刮痧放痧联合电针治疗枕大神经痛：随机对照试验

雷婷; 施茵; 李燕婷; 马悦; 胡晓颖

doi:10.13703/j.0255-2930.20230828-k0008

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刮痧放痧联合电针治疗枕大神经痛：随机对照试验

临床研究 | 更新时间：2024-08-09

- 刮痧放痧联合电针治疗枕大神经痛：随机对照试验
- Guasha-fangsha therapy combined with electroacupuncture in treatment of greater occipital neuralgia: a randomized controlled trial
- 中国针灸 2024年44卷第8期页码：889-893
- 作者机构：
  
  1.上海中医药大学附属第七人民医院，上海　200137
  2.上海市虹口区江湾医院中医科，上海　200081
- 作者简介：
  
  ☒胡晓颖，主治医师。E-mail：235695915@qq.com
- 基金信息：
  
  上海市虹口区“国医强优”三年行动计划中西医结合康复能力提升专项项目(HKGYQYXM-2022-04)
- DOI：10.13703/j.0255-2930.20230828-k0008
  中图分类号：
- 收稿：2023-08-28，
  
  网络首发：2024-05-20，
  
  纸质出版：2024-08-12
- 稿件说明：
移动端阅览
雷婷, 施茵, 李燕婷, 等. 刮痧放痧联合电针治疗枕大神经痛：随机对照试验[J]. 中国针灸, 2024,44(8):889-893.

LEI Ting, SHI Yin, LI Yanting, et al. Guasha-fangsha therapy combined with electroacupuncture in treatment of greater occipital neuralgia: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(8): 889-893. DOI: 10.13703/j.0255-2930.20230828-k0008.
雷婷, 施茵, 李燕婷, 等. 刮痧放痧联合电针治疗枕大神经痛：随机对照试验[J]. 中国针灸, 2024,44(8):889-893. DOI： 10.13703/j.0255-2930.20230828-k0008.

LEI Ting, SHI Yin, LI Yanting, et al. Guasha-fangsha therapy combined with electroacupuncture in treatment of greater occipital neuralgia: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(8): 889-893. DOI: 10.13703/j.0255-2930.20230828-k0008. DOI：

摘要

目的：

观察刮痧放痧联合电针治疗枕大神经痛的临床疗效。

方法：

将90例枕大神经痛患者随机分为观察组（45例）和对照组（45例，脱落2例）。对照组采用电针治疗，穴取风府及双侧天柱、风池、完骨、玉枕、后溪，予疏密波，频率2 Hz/100 Hz，电流强度2～6 mA，每次30 min，隔日治疗1次，每周3次。观察组在对照组基础上采用刮痧放痧治疗，以头后部足太阳膀胱经、头侧部足少阳胆经循行处为主，每周治疗1次。两组均治疗3周。分别于治疗前，治疗1、2、3周后及治疗结束后3周随访观察两组患者视觉模拟量表（VAS）评分；于治疗前后及治疗结束后3周随访观察两组患者焦虑自评量表（SAS）、抑郁自评量表（SDS）和简明生活质量量表（SF-36）评分；并于治疗后及治疗结束后3周随访评定两组临床疗效。

结果：

治疗1周后，观察组患者VAS评分较治疗前降低（

0.05）；治疗2、3周后及随访时，两组患者VAS评分均治疗前降低（

0.05）。治疗后各时点，观察组VAS评分均低于对照组（

0.05）。治疗后及随访时，两组患者SAS、SDS评分均较治疗前降低（

0.05），且观察组低于对照组（

0.05）；两组患者SF-36各分项评分均较治疗前升高（

0.05），且观察组高于对照组（

0.05）。治疗后，观察组总有效率为91.1%（41/45），高于对照组的76.7%（33/43，

0.05）；随访时，观察组总有效率为91.1%（41/45），高于对照组的72.1%（31/43，

0.05）。

结论：

刮痧放痧联合电针可有效治疗枕大神经痛，减轻疼痛程度，改善焦虑、抑郁情绪，提高生活质量。

Abstract

Objective

To observe the clinical effect of

guasha

fangsha

(scrapping and bleedin

g) therapy combined with electroacupuncture (EA) on greater occipital neuralgia.

Methods

Ninety patients with greater occipital neuralgia were randomly divided into an observation group (45 cases) and a control group (45 cases

2 cases dropped out).In the control group

EA was delivered at Fengfu (GV 16) and bilateral Tianzhu (BL 10)

Fengchi (GB 20)

Wangu (GB 12)

Yuzhen (BL 9) and Houxi (SI 3)

with disperse-dense wave

at 2 Hz/100 Hz in frequency and 2 mA to 6 mA in intensity

for 30 min in each intervention

once every other days

3 times a week.In the observation group

on the basis of the intervention as the control group

guasha

fangsha

therapy was used along the distribution of the bladder meridian of foot-

taiyang

on the occipital region and that of the gallbladder meridian of foot-

shaoyang

on the lateral side of the head

once weekly.The duration of treatment was 3 weeks in the two groups.In the two groups

before treatment

after 1

2 and 3 weeks of treatment and in follow-up visit after 3 weeks of treatment completion

the score of visual analogue scale (VAS) was observed; before and after treatment

as well as in follow-up visit after 3 weeks of treatment completion

the scores of self-rating anxiety scale (SAS)

self-rating depression scale (SDS) and 36-item short-form health survey (SF-36) were observed; after treatment and in follow-up visit after 3 weeks of treatment completion

the clinical efficacy was evaluated.

Results

After one week of treatment

the VAS score in the observation group decreased when compared with that before treatment (

0.05)

while the scores in 2 and 3 weeks of treatment and in follow-up visit after 3 weeks of treatment completion were lower than those before treatment in the two groups (

0.05) separately.At each time point after treatment

the VAS scores in the observation group were lower than those in

the control group (

0.05).After treatment and during the follow-up visit

the scores of SAS and SDS decreased when compared with those before treatment in the two groups (

0.05)

and the scores in the observation group were lower than those in the control group (

0.05); the scores of each item in SF-36 were elevated in comparison with those before treatment in the two groups (

0.05)

and the scores in the observation group were higher than those in the control group (

0.05).After treatment

the total effective rate of the observation group was 91.1% (41/45)

higher than that (76.7%

33/43) of the control group (

0.05).In follow-up visit

the total effective rate of the observation group was 91.1% (41/45)

which was higher than 72.1% (31/43) of the control group (

0.05).

Conclusion

Guasha

fangsha

therapy combined with electroacupuncture can effectively relieve greater occipital neuralgia

alleviate pain severity

ameliorate anxiety and depression and improve the quality of life in the patients.

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