细银质针与普通银质针导热疗法治疗颈源性头痛的疗效观察

Observation the effect of fine silver needle and ordinary silver needle diathermy curative therapy to cervicogenic headache

摘要:

目的：观察细银质针导热疗法治疗颈源性头痛的临床疗效。方法：选择2017.10月～2018.10月徐州医科大学附属医院疼痛科收治的颈源性头痛患者60例，随机分为普通银质针治疗组（P组)及细银质针治疗组（X组），每组30例。观察患者治疗前1天、治疗后1天、1周、2周、4周的疼痛视觉模拟评分法（visual analogue scale, VAS）,治疗后针眼痛持续时间以及治疗前与治疗后4周的睡眠质量结果（the Self-Rating Scale of Sleep, SRSS)。结果：治疗后两组患者VAS评分均较治疗前明显降低。组间两两比较,各时间点VAS评分无显著差异；P组患者治疗后针眼痛持续时间明显大于X组(<0.05)；两组患者治疗前均存在严重睡眠问题，治疗后两组患者SRSS评分均较治疗前明显降低(<0.05)。结论：普通银质针及细银质针治疗颈源性头痛均可达到明确的治疗效果，改善患者睡眠质量，但细银质针的损伤更小，针眼痛的持续时间更短，值得推荐。

Abstract:

Objective:To observe the clinical efficacy of fine silver needle diathermy therapy to cervical headache.Methods:60 patients with cervical headache in 2017.10-2018.10 patients were divided into two group in Affiliated Hospital of Xuzhou Medical University,30 cases in each group according to the random number table method,one group is ordinary silver needle diathermy curative therapy (P),the other is fine silver needle group (X).The pain visual analogue scale (VAS) of 1 days before treatment,1 days、1 weeks、2 weeks and 4 weeks after treatment were observed,the duration of needle eye pain after treatment,the Self-Rating Scale of Sleep before treatment and after treatment.Results:the VAS scores of the two groups after treatment were significantly lower than before treatment.There was no significant difference in VAS scores between the two groups at different time points;The duration of needle eye pain after treatment in group P was significantly longer than that in group x (P<0.05);Both groups of patients had severe sleep quality problems before treatment ,the SRSS scores of the two groups after treatment were significantly lower than before treatment (P<0.05).Conclusion: Ordinary silver needle and fine silver needle therapy treatment cervicogenic headache can achieve definite therapeutic effect and improve patient sleep quality,but fine silver needle damage smaller,shorter duration of needle eye pain,worthy of recommendation.