CAJ | 학술논문

目的：观察项八针配合头部阿是穴留针治疗颈源性头痛的临床疗效，并探讨此方法的特点。方法釆用随机对照试验研究的方法，将89例颈源性头痛患者随机分为两组，治疗组45例，对照组44例。治疗组取项八穴(双侧风池、风府、大椎和“项四花穴”)和头部阿是穴，对照组取病变颈椎夹脊穴、天柱、风池、玉枕、列缺、太冲、足临泣穴。各组均治疗2星期，每星期治疗3次，治疗完成1个月后进行随访；并分别于治疗前、治疗1星期末、治疗结束时和1个月随访时进行头痛VAS评分、头痛持续时间、头痛频率和颈椎活动度(ROM)评分；根据疗效评价标准评定治疗结束时和随访时的疗效。结果治疗组治疗结束时和随访时的头痛积分、颈椎活动度评分均优于对照组(P＜0.05)；治疗结束时总有效率为91.1%，随访时总有效率为86.7%，近远期疗效优于对照组(P＜0.05)；治疗1星期后，治疗组总有效率为57.8%，优于对照组的11.4%(P＜0.05)。结论项八针配合头部阿是穴留针治疗对颈源性头痛的头痛症状、颈椎活动度均有明显的改善作用，其近、远期疗效优于常规取穴针刺治疗，且具有较高的有效率和起效速度。
목적：관찰항팔침배합두부아시혈류침치료경원성두통적림상료효，병탐토차방법적특점。방법변용수궤대조시험연구적방법，장89례경원성두통환자수궤분위량조，치료조45례，대조조44례。치료조취항팔혈(쌍측풍지、풍부、대추화“항사화혈”)화두부아시혈，대조조취병변경추협척혈、천주、풍지、옥침、렬결、태충、족림읍혈。각조균치료2성기，매성기치료3차，치료완성1개월후진행수방；병분별우치료전、치료1성기말、치료결속시화1개월수방시진행두통VAS평분、두통지속시간、두통빈솔화경추활동도(ROM)평분；근거료효평개표준평정치료결속시화수방시적료효。결과치료조치료결속시화수방시적두통적분、경추활동도평분균우우대조조(P＜0.05)；치료결속시총유효솔위91.1%，수방시총유효솔위86.7%，근원기료효우우대조조(P＜0.05)；치료1성기후，치료조총유효솔위57.8%，우우대조조적11.4%(P＜0.05)。결론항팔침배합두부아시혈류침치료대경원성두통적두통증상、경추활동도균유명현적개선작용，기근、원기료효우우상규취혈침자치료，차구유교고적유효솔화기효속도。
ObjectiveTo investigate the clinical efficacy of nape eight needles plus cephalic ashi point acupuncture in treating cervicogenic headache.MethodA randomized controlled trial was carried out. Eighty-nine patients with cervicogenic headache were randomly allocated to two groups, the treatment group of 45 cases and the control group of 44 cases. Nape eight points [bilateral Fengchi(GB20), Fengfu(GV16), Dazhui(GV14) and “nape Sihuaxue”] and cephalic ashi points were selected inthe treatment group and Huatuo jiaji(Ex-B2) points at the affected cervical vertebrae and points Tianzhu(BL10), Fengchi, Yuzhen(BL9), Lieque(LU7), Taichong(LR3)and Zulinqi(GB41), in the control group. Every group was treated three times a week for two weeks. A follow-up was performed at one month after the completion of treatment. Headache was scored using the VAS, and continuous headache time, headache frequency and range of motion (ROM) of cervical spine were scored before treatment, at the end ofone week’s treatment, at the completion of treatment and at one month after the completion of treatment. The therapeutic effect at the completion of treatment and the follow-up was evaluated according to criteria for assessing the therapeutic effect.ResultAt the completion of treatment and the follow-up, the headache score and the range of motion of cervical spine score were lower in the treatment group than in the control group (P<0.05). In the treatment group, the total efficacy rate was 91.1% at the completion of treatment and 86.7% at the follow-up; the short-term and the long-term therapeutic effects were superior to those in the control group (P<0.05). After one week of treatment, the total efficacy rate was 57.8%, which was higher than 11.4% in thecontrol group (P<0.05).ConclusionTreatment with nape eight needles plus cephalic ashi point needle retention has a marked improving effect on headache symptoms and range of motion of cervical spine in cervicogenic headache. Its short-term and long-termtherapeutic effects are superior to those of conventional acupuncture. It has a higher efficacy rate and effect-producing speed.