颊针疗法和肌筋膜触发点治疗颈源性头痛的临床观察

Clinical Observation of Cheek Needle Therapy and Myofascial Trigger Point Treatment for Cervical Headache

摘要: 目的：分析肌筋膜触发点和颊针疗法治疗颈源性头痛的疗效。方法：抽取本院2024年6月~2025年8月收治的颈源性头痛患者82例为观察对象，采用双盲随机数字表法将其分为对照组(n = 41)、观察组(n = 41)，对照组开展传统针灸治疗，观察组开展颊针疗法和肌筋膜触发点治疗。结果：治疗后观察组在各方向颈部活动度改善均优于对照组(P < 0.05)，观察组治疗后压痛阈值显著高于对照组(P < 0.05)，观察组在头痛发作频率、持续时间和强度上的改善均优于对照组(P < 0.05)，观察组在SF-36各维度评分提升幅度均大于对照组(P < 0.05)，观察组在焦虑与抑郁情绪改善方面显著优于对照组(P < 0.05)，观察组在治疗满意度、依从性及推荐意愿上均显著高于对照组(P < 0.05)。结论：颊针疗法和肌筋膜触发点治疗颈源性头痛，可提升治疗效果，降低疾病复发率，进一步缓解患者疼痛，效果显著。

Abstract: Objective: To analyze the efficacy of myofascial trigger points and cheek needle therapy in the treatment of cervical headache. Methods: 82 patients with cervicogenic headache admitted to our hospital from June 2024 to August 2025 were selected as the observation objects. They were divided into the control group (n = 41) and the observation group (n = 41) by double blind random number table method. The control group was treated with traditional acupuncture, and the observation group was treated with buccal opening acupuncture and myofascial trigger points. Result: After treatment, the observation group showed better improvement in neck mobility in all directions compared to the control group (P < 0.05). The observation group had a significantly higher tenderness threshold after treatment compared to the control group (P < 0.05). The observation group also showed better improvements in headache frequency, duration, and intensity compared to the control group (P < 0.05). The observation group showed greater improvement in SF-36 scores in all dimensions compared to the control group (P < 0.05). The observation group showed significantly better improvement in anxiety and depression than the control group (P < 0.05). The observation group also showed significantly higher treatment satisfaction, compliance, and recommendation intention than the control group (P < 0.05). Conclusion: Myofascial trigger point acupuncture treatment of cervicogenic headache can improve the therapeutic effect, reduce the recurrence rate of disease, and further alleviate the pain of patients, with significant effect.