《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (1): 79-81.

• 论文 • 上一篇    下一篇

悬吊运动训练对颈源性头痛的疗效

孟朋民，刘伟明，杨泉林，郑丽军，苏心镜   

  1. 1.河北北方学院附属第二医院麻醉与疼痛医学科，河北张家口市075100；2.中国康复研究中心北京博爱医院，北京市100068。
  • 收稿日期:2013-06-08 修回日期:2013-08-08 出版日期:2014-01-25 发布日期:2014-01-25

Effect of Sling-exercise Therapy on Cervicogenic Headache

MENG Peng-min, LIU Wei-ming, YANG Quan-lin, et al.   

  1. The Second Affiliated Hospital, Hebei North University, Zhangjiakou 075100, Hebei, China
  • Received:2013-06-08 Revised:2013-08-08 Published:2014-01-25 Online:2014-01-25

PDF (PC)

摘要： 目的观察悬吊运动训练治疗颈源性头痛的临床疗效。方法颈源性头痛患者60 例，按就诊顺序分为两组。Ⅰ组(n=30)行C2椎旁阻滞，每周1 次；Ⅱ组(n=30)在颈椎旁阻滞基础上配合悬吊运动训练，悬吊运动训练每周3 次。均治疗4 周。观察治疗前与治疗后1 个月、3 个月、6 个月的疼痛视觉模拟评分(VAS)、每月疼痛发作次数及临床疗效。结果治疗后VAS评分，Ⅰ组治疗后1 个月、3 个月，Ⅱ组治疗后1 个月、3 个月、6 个月均较治疗前显著改善(P<0.001)；治疗后3 个月、6 个月，Ⅱ组较Ⅰ组改善更显著(P<0.001)。治疗后疼痛发作次数，Ⅰ组治疗后1 个月、3 个月，Ⅱ组治疗后1 个月、3 个月、6 个月均较治疗前减少(P<0.05)；治疗后3 个月、6 个月，Ⅱ组较Ⅰ组减少更明显(P<0.05)。治疗后Ⅰ组优良率33.3%，Ⅱ组73.3% (P<0.01)。结论配合悬吊运动训练治疗颈源性头痛优于单一采用颈椎旁阻滞，远期效果更佳。

关键词: 颈源性头痛, 椎旁阻滞, 悬吊运动训练

Abstract: Objective To investigate the efficacy of sling-exercise therapy on cervicogenic headache. Methods 60 patients with cervicogenic headache were divided into 2 groups with 30 patients each. Group I received paravertebral block of C2 once a week for 4 weeks, and Group II received sling-exercise therapy 3 times a week in addition. The Visual Analogue Score (VAS), frequency of pain (per month) before and 1, 3, 6 months after treatment were recorded, and the incidence of improvement was observed. Results In group I, VAS significantly improved 1 and 3 months after treatment (P<0.001), while it lasted 6 months in group II (P<0.001). The VAS improved more in group II 3, 6 months after treatment (P<0.001). It was similar in pain frequency. The incidence of improvement was 33.3% (10/30) and 73.3% (22/30) in group I and group II, respectively (P<0.01). Conclusion Sling-exercise therapy may improve the efficacy of paravertebral block on
cervicogenic headache, especially for the long-term.

Key words: cervicogenic headache, paravertebral block, sling-exercise therapy