手法治療頸源性頭痛的臨床療效觀察.pdf

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1、·臨床探討·中國現(xiàn)代醫(yī)生2014年7月第52卷第2l期手法治療頸源性頭痛的臨床療效觀察劉炎李軍2趙凱明，蔣崇博1．解放軍第二炮兵總醫(yī)院禮士路門診部，北京100820；2．解放軍第二炮兵總醫(yī)院中醫(yī)與康復理療科，北京100088；3．解放軍第二炮兵裝備研究院門診部，北京100094[摘要】目的探討手法治療頸源性頭痛的臨床效果。方法收集2012年2月～2013年12月就診于我院門診的頸源性頭痛患者112例，隨機分為治療組和對照組各56例，治療組采用手法按摩治療，3周為一個療程，對照組患者口服布洛芬對癥治療，6d為一個療程，一個療程后通過目測類比評分法(Vis

2、uralAnalogueScale，VAS)評估兩組患者疼痛緩解情況，通過數(shù)字評價量表分析兩組患者的臨床有效率。結(jié)果治療組患者VAS評分較對照組患者顯著下降(P

3、adacheLIUYahLIJun。ZHA0Kaiming3JIANGChongbo1．OutpatientDepartmentofLishiRoad，theSecondArtilleryGerneralHospitalofPLA，Beijing100820，China；2．De—partmentofRehabilitationandTraditionalChineseMedicine，theSecondArtilleryGemeralHospitalofPLA，Beijing100088，China；3．DepartmentofOutpatient，

4、ArmamentResearchInstitute，theSecondArtilleryofPLA，Beijingl00094．China【Abstract]0bjectiveTodiscusstheclinicalefficacyofmanipulativetreatmentforeervicogenieheadache．MethodsAll112cervicogenieheadachepatientsfromourhospitaloutpatientdepartmentsfromFebruary2012toDecember2013wereinclu

5、dedinourstudy，accordingtoeervicogenicheadachediagnosticcriteriaadmittedbyCommitteeoftheinter—nationalheadache．Theywererandomlydividedintotreatmentgroupandcontrol：group．Patientsintreatmentgroupweretreatedwithmanipulativetreatment，threeweeksforacourse，whilepatientsincontrolgroupwe

6、retreatedwithO-ralibuprofen，sixdaysforacourse．Afteracourse，patientsbothintreatmentgroupandincontrolgroupwereas-sessedbyVisuralAnalogueScale(VAS)andNumericRatingScale(NRS)．ResultsVASscoreofpatientsintreatmentgroupdecreasedmoresignificantlythanthatincontrolgroup(P<0．05)．Aftertreat

7、mentforonecourse，clinicaleffec—tiverateofpatientstreatedwithmanipulativetherapywas82．1％(46／56)，whileclinicaleffectiverateofpatientstreatedwithibuprofenwas50．0％(28／56)．ConclusionManipulativetreatmentforcervicogenicheadachehasbetteref-feetthanthesimpletraditionalmedicinetreatment．

8、【Keywords】Cervicogenicheadache；Manipulation頸源性頭