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1、維普資訊http://www.cqvip.com中華物理醫(yī)學(xué)與康復(fù)雜志2005年11月第27卷第11期ChinJPhysMedRehabil,November2005,Vo1.27,No.11·681·.臨床研究.頸2橫突局部注射配合直線偏振光近紅外線治療頸源性頭痛的療效觀察馬超曾海輝伍少玲肖秀紅黃利榮燕鐵斌【摘要】目的觀察頸2橫突局部注射配合直線偏振光近紅外線治療頸源性頭痛的療效。方法56例確診為頸源性頭痛患者隨機分為2組:治療組28例,予頸2橫突局部注射得保松加直線偏振光近紅外線局部照射治療;對照組28例,予頸2橫突局部注射得保松。評估2組
2、患者治療前、后疼痛的程度并觀察治療效果。結(jié)果2組患者治療后VAS評分分別與治療前比較均有下降,差異有統(tǒng)計學(xué)意義(P<0.05);并且治療組VAS評分下降(6.1±1.8)分,較對照組的(3.8±2.5)分明顯,二者間差異有統(tǒng)計學(xué)意義(P<0.05)。治療組的治愈率為82、1%,好轉(zhuǎn)率為14.3%,無效率為3.6%;對照組的治愈率為46.4%,好轉(zhuǎn)率為32.1%,無效率為21.4%,2組間療效比較差異有統(tǒng)計學(xué)意義(P<0.05)。結(jié)論頸2橫突局部注射配合直線偏振光近紅外線治療頸源性頭痛的療效顯著,患者頭痛癥狀可得到明顯改善,較單用頸2橫突局部注射
3、治療效果好?!娟P(guān)鍵詞】頸源性頭痛;局部注射治療;直線偏振光近紅外線Efectoflocalinjectiononcervical2processustransversuscombinedwithsuper·laserirradiationforpatientswithcervicogenicheadacheMAChao,ZENGHai—hui,UShao—ling,XIAOXiu—hong,HUANGLi—rong,YANTie—bin.DepartmentofRehabilitationMedicine,SecondAffiliatedHos
4、pital,SunYat—senUniversity,Guangzhou510120,China【Abstract】ObjectiveToexploretheefficacyoflocalinjectiononcervical2processustransversuscon—binedwithsuper—laserirradiationforcervicogenicheadache.MethodsFifty—sixcervicogenicheadachepatientswererandomlydividedintoatreatmentgroup
5、(25cases)andacontrolgroup(25cases).PatientsinthetreatmentgroupweregivenlocalinjectionofDiprospanoncervical2processustransversusandsuper—laserirradiation,whilethoseinthecontrolgroupwereonlygivenlocalinjectionwithDiprospanoncervical2processustransversus.Allthepatientswereasses
6、sedwithvisualanalogousscale(VAS)beforeandaftertreatment.ResultsThepainofallpa—tientswasimprovedaftertreatment.TheVASscoreinbothgroupswerereducedaftertreatment,andthedifferencewassignificantascomparedwiththatbeforetreatment(P<0.05).ThedecreaseofVASscorewas6.1±1.8and3.8±2.5int
7、hetreatmentgroupandcontrolgroup.respectively.TherewasstatisticallysignificantdifferencebetweenthetwogroupsintermsofthedecreaseofVASscore(P<0.05).Inthetreatmentgroup,thecurerate,improvedrateandinefficacyratewere82.1%,14.3%and3.6%,respectively,whilethoseinthecontrolgroupwere46
8、.4%.32.1%and21.4%.Therewasstatisticallysignificantdifferencebetweenthetwogr