【摘要】：目的:觀察電針結(jié)合神經(jīng)松動(dòng)術(shù)對(duì)枕神經(jīng)痛的影響,探討枕神經(jīng)痛的治療方案。方法:枕神經(jīng)痛患者隨機(jī)分為電針治療組19例、神經(jīng)松動(dòng)術(shù)組22例及電針結(jié)合神經(jīng)松動(dòng)術(shù)組21例。電針治療組采用電針針刺玉枕、風(fēng)池、天柱、完骨等穴;神經(jīng)松動(dòng)術(shù)組采用C2神經(jīng)松動(dòng)術(shù)治療;電針結(jié)合神經(jīng)松動(dòng)術(shù)組將兩種方法結(jié)合治療。均每日治療1次,治療2周。治療前后評(píng)價(jià)視覺(jué)模擬量尺(VAS)評(píng)分、頭痛6點(diǎn)行為評(píng)分(BRS-6)并評(píng)價(jià)療效。結(jié)果:與本組治療前相比,各組患者VAS評(píng)分、BRS-6評(píng)分均降低(P0.05),電針結(jié)合神經(jīng)松動(dòng)術(shù)組較其他兩組降低更明顯(P0.01,P0.05)。電針治療組、神經(jīng)松動(dòng)術(shù)組和電針結(jié)合神經(jīng)松動(dòng)術(shù)組的總有效率分別為78.95%(15/19)、68.18%(15/22)和90.48%(19/21),電針結(jié)合神經(jīng)松動(dòng)術(shù)組總有效率高于電針治療組和神經(jīng)松動(dòng)術(shù)組(P0.05)。結(jié)論:電針、神經(jīng)松動(dòng)術(shù)以及電針結(jié)合神經(jīng)松動(dòng)術(shù)均能改善枕神經(jīng)痛患者的癥狀,療效確切。電針結(jié)合神經(jīng)松動(dòng)術(shù)療法對(duì)于枕神經(jīng)痛的療效優(yōu)于單純電針療法或神經(jīng)松動(dòng)術(shù)療法。
[Abstract]:Objective: to observe the effect of electroacupuncture combined with nerve loosening on occipital neuralgia and explore the treatment scheme of occipital neuralgia. Methods: patients with occipital neuralgia were randomly divided into electroacupuncture group (n = 19), nerve loosening group (n = 22) and electroacupuncture combined with nerve loosening group (n = 21). Electroacupuncture treatment group with electroacupuncture Yu pillow, Fengchi, Tianzhu, and other points; nerve loosening group with C2 nerve loosening treatment; electroacupuncture combined with nerve loosening group will combine the two methods. All patients were treated once a day for 2 weeks. Visual analogue scale (VAS) score, headache 6 point behavior score (BRS-6) and curative effect were evaluated before and after treatment. Results: compared with before treatment, the VAS score and BRS-6 score of each group were all decreased (P0.05), the electroacupuncture combined with nerve loosening group was significantly lower than that of the other two groups (P0.01 P05). The total effective rates of electroacupuncture group, nerve loosening group and electroacupuncture combined group were 78.95% (15 / 19) and 90.48% (19 / 21), respectively. The total effective rate of electroacupuncture combined with nerve loosening group was higher than that of electroacupuncture group and nerve loosening group (P0.05). Conclusion: electroacupuncture, nerve loosening and electroacupuncture combined with nerve loosening can improve the symptoms of patients with occipital neuralgia. The curative effect of electroacupuncture combined with nerve loosening for occipital neuralgia is better than that of electroacupuncture alone or nerve loosening.
【作者單位】： 黑龍江中醫(yī)藥大學(xué)附屬第二醫(yī)院康復(fù)中心;黑龍江中醫(yī)藥大學(xué)研究生院;
【基金】：黑龍江中醫(yī)藥大學(xué)創(chuàng)新人才基金(No.051290)
【分類(lèi)號(hào)】：R246.6

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