经筋推拿治疗颈源性头痛的疗效及对颈椎活动度的影响

目的:探讨经筋推拿治疗颈源性头痛(CEH)的临床疗效,分析其对患者颈椎活动度的影响。方法:选取2017年3月至2017年6月山东省中医院收治的70例CEH患者,按照随机数字表法分为推拿组36例和针刺组34例,推拿组给予经筋推拿治疗,针刺组给予针刺治疗。观察两组治疗前后的疼痛视觉模拟(VAS)评分、头痛积分及颈椎活动度评分,比较两组临床总有效率。结果:推拿组患者治疗后总有效率为97.22%,显著高于针刺组患者82.35%(P0.05)。两组治疗1个疗程后、治疗后1个月的VAS评分、头痛积分、颈椎活动度评分均较治疗前降低,且推拿组低于针刺组(P0.05)。结论:经筋推拿治疗CEH能够缓解疼痛和改善颈椎功能,疗效显著,值得临床推广应用。

Effect of Meridian Tendon Massage on Cervix Headache and Its Effect on Cervical Vertebra Activity

ABSTRACT Objective: To investigate the clinical efficacy of meridian tendon massage in treating cervical headache (CEH) and analyze its effect on cervical vertebra activity. Methods: A total of 70 patients with CEH, who were treated in Shandong Province Hospital of Traditional Chinese Medicine from March 2017 to June 2017, were selected and were randomly divided into massage group(n=36) and acupuncture group(n=34). The massage group was treated with meridian tendon massage, and the acupuncture group was treated with acupuncture. The visual analogue scale (VAS) scores, headache scores and cervical vertebra activity scores of the two groups before and after treatment were observed, and the clinical total effective rate of the two groups were compared. Results: The total effective rate of the massage group after treatment was 97.22%, which was significantly higher than 82.35% of the acupuncture group (P<0.05). After 1 course of treatment and 1 month after treatment, the VAS scores, headache scores and cervical vertebra activity scores were lower than those before treatment, and the indexes in the massage group was lower than those in the acupuncture group (P<0.05). Conclusion: The therapeutic effect of meridian tendon massage for CEH is significant. It can relieve pain and improve the function of cervical vertebra, which is worthy of clinical application.