手法治疗颈源性头痛的临床疗效观察.pdf

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1、·临床探讨·中国现代医生2014年7月第52卷第2l期手法治疗颈源性头痛的临床疗效观察刘炎李军2赵凯明，蒋崇博1．解放军第二炮兵总医院礼士路门诊部，北京100820；2．解放军第二炮兵总医院中医与康复理疗科，北京100088；3．解放军第二炮兵装备研究院门诊部，北京100094[摘要】目的探讨手法治疗颈源性头痛的临床效果。方法收集2012年2月～2013年12月就诊于我院门诊的颈源性头痛患者112例，随机分为治疗组和对照组各56例，治疗组采用手法按摩治疗，3周为一个疗程，对照组患者口服布洛芬对症治疗，6d为一个疗程，一个疗程后通过目测类比评分法(Vis

2、uralAnalogueScale，VAS)评估两组患者疼痛缓解情况，通过数字评价量表分析两组患者的临床有效率。结果治疗组患者VAS评分较对照组患者显著下降(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颈源性头