对照组35例。治疗组采用针刺配合推拿治疗，对照组采用单纯针刺治疗。观察两组治疗前后VAS评分、颈部活动度及血浆一氧化氮(NO)、内皮素(ET)水平，比较两组临床疗效。结果治疗组总有效率为95.2%，对照组为82.9%，两组比较差异具有统计学意义(P＜0.05)。两组治疗后VAS评分、颈部活动度及血浆NO、ET水平与同组治疗前比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后VAS评分、颈部活动度及血浆NO、ET水平与对照组比较，差异均具有统计学意义(P＜0.05)。经Spearman相关分析发现血浆NO、ET水平变化与头痛VAS评分呈显著正相关。结论针刺配合推拿是一种治疗颈源性头痛的有效方法，其对头痛的改善作用与血浆NO、ET水平变化密切相关。%Objective To investigate the clinical efficacy of acupuncture plus massotherapy in treating cervicogenic headache. Methods Ninety-seven patients with cervicogenic headache were randomly allocated to a treatment group of 62 cases and a control group of 35 cases. The treatment group received acupuncture plus massotherapy and the control group, massotherapy alone. The VAS score was recorded and plasma nitric oxide (NO) and endothelin (ET) levels were measured in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups. Results The total efficacy rate was 95.2% in the treatment group and 82.9% in the control group; there was a statistically significant difference between the two groups (P<0.05). There were statistically significant pre-/post-treatment differences in the VAS score, neck mobility, and plasma NO and ET levels in the two groups (P<0.05). There were statistically significant post-treatment differences in the VAS score, neck mobility, and plasma NO and ET levels in the treatment and control groups (P<0.05). Spearman’s correlation analysis showed a positive correlation between plasma NO and ET levels and the VAS score.Conclusions Acupuncture plus massotherapy is an effective way to treat cervicogenic headache. Its improving effect on headache is closely related to changes in plasma NO and ET levels.