颈2横突局部注射配合直线偏振光近红外线治疗颈源性头痛的疗效观察

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1、维普资讯http://www.cqvip.com中华物理医学与康复杂志2005年11月第27卷第11期ChinJPhysMedRehabil，November2005，Vo1．27，No．11·681·．临床研究．颈2横突局部注射配合直线偏振光近红外线治疗颈源性头痛的疗效观察马超曾海辉伍少玲肖秀红黄利荣燕铁斌【摘要】目的观察颈2横突局部注射配合直线偏振光近红外线治疗颈源性头痛的疗效。方法56例确诊为颈源性头痛患者随机分为2组：治疗组28例，予颈2横突局部注射得保松加直线偏振光近红外线局部照射治疗；对照组28例，予颈2横突局部注射得保松。评估2组

2、患者治疗前、后疼痛的程度并观察治疗效果。结果2组患者治疗后VAS评分分别与治疗前比较均有下降，差异有统计学意义(P<0．05)；并且治疗组VAS评分下降(6．1±1．8)分，较对照组的(3．8±2．5)分明显，二者间差异有统计学意义(P<0．05)。治疗组的治愈率为82、1％，好转率为14．3％，无效率为3．6％；对照组的治愈率为46．4％，好转率为32．1％，无效率为21．4％，2组间疗效比较差异有统计学意义(P<0．05)。结论颈2横突局部注射配合直线偏振光近红外线治疗颈源性头痛的疗效显著，患者头痛症状可得到明显改善，较单用颈2横突局部注射

3、治疗效果好。【关键词】颈源性头痛；局部注射治疗；直线偏振光近红外线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