温通法治疗风寒侵络型枕神经痛疗效观察

Observation on the Therapeutic Effect of Warming and Unblocking Method in Treating Occipital Neuralgia Caused by Wind-Cold Invasion

摘要: 目的观察温通法在治疗风寒侵络型枕神经痛中的临床疗效。方法通过随机数字表法，将56名风寒侵络型枕神经痛患者分为治疗组和对照组，每组28例，分别接受温通法和单纯针刺治疗，为期2个疗程。在每个治疗结束后，对两组患者的疼痛分级指数(Pain Rating Index, PRI)、视觉模拟量表(Visual Analogue Scale, VAS)、现有疼痛强度(Present Pain Intensity, PPI)进行比较，以评估治疗效果。结果两组在治疗风寒侵络型枕神经痛治疗后及治疗前，PRI、VAS、PPI评分具有统计学差异(P < 0.05)，治疗组优于对照组(P < 0.05)。而从总有效率的角度看，治疗组达到了96.4%，对照组的总有效率为82.1%。这些比较结果显示出治疗组在治疗效果上的显著优势。结论温通法是一种在治疗风寒侵络型枕神经痛方面的有效方法，能更有效地减轻患者的痛苦症状。

Abstract: The purpose of this study was to observe the clinical efficacy of the warming and unblocking method in the treatment of occipital neuralgia caused by wind-cold invasion. Fifty-six patients with occipital neuralgia due to wind-cold invasion were randomly divided into a treatment group and a control group, with 28 patients in each group. The treatment group received the warming and unblocking method, while the control group received simple acupuncture treatment for two courses. After each treatment, the Pain Rating Index (PRI), Visual Analogue Scale (VAS), and Present Pain Intensity (PPI) of the two groups were compared to evaluate the therapeutic effect. The results showed that there were statistically significant differences in PRI, VAS, and PPI scores between the two groups after treatment compared with before treatment (P < 0.05), and the treatment group was superior to the control group (P < 0.05). From the perspective of the total effective rate, the total effective rate of the treatment group was 96.4%, and that of the control group was 82.1%. These comparison results demonstrated the significant advantage of the treatment group in terms of therapeutic effect. Conclusion: The warming and unblocking method is an effective approach in the treatment of occipital neuralgia caused by wind-cold invasion, and it can more effectively alleviate the pain symptoms of patients.