仰頭搖正法治療頸源性頭痛的臨床研究
發(fā)布時間：2018-11-01 10:46
【摘要】：目的:探討龍氏治脊療法之仰頭搖正法治療頸源性頭痛的有效性、安全性及可能作用機(jī)制,并與傳統(tǒng)手法組進(jìn)行療效比較,為臨床治療頸源性頭痛提供一種新的思路及途徑。方法:將72例符合診斷及納入標(biāo)準(zhǔn)的頸源性頭痛患者隨機(jī)分為治療組和對照組,每組各36人。所有患者均給予電針作為基礎(chǔ)治療,治療組采用龍氏治脊療法中的仰頭搖正法治療,對照組采用傳統(tǒng)手法治療,治療時程:每天1次,6次為1療程,總治療期2個療程,每療程間休息1天。比較治療前、后兩組在簡明McGill疼痛量表評分(SF-MPQ)、頭痛影響測定-6評分(HIT-6)上的差異,并在治療結(jié)束后進(jìn)行一次總體療效評價,利用SPSS21.0統(tǒng)計軟件對結(jié)果進(jìn)行分析、處理,探討仰頭搖正法對頸源性頭痛患者的有效性、安全性及可能作用機(jī)制。結(jié)果:1、臨床療效評價方面:總有效率:治療組86.11%,對照組77.78%,經(jīng)統(tǒng)計分析,P0.05,還不能表明兩組的總有效率有差別。愈顯率:治療組58.33%、對照組19.44%,經(jīng)統(tǒng)計分析,P0.01,差異具有顯著性,表明治療組的愈顯療效明顯高于對照組。2、簡明McGill疼痛量表評分方面:在治療前兩組感覺項(xiàng)評分、情感項(xiàng)評分、視覺疼痛評分(VAS)、現(xiàn)有疼痛強(qiáng)度評分(PPI)、McGill疼痛量表總評分分別進(jìn)行比較,差異無統(tǒng)計學(xué)意義(均P0.05),可進(jìn)行比較;與治療前相比,治療后兩組的感覺項(xiàng)評分、情感項(xiàng)評分、視覺疼痛評分(VAS)、現(xiàn)有疼痛強(qiáng)度評分(PPI)、McGill疼痛量表總評分差異均有統(tǒng)計學(xué)意義(均P0.05),表明兩組的治療均有效;治療后兩組感覺項(xiàng)評分、情感項(xiàng)評分、視覺疼痛評分(VAS)、McGill疼痛量表總評分的差值相比差異均有統(tǒng)計學(xué)意義(P0.05),且治療組各項(xiàng)評分下降更明顯,說明治療組在緩解疼痛方面療效更顯著。治療后,兩組現(xiàn)有疼痛強(qiáng)度評分(PPI)差值比較無顯著意義(P0.05),尚不能說明兩組在降低PPI評分上有差異。3、頭痛影響測定-6(HIT-6)評分方面:在治療前兩組HIT-6評分進(jìn)行比較,差異無統(tǒng)計學(xué)意義(P0.05),可進(jìn)行比較;在治療2療程后,兩組的HIT-6評分與分別同治療前相比較,差異均有統(tǒng)計學(xué)意義(P0.05),表明兩組的治療均有效;治療后兩組HIT-6評分差值相比差異有統(tǒng)計學(xué)意義(P0.05),且治療組評分下降更明顯,說明治療組在改善生活質(zhì)量方面療效更顯著。結(jié)論:仰頭搖正法為龍氏正骨手法中治療寰枕及寰樞關(guān)節(jié)錯位最常用的手法,能夠有效的糾正上段頸椎椎小關(guān)節(jié)錯位,恢復(fù)頸椎生物力學(xué)平衡,解除因神經(jīng)、血管、肌肉等的刺激受壓而出現(xiàn)的一系列癥狀,因此仰頭搖正法對頸源性頭痛療效顯著。且該療法操作簡單,不良反應(yīng)少,具有穩(wěn)、準(zhǔn)、輕、巧的特點(diǎn),值得臨床推廣應(yīng)用。
[Abstract]:Objective: to explore the efficacy, safety and possible mechanism of the treatment of cervical headache with the method of raising the head and orthodontic treatment of Longshi chiropractic, and compare the curative effect with that of the traditional manipulation group, so as to provide a new way for clinical treatment of cervical headache. Methods: 72 patients with cervical headache were randomly divided into treatment group and control group with 36 patients in each group. All the patients were given electroacupuncture as the basic treatment, the treatment group was treated with the method of raising the head and shaking the head in the treatment group, and the control group was treated with traditional manipulation. The course of treatment was: once a day, 6 times as a course of treatment, and 2 courses of treatment in the total period of treatment. Take a day off from each course of treatment. Before and after treatment, the difference between the two groups in concise McGill pain scale (SF-MPQ) and headache impact test score (HIT-6) was compared, and the overall curative effect was evaluated after treatment. The results were analyzed and processed by SPSS21.0 software to explore the efficacy, safety and possible mechanism of the method of raising the head in patients with cervical headache. Results: 1, clinical efficacy evaluation: the total effective rate: the treatment group 86.11, the control group 77.78, the statistical analysis, P0.05, still can not show the two groups of the total effective rate difference. The effective rate of callus: 58.33 in the treatment group and 19.4444 in the control group, the difference was significant (P0.01), which indicated that the curative effect of the treatment group was significantly higher than that of the control group. Brief McGill pain scale score: before treatment, the two groups were compared with each other in sensory score, emotion score, visual pain score, (VAS), pain intensity score, (PPI), McGill pain scale total score. The difference was not statistically significant (P0.05), but could be compared. Compared with before treatment, there were significant differences in sensory score, emotion score, visual pain score, (VAS), pain intensity score, (PPI), McGill pain scale total score between the two groups after treatment (P0.05). The results showed that both groups were effective. After treatment, there were significant differences in sensory score, emotion score, visual pain score, total score of (VAS), McGill pain scale between the two groups (P0.05), and the scores of the treatment group decreased more obviously. The treatment group was more effective in relieving pain. After treatment, there was no significant difference in (PPI) difference between the two groups in the pain intensity score (P0.05), which did not indicate that there was a difference between the two groups in reducing the PPI score. Headache impact measurement-6 (HIT-6) score: in the two groups before the treatment of HIT-6 score comparison, the difference was not statistically significant (P0.05), can be compared; After 2 courses of treatment, the HIT-6 scores of the two groups were significantly different from those before treatment (P0.05), which indicated that the two groups were effective. The difference of HIT-6 score between the two groups after treatment was statistically significant (P0.05), and the score of the treatment group decreased more significantly, which indicated that the treatment group was more effective in improving the quality of life. Conclusion: the inversion method is the most commonly used manipulation in the treatment of atlantoaxial and occipital joint dislocation, which can effectively correct the upper cervical vertebrae facet dislocation, restore the biomechanical balance of the cervical vertebrae, and relieve the nerve and blood vessels. Muscle stimulation is a series of symptoms resulting from compression, so the head-shaking orthodontic method is effective in treating cervical headache. The therapy is simple, less adverse, stable, accurate, light and skillful. It is worth popularizing.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R244.1
本文編號：2303676
[Abstract]:Objective: to explore the efficacy, safety and possible mechanism of the treatment of cervical headache with the method of raising the head and orthodontic treatment of Longshi chiropractic, and compare the curative effect with that of the traditional manipulation group, so as to provide a new way for clinical treatment of cervical headache. Methods: 72 patients with cervical headache were randomly divided into treatment group and control group with 36 patients in each group. All the patients were given electroacupuncture as the basic treatment, the treatment group was treated with the method of raising the head and shaking the head in the treatment group, and the control group was treated with traditional manipulation. The course of treatment was: once a day, 6 times as a course of treatment, and 2 courses of treatment in the total period of treatment. Take a day off from each course of treatment. Before and after treatment, the difference between the two groups in concise McGill pain scale (SF-MPQ) and headache impact test score (HIT-6) was compared, and the overall curative effect was evaluated after treatment. The results were analyzed and processed by SPSS21.0 software to explore the efficacy, safety and possible mechanism of the method of raising the head in patients with cervical headache. Results: 1, clinical efficacy evaluation: the total effective rate: the treatment group 86.11, the control group 77.78, the statistical analysis, P0.05, still can not show the two groups of the total effective rate difference. The effective rate of callus: 58.33 in the treatment group and 19.4444 in the control group, the difference was significant (P0.01), which indicated that the curative effect of the treatment group was significantly higher than that of the control group. Brief McGill pain scale score: before treatment, the two groups were compared with each other in sensory score, emotion score, visual pain score, (VAS), pain intensity score, (PPI), McGill pain scale total score. The difference was not statistically significant (P0.05), but could be compared. Compared with before treatment, there were significant differences in sensory score, emotion score, visual pain score, (VAS), pain intensity score, (PPI), McGill pain scale total score between the two groups after treatment (P0.05). The results showed that both groups were effective. After treatment, there were significant differences in sensory score, emotion score, visual pain score, total score of (VAS), McGill pain scale between the two groups (P0.05), and the scores of the treatment group decreased more obviously. The treatment group was more effective in relieving pain. After treatment, there was no significant difference in (PPI) difference between the two groups in the pain intensity score (P0.05), which did not indicate that there was a difference between the two groups in reducing the PPI score. Headache impact measurement-6 (HIT-6) score: in the two groups before the treatment of HIT-6 score comparison, the difference was not statistically significant (P0.05), can be compared; After 2 courses of treatment, the HIT-6 scores of the two groups were significantly different from those before treatment (P0.05), which indicated that the two groups were effective. The difference of HIT-6 score between the two groups after treatment was statistically significant (P0.05), and the score of the treatment group decreased more significantly, which indicated that the treatment group was more effective in improving the quality of life. Conclusion: the inversion method is the most commonly used manipulation in the treatment of atlantoaxial and occipital joint dislocation, which can effectively correct the upper cervical vertebrae facet dislocation, restore the biomechanical balance of the cervical vertebrae, and relieve the nerve and blood vessels. Muscle stimulation is a series of symptoms resulting from compression, so the head-shaking orthodontic method is effective in treating cervical headache. The therapy is simple, less adverse, stable, accurate, light and skillful. It is worth popularizing.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R244.1
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