中医外治法治疗颈源性头痛的研究进展
Research Progress in the Treatment of Cervicogenic Headache by External Treatment Methods in Chinese Medicine
DOI: 10.12677/ACM.2022.12121699, PDF,    科研立项经费支持
作者: 关亚楠, 张成宇:青海大学,青海 西宁;青海省糖脂代谢疾病防控中医药重点实验室,青海 西宁;沈永勤*, 赵晓芳:青海省中医院,青海 西宁
关键词: 颈源性头痛中医外治法综述Cervicogenic Headache External Treatment Methods in Chinese Medicine Review
摘要: 颈源性头痛(cervicogenic headache, CEH)是一种得到国际头痛协会承认的继发性头痛,以其颈源性疼痛放射到头部或面部为主要特点。近年来,其发病率高升,患者苦其久已,病势缠绵难愈,而中医外治法以多靶点治疗CEH,疗效满意,越来越被广大患者接受。但也存在操作不规范、临床试验不严谨、疗效评价标准不一等不足,本文通过对近年来的相关研究进行综述,以期为CEH的临床治疗提供积极的理论指导。
Abstract: Cervicogenic headache (CEH) is a secondary headache recognised by the International Headache So-ciety and is characterised by cervicogenic pain radiating to the head or face. In recent years, its prevalence has increased and patients have suffered from it for a long time and the disease is diffi-cult to be cured. External treatment methods in Chinese medicine for CEH with multi-targeted therapy has shown satisfactory results and is increasingly accepted by the majority of patients. However, there are also deficiencies in the operation, clinical trials and evaluation criteria for effi-cacy. This paper reviews the relevant studies in recent years with a view to providing positive theo-retical guidance for the clinical treatment of CEH.
文章引用:关亚楠, 沈永勤, 张成宇, 赵晓芳. 中医外治法治疗颈源性头痛的研究进展[J]. 临床医学进展, 2022, 12(12): 11801-11805. https://doi.org/10.12677/ACM.2022.12121699

参考文献

[1] Sjaastad, O., Fredriksen, T.A. and Pfaffenrath, V. (1998) Cervicogenic Headache: Diagnostic Criteria. The Cervicogenic Headache International Study Group. Headache, 30, 442-445. [Google Scholar] [CrossRef] [PubMed]
[2] Sjaastad, O., Fredriksen, T.A. and Pfaffenrath, V. (2010) Cervicogenic Headache: Diagnostic Criteria. Headache: The Journal of Head and Face Pain, 30, 725-726. [Google Scholar] [CrossRef] [PubMed]
[3] Antonaci, F. and Sjaastad, O. (2011) Cervicogenic Headache: Areal Headache. Current Neurology and Neuroscience Reports, 11, 149-155. [Google Scholar] [CrossRef] [PubMed]
[4] Sjaastad, O. and Bakketeig, L.S. (2008) Prevalence of Cervi-cogenic Headache: Vaga Study of Headache Epidemiology. Acta Neurologica Scandinavica, 117, 173-180. [Google Scholar] [CrossRef] [PubMed]
[5] Mohammadi, Z., Shafizadegan, Z., Tarrahi, M.J., et al. (2021) The Effectiveness of Sternocleidomastoid Muscle Dry Needling in Patients with Cervicogenic Headache. Ad-vanced Biomedical Research, 10, Article No. 10. [Google Scholar] [CrossRef] [PubMed]
[6] Martelletti, P. and van Suijlekom, H. (2004) Cervicogenic Headache: Practical Approaches to Therapy. CNS Drugs, 18, 793-805. [Google Scholar] [CrossRef] [PubMed]
[7] Knackstedt, H., Bansevicius, D., Aaseth, K., et al. (2010) Cervicogenic Headache in the General Population: The Akershus Study of Chronic Headache. Cephalalgia, 30, 1468-1476. [Google Scholar] [CrossRef] [PubMed]
[8] 张红, 赵焕军, 宗晨旭, 等. 中医外治法治疗颈源性头痛机制研究进展[J/OL]. 中医学报: 1-11. http://kns.cnki.net/kcms/detail/41.1411.R.20220412.1219.004.html, 2022-11-11.
[9] 杨艳芳, 刘步平, 张美娟, 等. 并针疗法治疗颈源性头痛的临床疗效观察[J]. 广州中医药大学学报, 2022, 39(10): 2309-2314.
[10] 潘胜莲, 王庆来, 方芳, 等. 滞针提插法对颈源性头痛患者血清IL-6、TNF-α、NO水平及疗效的影响[J]. 浙江中医杂志, 2020, 55(11): 820-821.
[11] 褚慧玲, 胡丙成. 齐刺颈夹脊为主治疗颈源性头痛: 随机对照研究[J]. 中国针灸, 2016, 36(1): 29-32.
[12] 郭建中, 孙立靖, 黄宪梅. 针刀松解斜角肌治疗颈源性头痛120例临床观察[J]. 河北中医, 2012, 34(5): 720-721.
[13] 张瑞萍. 鍉针结合常规针刺治疗颈源性头痛的临床观察[D]: [硕士学位论文]. 晋中: 山西中医药大学, 2019.
[14] 姚旭, 林咸明. 温针灸治疗颈源性头痛: 随机对照研究[J]. 中国针灸, 2016, 36(5): 463-466.
[15] 戚晴雪, 赵环宇, 刘华, 等. 颅颈五步手法对颈源性头痛患者生活质量影响[J]. 辽宁中医药大学学报, 2021, 23(8): 190-193.
[16] 覃兴乐. 正骨手法治疗颈源性头痛的临床观察[J]. 中国康复医学杂志, 2007, 22(4): 356-357.
[17] 何秋茂, 林嘉杰, 赵家友, 等. 中医推拿治疗颈源性头晕头痛的脑内信息响应特征研究[J]. 按摩与康复医学, 2019, 10(21): 19-21+24.
[18] 彭志华, 杨丽霞, 胡翀妮, 等. 关刺法配合压痛点推拿治疗颈源性头痛临床疗效观察[J]. 贵州中医药大学学报, 2021, 43(6): 36-40+45.
[19] 张晓哲, 王李丽, 刘延青. 针刺加火针治疗颈源性头痛临床观察[J]. 中国针灸, 2013, 33(11): 989-992.
[20] 高珊, 王飞. 颈椎旁神经阻滞联合针刺治疗颈源性头痛临床疗效及其机制[J]. 中国疼痛医学杂志, 2019, 25(6): 426-431.
[21] Jull, G., Amiri, M., Bull-ock-Saxton, J., et al. (2007) Cervical Musculoskeletal Impairment in Frequent Intermittent Headache. Part 1: Subjects with Single Headaches. Cephalalgia, 27, 793-802. [Google Scholar] [CrossRef] [PubMed]
[22] Meznaric, M., et al. (2018) Effect of Ageing on the Myosin Heavy Chain Composition of the Human Sternocleidomastoid Muscle. Annals of Anatomy, 216, 95-99. [Google Scholar] [CrossRef] [PubMed]
[23] 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): 222-223.
[24] 张鹏飞, 王文德. 针刀联合手法治疗颈源性头痛的临床研究[J]. 针灸临床杂志, 2018, 34(4): 19-22.
[25] Huber, J., Lisinski, P. and Polowczyk, A. (2013) Reinvestigation of the Dysfunction in Neck and Shoulder Girdle Muscles as the Reason of Cervicogenic Headache among Office Workers. Disability and Rehabilita-tion, 35, 793-802. [Google Scholar] [CrossRef] [PubMed]
[26] 全养雅, 钱自亮, 周玲君, 等. 颈源性头痛临床诊断依据的分析研究[J]. 中国疼痛医学杂志, 2011, 17(1): 17-20.
[27] 秦晓旋, 万琪. 颈源性头痛患者头颈部肌肉触痛点针肌电检查的意义[J]. 江苏医药, 2015, 41(13): 1534-1536.
[28] 贾绍芳, 左欣鹭, 李娜, 等. 瞬目反射在颈源性头痛诊断中的应用研究[J]. 中国全科医学, 2015, 18(34): 4206-4209.