CAJ | 학술논문

目的：本课题拟对风池穴进针行小针刀疗法与风池穴进针行封闭注射治疗颈源性头痛进行对比观察，并客观评估治疗方法的疗效差异，为临床治疗颈源性头痛探索更好的治疗方法。方法：将符合颈源性头痛试验病例纳入标准的患者60例，随机分为试验组和对照组，每组30例。观察两组患者疼痛指数、血浆中NO及ET的变化，并对上述指标进行组内治疗前后比较及组间治疗前后差值比较。结果：试验组和对照组颈源性头痛患者的疼痛指数在治疗后都显著降低，试验组总有效率达86.7%，对照组为76.7%，试验组优于对照组。两组的治疗均能升高患者血浆中NO、降低血浆中ET，且实验组明显优于对照组，差异具有统计学意义（P<0.05）。结论：运用风池穴进针行小针刀疗法治疗颈源性头痛能明显降低患者的疼痛指数，并能使患者血浆中NO升高、ET降低，是治疗颈源性头痛的一种疗效确切的治疗方法。
목적：본과제의대풍지혈진침행소침도요법여풍지혈진침행봉폐주사치료경원성두통진행대비관찰，병객관평고치료방법적료효차이，위림상치료경원성두통탐색경호적치료방법。방법：장부합경원성두통시험병례납입표준적환자60례，수궤분위시험조화대조조，매조30례。관찰량조환자동통지수、혈장중NO급ET적변화，병대상술지표진행조내치료전후비교급조간치료전후차치비교。결과：시험조화대조조경원성두통환자적동통지수재치료후도현저강저，시험조총유효솔체86.7%，대조조위76.7%，시험조우우대조조。량조적치료균능승고환자혈장중NO、강저혈장중ET，차실험조명현우우대조조，차이구유통계학의의（P<0.05）。결론：운용풍지혈진침행소침도요법치료경원성두통능명현강저환자적동통지수，병능사환자혈장중NO승고、ET강저，시치료경원성두통적일충료효학절적치료방법。
Objective: In order to explore a better way to treat cervical headache, clinical effects of knife acupuncture at Fengchi and blocking injection puncture at Fengchi were compared and analyzed. Methods: 60 patients were divided into the experiment group and the control group, 30 patients for each, the changes such as pain index, NO, ET before and after treatment were compared and analyzed. Results: The pain-index of cervical headache in the experiment group was significantly reduced, the total efficiency in the experiment group (86.7%) was better than that (76.7%) in the control group, the level of NO, ET was improved better than before treatment (P<0.05). Conclusion: Knife acupuncture at Fengchi point on treating cervical headache could reduce the pain index, improve the level of NO, ET, and the efficacy is confirmed.