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| Effect of head self-weight backward traction with acupotomy in the treatment of cervicogenic headache |
| HU Hua LI Liantai▲ LIU Yanwei XIE Shuangxi SUN Jianjun |
| Department of Orthopaedics and Traumatology, Affiliated Hospital of Chengde Medical University, Hebei Province, Chengde 067000, China |
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Abstract Objective To investigate the clinical efficacy of head self-weight backward traction with acupotomy in the treatment of cervicogenic headache. Methods One hundred and twenty cases of patients with cervicogenic headache admitted to Affiliated Hospital of Chengde Medical University from March 2016 to March 2017 were selected and randomly divided into observation group (60 cases) and control group (60 cases) by fliping coins. The observation group was given the treatment of bedside head self-weight backward traction with acupotomy, and the control group was given acupotomy, the course was 4 weeks. Before and after treatment, X-ray examination of lateral cervical spine was taken, and the cervical curvature values were measured to observe the changes of cervical curvature before and after treatment. Before treatment and after treatment for 4 weeks, 3 months, the visual analogue scale (VAS) was performed respectively, the clinical efficacy of the two groups was observed and statistical analysis was carried out. Results After treatment for 4 weeks, the total effective rate of the observation group was significantly higher than that of the control group, the difference was highly statistically significant (P ＜ 0.01). After treatment for 3 months, the recurrence rate of cervicogenic headache of the observation group (3.33%) was lower than that of the control group (16.67%) (P ＜ 0.01). After treatment for 4 weeks, 3 months, the VAS scores of the two groups were all lower than those before treatment, which of the observation group were lower than those of the control group, the differences were highly statistically significant (P ＜ 0.01). After treatment for 4 weeks, the cervical curvature values of the two groups were higher than those before treatment, which of the observation group were higher than those of the control group (P ＜ 0.01). After treatment for 4 weeks, the total change rate of cervical curvature in the observation group was significantly higher than that in the control group, the difference was highly statistically significant (P ＜ 0.01). Conclusion The effect of head self-weight backward traction with acupotomy in the treatment of cervicogenic headache is significant, and the recurrence rate is low, which is worthy of clinical promotion.
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[1] Sjaastad O，Saunte C，Hovdahl H，et al.“Cervicogenic”hea-dache. An hypothesis [J]. Cephalalgia，1983，3（4）：249-256.
[2] 乔晋琳，丁宇，张秀芬，等.针刀-整脊技术治疗颈源性头痛前瞻性多中心临床研究[J].世界中医药，2017，12（6）：1439-1442.
[3] 游安江.小针刀联合神经阻滞法治疗颈源性头痛临床观察[J].亚太传统医药，2017，13（15）：123-124.
[4] 史传岗，徐小青.超声引导下C2神经根脉冲射频与C2神经根阻滞治疗颈源性头痛的疗效分析[J].介入放射学杂志，2018，27（5）：432-434.
[5] 李文举，唐旭，李亦梅，等.颈脊神经后支射频消融术联合塞来昔布治疗颈源性头痛临床疗效观察[J].临床军医杂志，2018，46（6）：715-717.
[6] Sjaastad O，Fredriksen TA，Pfaffenrath V. Cervicogenic headache：diagnostic criteria. The Cervicogenic Headache International Study Group [J]. Headache，1998，38（6）：442-445.
[7] Headache Classification Subcommittee of the International Headache Society. The International classification of headache disorders，2nd edition [J]. Cephalalgia，2004，24（Suppl 1）：9-160.
[8] 施问民，娄强，杨爱民.小针刀加手法复位治疗青年颈椎曲度异常[J].中医学报，2014，29（B12）：107-108.
[9] Marsh-Richard DM，Hatzis ES，Mathias CW，et al. Adaptive Visual Analog Scales（AVAS）：a modifiable software program for the creation，administration，and scoring of visual analog scales [J]. Behav Res Methods，2009，41（1）：99-106.
[10] 国家中医药管理局.中医病证诊断疗效标准[M].南京：南京大学出版社，1994：186.
[11] Bogduk N，Govind J. Cervicogenic headache：anassessment of the evidence on clinical diagnosis，invasive tests，and treatment [J]. Lancet Neurol，2009，8（10）：959-968.
[12] 王红娟，吕晓云.耳穴贴压配合养血疏肝止痛汤加减治疗颈源性头痛疗效及对颈部血流动力学影响[J].现代中西医结合杂志，2017，26（4）：375-377.
[13] 曲志伟，宋秋实，张一.颈椎椎旁神经阻滞术治疗颈源性头痛36例[J].中国中西医结合外科杂志，2017，23（3）：309-311.
[14] 吕品，提桂香，王丽昀，等.针刺八荒穴治疗偏头痛急性发作期的临床研究[J].中国医药导报，2017，14（22）：105-108.
[15] 王风波，魏晓霏，唐明薇.悬吊运动疗法联合盐酸乙哌立松治疗颈源性头痛的临床效果[J].广西医学，2017， 39（10）：1580-1581.
[16] 梁朝，吴剑聪，黄大鹏，等.针刀配合颈椎整复手法治疗颈源性头痛的临床疗效观察[J].中国医刊，2018，53（2）：168-171.
[17] 徐静.颈源性头痛的发病诱因分析及预防[J].中国现代药物应用，2015，9（4）：222.
[18] 常蜀英，杨兆建，王积昌，等.青少年症状性颈椎曲度异常的X线分析和异常（附166例报告）[J].空军总医院学，2001，17（4）：200.
[19] 王善金，张学利，夏英鹏，等.颈源性头痛与颈椎曲度的相关性研究[J].中国疼痛医学杂志，2008，14（5）：260-262.
[20] 金建慧，刘延青，范愈燕，等.度洛西汀联合神经阻滞治疗颈源性头痛的疗效[J].中国疼痛医学杂志，2017，23（9）：678-681.
[21] 易建生，陈存飞.颈椎持续前屈与椎间盘退行性病变及生理曲度异常的相关性分析[J].中国中西医结合影像学杂志，2014，12（1）：28-30.
[22] 赵勇，方维，闫安，等.肩胛肌筋膜炎软组织张力与颈椎生理曲度改变相关性探讨[J].中国骨伤，2014，27（5）：376-378.
[23] 吴阳，罗筱泉，陈天实，等.风池穴进针行小针刀疗法治疗颈源性头痛的临床比较研[J].中医临床研究，2014，6（26）：29-32.
[24] 马昕，周章武.颈部后伸肌群功能锻炼与合理用枕对恢复颈椎生理曲度的影响[J].中医药临床杂志，2017，29（3）：384-387. |
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